Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Blue Cross and Blue Shield of Louisiana (Louisiana Health Service & Indemnity Company) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Blue Cross and Blue Shield of Louisiana (Louisiana Health Service & Indemnity Company) fax number
(225) 297-2820
Individual Membership & Billing Department
Used for: Cancel an individual health plan due to the death of the policyholder (use the Death of Policyholder cancellation form).
Fax destination details
- Department
- Individual Membership & Billing Department
- Purpose
- Cancel an individual health plan due to the death of the policyholder (use the Death of Policyholder cancellation form).
- Form
- 14CS1033R0820 — Individual Plan Cancellation Form - Death of Policyholder
- Address
- 5525 Reitz Ave, Baton Rouge, LA 70809
- Voice phone
- 1-800-495-2583
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the form with subscriber name, relationship to subscriber, date of death, and contract numbers; sign. Submit via email, fax (225-297-2820), or mail as directed on the form.
Official form instructions are published as a downloadable file on the organization's website.
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