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Blue Star Claims Management, LLC fax number
(480) 579-2476
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Occupational Accident Program for Independent Contractors
Used for: Submit new occupational accident claim forms and related documents via fax for processing; for billing, submit invoices/bills also for processing.
Fax destination details
- Department
- Occupational Accident Program for Independent Contractors
- Purpose
- Submit new occupational accident claim forms and related documents via fax for processing; for billing, submit invoices/bills also for processing.
- Form
- HCFA/UB04 (UB-04 CMS-1450) — UB-04 Uniform Bill (CMS-1450)
- Address
- 21001 N. Tatum Blvd., Suite 1630-646, Phoenix, AZ 85050
- Voice phone
- (480) 579-2501
- 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.
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Submit HCFA/UB04 with treatment notes; include patient name and/or DOB and claim number to avoid delays. Fax the completed form to 480-579-2476.
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