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Premera Blue Cross fax number

(425) 918-5878

Calypso – Customer Solutions/Recovery; Subrogation Case Management

Used for: Subrogation case management and submission/processing of incident questionnaires related to health-care claims

Fax destination details

Department
Calypso – Customer Solutions/Recovery; Subrogation Case Management
Purpose
Subrogation case management and submission/processing of incident questionnaires related to health-care claims
Form
Incident Questionnaire (IQ) — Incident Questionnaire
Address
P.O. Box 327, MS 227, Seattle, WA 98111-0327

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Complete the form, sign and date, and submit by fax to 425-918-5878 or by mail to Premera Blue Cross, P.O. Box 327, MS 227, Seattle, WA 98111-0327; include required details for the claim.

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