Member Forms & Policies

Member Forms

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• Continuity of Care Request Form

• Contraceptive Coverage Exception Form

• Military Status Change Form

• Network Access Travel Reimbursement Form

• HIPAA Authorization Form

Claims eFiling

Claims eFiling Tool

Click the link above to use our Claims eFiling tool to submit Blue Cross & Blue Shield of Mississippi (BCBSMS) claims information electronically. View the Claims eFiling FAQ to learn more.

Member Policies

Online Medical Policy This Medical Policy is provided for informational purposes only.

Travel Reimbursement Policy Reimbursement for eligible travel, lodging, and food expenses (“Travel Expenses”) may be available to BCBSMS Members when access to a Provider specialty is limited in the county in which the Member resides. View our Network Access Travel Reimbursement Policy to learn more.

Surprise Billing and Balance Billing Protections Know your rights against surprise billing and balance billing.

Healthcare Services Requiring Prior Authorization View the list of healthcare services that require a Prior Authorization.

Electronic Communication Notice BCBSMS and Bluebonnet Life Insurance Company (BBL) offer virtual/all electronic products. Enrollment constitutes agreement and comprehension of the Electronic Communication Notice.

Customer Support Team

601-664-4590 or 1-800-942-0278

General Information

601-932-3704