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EXC-MBR-Email Us - Top Content
Our representatives will respond within one business day. If you need an immediate response, please call us at the number on your member card.
If you have coverage through an employer group, the majority of demographic changes (e.g., name, date of birth, Social Security number, and address) must be completed through your group.
If you enrolled through the NY State of Health Marketplace, please visit their website https://nystateofhealth.ny.gov/ to update your policy.
EXC - Contact Us - Email Us - Accordion
For Medical Plans:
For Dental Plans:
Excellus BlueCross BlueShield is committed to service excellence when it comes to interactions with external customers. Our Customer Service employees have a role in helping the organization achieve a superior level of customer satisfaction.
We'd like to hear from you!
If you would like to recognize a Excellus BlueCross BlueShield Customer Service employee that has performed above and beyond expectations, resulting in an exceptional customer experience, please click on the 'Recognize an Employee' button below.
Step 1: Select a Claim Form:
- Medical ClaimOpen a PDF
- Prescription Drug ClaimOpen a PDF
- Compound Prescription Drug ClaimOpen a PDF
- Dental ClaimOpen a PDF
- Vision ClaimOpen a PDF
- International Claim FormOpen a PDF | In SpanishOpen a PDF | European A4 Paper SizeOpen a PDF
(Optional) If you didn't expect to receive a bill from the provider
Step 2: Fill Out the Form & Save it to Your Computer