INSURER FILING GUIDE

Blue Cross Blue Shield of Arizona

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

AT A GLANCE

Claim facts

Member form	Health Insurance Claim Form / Member Claim Form Number: CMS-1500 Revision: 02/12 Open the insurer form
Portal upload	NO
Portal path	No upload path: ACA plan page provides a downloadable form and publishes only an offline submission route
Mail address	PLAN-DEPENDENT: ACA individual and family claims go to Blue Cross Blue Shield of Arizona, P.O. Box 2924, Phoenix, AZ 85062-2924; delegated vendors and other plans use their specific instructions.
Fax	Not published by the insurer
Attachments	Billed charges; date of service; diagnosis code; group number; member ID; member name; provider name; patient name; birth field (label as printed); procedure code; provider ID number
Deadline	In most cases one year from date of service for ACA individual and family plans
Outcome and status	AZ Blue member portal > EOBs
Processing time	Not published by the insurer
Caveats	HMO plans generally cover out-of-network services only for emergencies; delegated vendors and self-funded groups may use different routes; Medicare and Medicaid excluded

STEP BY STEP

Read date: 10-09-2026

Check the benefit book because HMO plans generally cover out-of-network care only in emergencies and delegated vendors may control some benefits. https://www.azblue.com/individuals-and-families/resources/aca-plan-information
Download and complete AZ Blue's Health Insurance Claim Form / Member Claim Form, which is CMS-1500 (02/12). https://www.azblue.com/individuals-and-families/resources/forms
Supply at least billed charges, service date, diagnosis code, group number, member ID, member name, provider name, patient name, birth field (label as printed), procedure code, and provider ID. https://www.azblue.com/individuals-and-families/resources/aca-plan-information
NOT PUBLISHED: a member portal or app upload path. The ACA plan page publishes a downloadable form and only an offline submission route, so portal_upload is NO. https://www.azblue.com/individuals-and-families/resources/aca-plan-information
Submit within one year of the service date in most ACA individual and family plans. After processing, check the EOB in the AZ Blue member portal. https://www.azblue.com/individuals-and-families/resources/aca-plan-information
NOT PUBLISHED: file types, size, attachment count, upload confirmation, electronic-signature acceptance, or processing time because no member upload route is published. https://www.azblue.com/individuals-and-families/resources/aca-plan-information

Portal upload: NO
Portal: AZ Blue member portal
Portal path: No upload path: ACA plan page provides a downloadable form and publishes only an offline submission route
Mail address: PLAN-DEPENDENT: ACA individual and family claims go to Blue Cross Blue Shield of Arizona, P.O. Box 2924, Phoenix, AZ 85062-2924; delegated vendors and other plans use their specific instructions.
Fax: NOT PUBLISHED
Attach: Billed charges; date of service; diagnosis code; group number; member ID; member name; provider name; patient name; birth field (label as printed); procedure code; provider ID number
File types: NOT APPLICABLE
File size limit: NOT APPLICABLE
Maximum files: NOT APPLICABLE
One file or separate files: NOT APPLICABLE
Confirmation: EOB after processing; EOB also available in member portal
Status check: AZ Blue member portal > EOBs
Processing time: NOT PUBLISHED
Member deadline: In most cases one year from date of service for ACA individual and family plans
Deadline basis: YES: delegated vendor, group, self-funded, and benefit-book terms may differ
Mental health route: Delegated vendors may administer some benefits and their EOB or plan booklet controls the appeal route

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.