BlueCross BlueShield of Tennessee

Source: https://content.bcbst.com/api/public/content/bcbst-subscriber-claim-form_member-claim-form.pdf

Read date: 10-09-2026

Research steps

1. Complete Subscriber Health Care Claim Form GO-568 (8/18). Choose To me, the subscriber and include proof of payment to keep payment with the member. Choosing Directly to the provider of service directs payment to the provider. BCBST Subscriber Health Care Claim Form
2. Sign and date the Authorization section. Attach receipts and/or a superbill. If there is no superbill, provide a full description of the care. BCBST Subscriber Health Care Claim Form
3. Make sure the materials identify provider name and address, patient, date of care, procedure code and charge for each service, diagnosis code or description, provider Tax ID, NPI, specialty, phone, and place of care. BCBST Subscriber Health Care Claim Form
4. Portal upload NO. The public claim form publishes only an offline submission route. Destination details are excluded. BlueAccess and the BCBSTN app are published for claim viewing, not member claim upload. BCBST Subscriber Health Care Claim Form BCBST helpful tools
5. Marketplace members must submit within 15 months from the date of care. NOT PUBLISHED: a universal commercial deadline, electronic-signature rule, processing time, or distinct behavioral-health route. BCBST claims submission for Marketplace
6. Check the processed claim in BlueAccess or the BCBSTN app and review the Explanation of Benefits. BCBST helpful tools

Filing facts

• Portal upload: NO
• Portal: BlueAccess member account and BCBSTN app for status only
• Portal path: NOT APPLICABLE: the public member claim form publishes only an offline submission route
• Mail address: BlueCross BlueShield of Tennessee, Claims Service Center, 1 Cameron Hill Circle, Suite 0002, Chattanooga, Tennessee 37402-0002
• Fax: NOT PUBLISHED
• Attach: Provider name and address; patient name; date of care; procedure code for each service; charge for each service; diagnosis code or description; provider Tax ID; NPI; specialty; phone; place of care
• File types: NOT APPLICABLE
• File size limit: NOT APPLICABLE
• Maximum files: NOT APPLICABLE
• One file or separate files: NOT APPLICABLE
• Confirmation: Explanation of Benefits and a check if money is owed under the selected payment direction
• Status check: BlueAccess member account or BCBSTN app claim view; EOB after processing
• Processing time: NOT PUBLISHED
• Member deadline: Within 15 months from the date of care for Marketplace coverage
• Deadline basis: The 15-month public rule is Marketplace-specific; employer and self-funded plan documents control
• Mental health route: No distinct public behavioral-health member self-file route is published for general commercial coverage; employer carve-outs can differ

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