International Health Claim Form
Filing International Claims Can Be as Easy as 1-2-3
- You May not Have to File a Claim - Many Hospitals Will File Directly with World Access
Please show your World Access/ Blue Cross and Blue Shield identification card packet to the hospital. If you are filing a claim, please fill out the International Claim Form (PDF, 43 kB). Help us avoid unnecessary delays by answering all questions completely.
- Help Us Process Your Claims Quickly…Insist on Itemized Bills
We want to process your claims quickly, but we can’t do so without properly itemized bills. Attach ORIGINAL BILLS to this claim form. We recommend that you make copies of each bill for your personal records. The original bills will not be returned.
Be sure to attach ALL documentation that you receive from the provider.
- Complete the International Claim Form (PDF, 43 kB) and send to:
BlueCard Worldwide Service Center
P.O. Box 72017
Richmond, VA 23255 USA
