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2025-125
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2025-125
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Last modified
6/23/2025 10:25:09 AM
Creation date
6/23/2025 10:16:29 AM
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Template:
Official Documents
Official Document Type
Amendment
Approved Date
06/03/2025
Control Number
2025-125
Agenda Item Number
13.D.1.
Entity Name
Blue Cross and Blue Shield of Florida, Inc.
Subject
Amendment No. 1 to Administrative Services Agreement
Document Relationships
2025-126
(Cover Page)
Path:
\Official Documents\2020's\2025
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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />service area, they must submit a claim to obtain reimbursement. For <br />institutional and professional claims, Members should complete a Blue Cross <br />Blue Shield Global® Core International claim form and send the claim form with <br />the provider's itemized bill(s) to the Blue Cross Blue Shield Global® Core <br />Service Center address on the form to initiate claims processing. The claim <br />form is available from BCBSF and/or its Designated Agent, the Blue Cross Blue <br />Shield Global® Core Service Center, or online at www.bluecardworldwide.com. <br />If Members need assistance with their claim submissions, they should call the <br />Blue Cross Blue Shield Global® Core Service Center at 1 (800) 810 -BLUE <br />(2583) or call collect at 1 (804) 673-1177, 24 hours a day, seven days a week. <br />2. Blue Cross Blue Shield Global® Core -Related Fees <br />Employer understands and agrees to reimburse BCBSF and/or its Designated <br />Agent for certain fees and compensation which we are obligated under <br />applicable Inter -Plan Arrangement requirements to pay to the Host Blues, to <br />the Association and/or to vendors of Inter -Plan Arrangement related services. <br />The specific fees and compensation that are charged to Employer under the <br />Blue Cross Blue Shield Global® Core are set forth in this Exhibit B, if applicable. <br />Fees and compensation under applicable Inter -Plan Arrangements may be <br />revised from time to time. <br />17 <br />
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