Claim Forms

Filing Claims

Dental Blue for Groups

Please download claim form and submit to:

BCBSNC Claims Unit
PO Box 2100
Winston-Salem, NC 27102-2100

Dental Blue for Individuals

Please download claim form and submit to:

BCBSNC Claims Unit
PO Box 2100
Winston-Salem, NC 27102-2100

Dental Blue Select - Voluntary Groups

Please download claim form and submit to:

BCBSNC
Dental Blue Select Claims Unit
PO Box 2400
Winston-Salem, NC 27102-2100