Email Customer Service

Use this form to email comments and questions to the Blue Cross and Blue Shield Customer Service Department.

Note: If you are a Blue Cross and Blue Shield customer and need to reach us by phone, please use the telephone number(s) on the back of your ID card.

First Name:* The value is required.
Last Name:* The value is required.
Middle Initial:
Date of Birth:* The value is required. Invalid format.
Contract Number:   (As it appears on your Blue Cross Card)
Email Address:* The value is required. Invalid format.
Telephone Number:* The value is required. Invalid format.
Fax Number:   Invalid format.

Note: If you are sending this email regarding a member other than yourself, please provide their information below.

Patient's First Name:
Patient's Last Name:
Patient's Date of Birth: Invalid format.

Comments and Questions:* The value is required.

* Indicates Required Fields

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