Email Customer Service

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

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

First Name

First Name is required.

Last Name

Last Name is required.

Middle Initial

Optional

Date of Birth

Enter date in the format MM/DD/YYYY.

Date of Birth is required.

Optional

Email Address

Email Address is required. Invalid email address format: name@domain.com.

Phone Number

Enter number in the format (000) 000-0000.

Phone Number is required.

Fax Number

Optional

Enter number in the format (000) 000-0000.

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

Patient's First Name

Optional

Patient's Last Name

Optional

Patient's Date of Birth

Optional

Enter date in the format MM/DD/YYYY.

Comments and Questions

Comments and Questions is required.