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.

* Indicates a required field

First Name *

First Name is required.

Last Name *

Last Name is required.

Middle initial

Date of Birth *

Enter date in the format MM/DD/YYYY.

Date of Birth is required.

Contract Number

As it appears on your ID card.

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

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

Patient's Last Name

Patient's Date of Birth

Enter date in the format MM/DD/YYYY.

Comments and Questions *

Comments and Questions is required.