Please contact Karen Hodge, Management Services Specialist, at (585) 344-7566 or firstname.lastname@example.org for any questions regarding forms. Please click the links below to download the appropriate forms.
Excellus BCBS Dental Claim Form
Excellus BCBS Medicare Eligibility Form
Excellus BCBS Medical Claim Form
To find the Excellus BCBS Protected Health Information Form (PHI) click on this link, then select the Privacy Forms tab and then select Authorization Release Form.