Downloadable Forms

Our most frequently requested forms are available as PDF files. Just click on the appropriate form, print the form, fill it out, and mail it in. If you do not have Adobe® Reader®, download it free of charge at Adobe's site.

• Automatic Premium Payment Authorization Agreement 

• BCBSNM Standard Claim Form 

• BlueCard Worldwide® International Claim Form 

• Coordination of Benefits Form 

• Standard Authorization Form and other HIPAA Privacy Forms

• Power of Attorney for Health Care Form  — Designate someone you trust to make health care decisions if you are unable to do so. Follow instructions on the form.

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