Form 82160-Flu Claim Form - Flu Shot Only - Blue Cross and Blue Shield

Form 82160-Flu Claim Form - Flu Shot Only - Blue Cross and Blue Shield

What Is Form 82160-Flu?

This is a legal form that was released by the Elevance Health (Anthem) on March 1, 2011 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is form 82160?
A: Form 82160 is the Flu Claim Form.

Q: What does the Flu Claim Form cover?
A: The Flu Claim Form covers flu shots only.

Q: Who is the form intended for?
A: The form is intended for Blue Cross and Blue Shield customers.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2011;
  • The latest available edition released by the Elevance Health (Anthem);
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 82160-Flu by clicking the link below or browse more documents and templates provided by the Elevance Health (Anthem).

Download Form 82160-Flu Claim Form - Flu Shot Only - Blue Cross and Blue Shield

4.7 of 5 (6 votes)
  • Form 82160-Flu Claim Form - Flu Shot Only - Blue Cross and Blue Shield

    1

  • Form 82160-Flu Claim Form - Flu Shot Only - Blue Cross and Blue Shield, Page 2

    2

  • Form 82160-Flu Claim Form - Flu Shot Only - Blue Cross and Blue Shield, Page 1
  • Form 82160-Flu Claim Form - Flu Shot Only - Blue Cross and Blue Shield, Page 2
Prev 1 2 Next
ADVERTISEMENT