Self-Service Options

You can also submit one of these quick online forms:

• Pre-certification questions or a request for a list of BBA alpha prefixes
  • Provider Inquiry Form
    
  • Pre-certification questions or a request for a list of BBA alpha prefixes
    • Provider Inquiry Form
      
  • Provider Inquiry Form
    
  • EFT (electronic funds transfer) enrollment
    • EFT Request Form
      
  • EFT Request Form
    
  • Update your practice's demographic information
    • Provider Demographic Change Request Form
      
  • Provider Demographic Change Request Form
    
  • 
    
• Pre-certification questions or a request for a list of BBA alpha prefixes
  • Provider Inquiry Form
    
• Provider Inquiry Form
  
• EFT (electronic funds transfer) enrollment
  • EFT Request Form
    
• EFT Request Form
  
• Update your practice's demographic information
  • Provider Demographic Change Request Form
    
• Provider Demographic Change Request Form
  
• 
  
• EFT (electronic funds transfer) enrollment
  • EFT Request Form
    
  • Pre-certification questions or a request for a list of BBA alpha prefixes
    • Provider Inquiry Form
      
  • Provider Inquiry Form
    
  • EFT (electronic funds transfer) enrollment
    • EFT Request Form
      
  • EFT Request Form
    
  • Update your practice's demographic information
    • Provider Demographic Change Request Form
      
  • Provider Demographic Change Request Form
    
  • 
    
• Pre-certification questions or a request for a list of BBA alpha prefixes
  • Provider Inquiry Form
    
• Provider Inquiry Form
  
• EFT (electronic funds transfer) enrollment
  • EFT Request Form
    
• EFT Request Form
  
• Update your practice's demographic information
  • Provider Demographic Change Request Form
    
• Provider Demographic Change Request Form
  
• 
  
• Update your practice's demographic information
  • Provider Demographic Change Request Form
    
• Request a 1099-MISC tax form
  • 1099-MISC form
    

Call Us for These Issues

These specific issues are best resolved with a quick call to our customer service team at 877-707-2583:

• Requesting a resend of a prior authorization approval
• Refund-related inquiries
  

Dental Plans

For Dental Blue Network enrollment or contract questions (not claim status or inquiries), email cbadentalblue@cbabluevt.com

Mailing Medical Records

Medical records must be mailed; electronic media, including CDs and thumb drives, cannot be accepted. Please mail records to one of the following addresses:

• 46 Bowdoin Street, South Burlington, VT 05403
• 46 Bowdoin Street, South Burlington, VT 05403
• 37 Industrial Drive, Exeter, NH 03833
  
• 37 Industrial Drive, Exeter, NH 03833
  

Still Need Help?

If your question isn't covered above, reach us in one of these ways:

• Call us at 888-222-9206 for the fastest response
• 46 Bowdoin Street, South Burlington, VT 05403
• 37 Industrial Drive, Exeter, NH 03833
  
• Complete our contact form and a member of our team will call you back. 
  

Please note: We can’t handle customer service requests by email, so we can’t respond directly to the email address you provide. You'll receive a return phone call instead.