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Therefore, Trigon Blue Cross Blue Shield has agreed to this refund program for our customers. If you qualify, your refund will be determined by applying Trigon’s average percentage discount at that covered facility to your original coinsurance payment, plus interest at the legal rate of interest, compounded annually.
If you would like to receive more information and proof of claim forms, telephone us directly at 1-800-422-4662.
To file a claim, you must sign and send us a proof of claim form. This form will ask you to provide us with some basic information that will help us process your claim, such as: your ' name, address, policyholder ID number (this is usually your social security number), when and where you received services and the amount of coinsurance you paid. While not required, it may also help us process your claim if you include proof of your coinsurance payment by enclosing a covered facility receipt or cancelled check with your completed form. If you do not have a cancelled check or covered facility receipt you should provide us with your best estimate of the amount of coinsurance paid. Trigon reserves the right to verify payments from covered facility records.
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