Fw: Blue Cross Blue Shield Settlement - Claim Notice
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Bob Johnson
Jan 20, 2025, 3:38:53 PM1/20/25
to Bob Johnson, goldsh...@googlegroups.com
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Your Claim Number is: PTA46-QC8WL.
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Your Response has been submitted successfully
Your Claim Number is: PTA46-QC8WL.
Payment Election
If you would like to be in the first round of payments for expedited payment by electronic debit card, you can do so below.
Review Your Premiums
The following Total Premiums Paid will be used in calculating your payment.
| Year | Premium Amount |
|---|---|
| 2008 | $3,108.00 |
| 2009 | $3,414.00 |
| 2010 | $3,486.00 |
| 2011 | $4,425.00 |
| 2012 | $5,372.00 |
| 2013 | $5,906.00 |
| 2014 | $6,600.00 |
| 2015 | $7,224.00 |
| 2016 | $656.00 |
----- Forwarded Message -----
To: "gold...@yahoo.com" <gold...@yahoo.com>
Sent: Monday, January 20, 2025 at 11:16:56 AM PST
Subject: Blue Cross Blue Shield Settlement - Claim Notice
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Claim Number: PR5Q6PSBXY PIN: 7194396523 We received the claim form you submitted in the Blue Cross Blue Shield Settlement. Based on the information provided on your claim form and BCBS records, we have determined your Total Premiums Paid and/or Total Administrative Fees Paid, which will be used in calculating your payment. To review, please login to the website below with the Claim Number and PIN listed above: |
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If you agree with these amounts, do not submit a dispute. If you disagree with these amounts, provide your dispute details and upload all supporting documentation. Please note, you may only submit once, so make sure your dispute is complete before clicking submit.
The deadline to dispute your Total Premiums Paid and/or Total Administrative Fees Paid is 30 days from when this email was sent. Please watch the Settlement website, www.BCBSsettlement.com, for updates, including distribution timing. |
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Regards, Blue Cross Blue Shield Subscribers Settlement Claims Administrator c/o JND Legal Administration |
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To unsubscribe, please click on the following link: unsubscribe |
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