Find a Form
Ensure you are using the latest web browser version in order to submit electronic forms
The online form submission is not available to iOS devices (an operating system used for mobile devices manufactured by Apple). If you are using one of these devices please use the PDF to complete your form.
- Claims Inquiry Form (PDF)
- Itemized Bill Submission Form
- Medical/Dental Claim Form (PDF)
- Pharmacy Claim Form (PDF)
- BlueCard Worldwide International Claim Form
- Prior Authorization
- Federal Employee Advance Medical Review Forms
- Commercial Prior Authorization List
Little Stars Program Referral
Other Medical Coverage Information
Skilled Nursing Facility Concurrent Review
An independent licensee of the Blue Cross and Blue Shield Association
© Blue Cross and Blue Shield of Kansas City. All rights reserved.