Other Health/Dental Insurance Questionnaire

Want to avoid claim denials due to "other health information requested?" 
At the beginning of each new year, we require our members to update their Other Health Insurance (OHI) information. Until now, members always had to fax or mail this form to us. Now, members can update OHI online!

You can make it easy by giving members computer access right in your office. Ask them to log into My Insurance Manager and update their information. (Members can also access My Insurance Manager from the SouthCarolinaBlues.com home page.) When the member signs on to My Insurance Manager, there is a link to the Other Health Insurance information, including Medicare and the Other Dental Coverage Questionnaire.

If you prefer, you can download a hard copy of the Other Health/Dental Insurance Questionnaire. You can save this form on your computer and e-mail it to members as needed. A Spanish version of this form is also available.

Please note: Federal Employee Program (FEP) members do not currently have access to the form in My Insurance Manager and will need to complete a hard copy of the FEP Other Health Insurance Questionnaire.