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FSA reimbursement requests can be made using the applicable claim form above.
Simply complete and sign the claim form and attach one of the following:
Completed reimbursement requests should be mailed or faxed to:
BlueCross BlueShield of Tennessee
Claims Service Center
1 Cameron Hill Circle Ste 0022
Chattanooga, TN 37402-0022
Because these benefits are optional, please check your Evidence of Coverage or your employer’s summary plan description to make sure you have a BlueCross BlueShield of Tennessee FSA.