HRA - Submit Claims

If you use network providers, you should not have to file claims with automatic reimbursement.
With automatic reimbursement, we will send reimbursements directly to your providers.
Some out-of-network providers may require you to submit your own claims.
Sign up for direct deposit to receive your reimbursements faster.

HRA Health Care Claim Form

  • Not necessary if using automatic reimbursement
  • Direct Deposit Form (only submit once or for changes)

What to Include?

  • Your Explanation of Benefits from BlueCross BlueShield of Tennessee
  • Receipts for prescriptions or health-related expenses

Where to Send?

  • Mail:
    BlueCross BlueShield of Tennessee
    Claims Service Center
    1 Cameron Hill Circle Ste 0022
    Chattanooga, TN  37402-0022
  • Fax: 1-888-666-1221