Verify Your Benefits Policy Holder's Name* First Last Parent's Name* First Last Child's Legal Name* First Last Child's Date of Birth* Month Day Year Upload Front of BCBS Card*Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Please note the max. file size is 32MB. All images must be below this limit. Upload Back of BCBS Card*Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Please note the max. file size is 32MB. All images must be below this limit.
