Thank you
Your personal representative log in is being created.
After we have received and processed your digital data disclosure and release authorization form, we will validate your personal representative account.
Then you'll be able to use the third-party application(s) that support access to Blue Cross member data.
Haven't submitted the authorization form yet?
Please download and complete the form.
Download authorization form (PDF)
Please mail, email or fax the completed form to the address on the form.