Member Delegation Form

I'm trying to find this Member Delegation Form, and I don't have any success.

Please if you can email it to me, I need it for RQIs.

My email is marija.mitroviczv@gmail.com.

Thank you

0 BCBSIL Connect Team over 5 years ago

Hello, If you are a provider, please send us a private message and we can have provider services get in touch with you. However, because we don't allow the sharing of personal information on a public forum, please delete this message. Thank you! ~ Heather
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Member Delegation Form