Carrier Release Forms
Aetna
Fort Dearborn
Anthem BCBS of Maine
Group Dynamic
Anthem BCBS of New Hampshire
Guardian
Assurant
Harvard Pilgrim Health Care
BCBS of Massachusetts
MetLife
BCBS of North Dakota
MVP Health Plan
BCBS of Texas
Point Partners
BCBS of Vermont
Principal
Benefit Strategies
Regence BCBS of Utah
BlueShield of Northeastern New York
RMSCO
CBA
Securian
CDPHP
Standard
CIGNA
Sunlife
Delta Dental
Tufts Health Plan
Delta Dental of New York
United Concordia
Empire Blue Cross Blue Shield
United HealthCare
Excellus Health Plan
111 Commercial St. | Portland, Maine 04101 | Ph: 207.761.2426 | Fax: 207.761.0976
P.O. Box 677 | Bangor, ME 04402 | Ph.: 207.947.4794 | Fax: 207.947.8075
