HIPAA Inquiries

Contact Information (* required fields)

* First Name:
* Last Name:
* Phone Number:
Address 1:
Address 2:
City:
State:
Zip:
* Email Address:
* Cardholder ID Number:
I am a:

Your Inquiry or Comment

Message:

To ensure your privacy, all information will be sent via a secure connection. Independence Administrators will not disclose any personal information to outside persons or entities unless we have written consent or unless authorized by law. Please see our Notice of Privacy Practices for more information.

Independence Administrators is an independent licensee of the Blue Cross and Blue Shield Association, serving southeastern Pennsylvania.