BASIC Flex Participant Forms
Use the following Flex participant forms to make the most of your BASIC services.
- BASIC Flex Reimbursement Forms
- BASIC Flex Direct Deposit Form
- BASIC Flex Debit Card Refund Form
- Letter of Medical Necessity
This form needs to be submitted, or a provider’s letter containing the same information, with each claim that is submitted for the service or product requested.
Contact BASIC with any questions.