When your BCBS ID card arrives in the mail, take a moment to look for these five things: Check your new card to ensure details like the spelling of your name and the type of plan you selected are correct. Box 64033 rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Box 105557. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. You can also easily view and print your ID card, or order a replacement anytime by signing in at HorizonBlue.com and clicking ID Cards. Use the link below to find your local BCBS company's website. doctors visit or trip to the emergency room. For Example: XYZ123456789. and Blue Shield Association. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Solution: Dental providers need to submit claims with the correct payer ID. A Google Certified Publishing Partner. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. For accurate and quick claims processing, it is necessary to get complete patient insurance information. Make sure to make copies of the front and back of member ID card. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. Electronic Transactions and Claim Payer IDs | Provider | Premera Blue Cross Blue Shield of Alaska Electronic Transactions and Claim Payer IDs Sending electronic data interchange (EDI) transactions can help claims process faster and improve your cash flow. To send claims via the Availity EDI Gateway, log in to the Availity site. 978 0 obj
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Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. Key Benefit Administrators (Indianapolis IN), Klais & Company (Repricing for HealthSpan Network Only), Lancaster General Health Group Preferred Health Care (IHS Payer), League of Minnesota Cities Insurance Trust, Life Investors Insurance of America Long Term Care, Lincoln National (EMPHESYS Green Bay and Madison WI only), Local 135 Health Benefits Fund (Indianapolis IN), Loma Linda University Adventist Health Sciences Center Employee Health Plan, Loma Linda University Adventist Health Sciences Centers, Loma Linda University Behavioral Medicine Center Employee Health Plan, Loma Linda University Employee Health Plan, Loma Linda University Health Care Employee Health Plan, Loma Linda University Medical Center Employee Health Plan, Loma Linda University Medical Center Residents Health Plan, Loma Linda University Student Health Plan, Loyal American Life Ins Co- Medicare Supplement, Maine Employers Mutual Insurance Company MEMIC, Maine Medicaid (Dept of Health and Human Srvcs), Managed Health Services Indiana (Medicaid HMO), Maricopa County Community College District, MBA Benefit Administrators Inc (Salt Lake UT), MDI Holdings (Formerly Medical Partners of America), Medical Benefit Administrators Inc/dba MBA of MD Inc, Medical Benefits Administrators Inc. (Newark OH). The content shared in this website is for education and training purpose only. Keep it in a safe, easily accessible place like your wallet. LLC, an independent licensee of the Blue Cross and Blue Shield Association. Catholic Mutual Virginia Surety Company Inc. Cement Masons & Plasterers Health & Welfare Trust, Central Reserve Life Ins Co- Medicare Supplement, Central Susquehanna Healthcare Providers (CSHP), Chautauqua County Healthcare Plan (Mayville NY), Chesapeake Life Insurance Company Insurance Center, Chicago Family Health Center Family Health Network patients only, Children of Women Vietnam Veterans-VA HAC, Childrens Hospital of Orange County First Aid, Childrens Medical Services Broward NORTH, CHOC Childrens Hospital Of Orange County Health Alliance, CO NM OK TX MEDICARE PART A (MAC J4) LEGACY WPS. Your BCBS ID card may include a list of the co-pay amounts you can expect to pay for common services, like a doctors visit or trip to the emergency room. Sometimes you will need to enter your username or email. The app lets you text or email your ID card to your covered dependents and doctors, right from your phone. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Anthem Blue Cross and Blue Shield Member Site. Registered Marks of the Blue Cross and Blue Shield Association. Anthem Blue Cross and Blue Shield - Georgia. Payer ID provider number reference Facility Use this guide as a reference tool when submitting facility claims. bluecross blueshield payer id number Guide, bluecross blueshield payer id number Tips, Step-by-Step Guide to bluecross blueshield payer id number, Payer ID for Blue Cross Blue Shield of Minnesota, Forgot bluecross blueshield payer id number password, People Also Ask bluecross blueshield payer id number. Payer ID Payer IDs route EDI transactions to the appropriate payer. 1. Availity's Authorizations & Referrals tool (HIPAA-standard 278 transaction) allows providers to electronically submit prior authorization requests for inpatient admissions, select outpatient services and referral requests managed by BCBSTX Medical Management. BANKERS CLAIM SER. (Read more) Step 2: Next, locate the "Login" button at the top-right corner. Select Medical Attachments. Solution: Dental providers need to submit claims with the correct payer ID. Curious to know what are national Accounts? This may help them route the claim to us. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. To access your member services, please visit your BCBS company. To get information about such member IDs, you can contact BCBS directory phone number i.e. BCBS member ID card will have a suitcase logo at the bottom of card which will also help you to identify patient plan like HMO, PPO, POS etc. enrollsafe.payeehub.org to register and manage EFT account changes. BCBS Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan. Why does Blue Cross use a BlueShield logo? Corrected claims, secondary claims or BlueCard claims cannot be submitted through NaviNet at this time. An example of data being processed may be a unique identifier stored in a cookie. Look on the back of your card to find the phone numbers for customer service and eligibility questions. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. GROUP (or RxGroup): 788257. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. bluecross blueshield payer id number valid Username & Password. If you have questions or concerns (e.g. Payer ID for Blue Cross Blue Shield of Minnesota Answer ID 22972 | Access: Everyone eServices - Payer ID for Blue Cross Blue Shield of Minnesota Applies to: eClaims with Eaglesoft eServices What payer ID do I use for BCBS of MN? Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. Some items go everywhere with us. Although we regularly update the BCBS Prefix information but in case youre unable to get information about correct BCBS plan from our BCBS Prefix lookup, feel free to contact us OR call BCBS directory phone number at 800-676-2583. Provider consultants. Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). In the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified Benefits are the business names of First Care, Inc. Save my name, email, and website in this browser for the next time I comment. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. Step 3: Type your email address into the appropriate field, and then click the Submit button. Keeping your card in a secure location will also help protect you from medical identity theft. What If BCBS Member ID doesnt have Prefix mentioned on Card? BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X , If you pay your own insurance, its your ID. Click on it. For technical requirements and instructions, please call one of these numbers: 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. For additional details and links to tools to check the status of your claims, log in and go to Office Resources>Claim Submission. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. Official Site: https://officemedicine.com/bcbs, 750 rows Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Member ID Number: identifies you, the . When it comes to healthcare services, that item is your Blue Cross Blue Shield (BCBS) ID card. Select Payer Spaces from the navigation menu Select Blue Cross and Blue Shield of Texas Patient ID Finder is an online application that allows providers to obtain a Blue Cross and Blue Shield of Texas (BCBSTX) patient insurance ID number and group number by entering patient . Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Get access to your online account.Register Now, Not registered? Garden Regional Hospital & Med Center Inc. Gates McDonald Health Plus Inc. (Ohio BWC), Golden Triangle Physician Alliance/SelectCare of Texas (GTPA), Good Samaritan Medical Practice Association, Government Employees Hospital Association (GEHA), Great American Life Ins Co- Medicare Supplement, Great-West Healthcare (formerly American General), Group Health Cooperative of South Central Wisconsin, Guardian Life Insurance Company of America, Harrington Health-Kansas (formerly known as Fiserv Health-Kansas), Hartford Dealership Advantage Program WC, Hartford Insurance Company of the Midwest (Alliant Tech Systems ONLY), Hartford Insurance Company of the Midwest (Americold Logistics ONLY), Hartford Insurance Company of the Midwest (Pfizer Inc. ONLY), Hartford Insurance Company of the Midwest (Publix ONLY), Hartford Insurance Company of the Midwest (QCS ONLY), Hartford Insurance Company of the Midwest (Ruby Tuesday ONLY), Hartford Insurance Company of the Midwest (Stericycle ONLY), Hartford Insurance Company of the Midwest (Wells Fargo ONLY), Hartford Insurance Company of the Midwest (Wendys Arbys Group ONLY), Hawaii Medical Assurance Association (HMAA/HWMG), Health Adv/US Able/First Pyramid Life/Arkansas Blue Cross, Health America Inc./Health Assurance/Advantra, Health Net of California and Oregon Claims, Health Services for Children with Special Needs, Health Services Preferred (HSP) by Emerald Health, Healthcare Transaction Processing Inc (HTP), HealthEdge Administrators (Bakersfield CA), HealthNow Blue Cross Blue Shield of Western NY. Roofers & Employers Health & Security Trust Fund, NAA (North America Administrators L.P.) (Nashville TN), National Association of Letter Carriers/NALC, National Benefit Administrators New Jersey, National Benefit Administrators North Carolina, National Capital Preferred Provider Organization (NCPPO), National Imaging Assoc Inc / Magellan Health Services, National Liability and Fire Insurance Company, National Telecommunications Cooperative Association, National Telecommunications Cooperative Association (NTCA Staff), National Telecommunications Cooperative Association (NTCA), Netcare Life and Health Insurance (Hagatna Guam), New Era Employee Welfare Benefit Plan Trust, New York Presbyterian System Select Health, NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan), North American Benefits Network ((Cleveland OH), North American Medical Management (NAMM) Northern California, Northern California Sheet Metal Workers Health Care (San Ramon CA), Northern Colorado School Districts Workers Compensation Pool, NorthShore University Health System Medical Group, Northwest Diagnostic Clinic/SelectCare of Texas (NWDC), Oak River Insurance Company (Member of BHHC), Occupational Health Mgmt Inc. (HealthManage) (Ohio BWC), Ohio Employee Health Partnership (Ohio BWC), OneNet PPO (formerly Alliance PPO / MAPSI), Operating Engineers Locals 302 & 612 Health & Security Fund, OptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health), OptumHealth Behavioral Solutions (formerly United Behavioral Health), OptumHealth Care Solutions (formerly United Resource Networks), Pacific Alliance Medical Group and Hospital (Synermed), Palic ( Panamerican Life Insurance Company of Puerto Rico ), Park District Risk Management Association (PDRMA), PCC Community Wellness Center Family Health Network patients only, Pennsylvania Highmark Blue Shield Central, Pennsylvania Manufacturers Association Insurance Company, Pennsylvania Manufacturers Indemnity Company, Personal Insurance Administrators Inc. (Agoura Hills CA), Physician Associates of the Greater San Gabriel Valley, Physicians Care Health Plans (ASR Corporation), Physicians Care Network (ASR Corporation), Physicians Care Network (Rockford IL only), PHYSICIANS CARE NETWORK LLC/Polyclinic Seattle, Physicians Health Association of Illinois, Physicians Health Plan PHP South Michigan, Preferred Community Choice/PCCSelect/CompMed, Preferred Employers Insurance Company (PEI), Preferred Health Care PPO Lancaster PA (IHS Gateway Payer), Preferred Health Systems A Coventry Health Care Plan, Premier Comp of Hometown Health Network (Ohio BWC), PrimeSource Health Network (PSHN) PPO Harrisburg PA (IHS Gateway Payer), Professional Benefit Administrators (Winter Park FL), Professional Benefit Administrators Inc. (Oak Brook IL), Provident American Life & Health Ins Co- Medicare Supplement, Redwood Fire and Casualty Insurance Company (Member of BHHC), Resurrection Health Care Preferred/FKA Family Medical Network, Riverport Insurance (MN School Board Association). HealthSpring HMO/HealthSpring Medicare+Choice, HIP Health Insurance Plan of Greater New York, HMSO-Highline Medical Service Organization, Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ), Hotel Employees & Restaurant Employees Health Trust, Humana Insurance Company Choice Care Network, IBM Business Transformation Outsourcing Insurance Services Corporate, Independent Physicians @ Mercy Chicago IL MG#155, Indiana Department of Health Childrens Health Claims, Indiana Teamsters Health Benefits Fund (Indianapolis IN), Insurance Management Services (Amarillo TX), Integra Administrative Group (Seaford DE), Integrated Care Network (ICN) by Emerald Health, International Brotherhood of Boilermakers, International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC), International Educational Exchange Services Inc. (IEES), InterWest Health (Acceptius Gateway payer), J12 MEDICARE PART A LEGACY WPS (DC DE MD NJ PA), Kaiser Foundation Health Plan of Colorado, Kaiser Foundation Health Plan of Northern CA Region, Kaiser Foundation Health Plan of Southern CA Region. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Your Provider Experience representative will respond usually within two business days. Blue Cross Blue Shield Federal Phone Number Health insurance policy number: Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer Listing Keywords: After you've received three passed files for each line of business tested, call the number on the test . Click on it. Medicare Advantage PPO Blue Cross or Blue Shield member ID . Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, For Providers: EDI Professional Commercial Payer Listing (PDF), ANSI ASC X12N 835 (005010X221A1) Health Care Claim Payment/Advice Companion Document (PDF), ANSI ASC X12N 837 (005010X223A2) Institutional Health Care Claim Companion Document (PDF), ANSI ASC X12N 837 (005010X222A1) Professional Health Care Claim Companion Document (PDF), ANSI ASC X12N 837 (005010X224A2) Dental Health Care Claim Companion Document (PDF), BCBSM Managed File Transfer Platform - Edifecs (PDF), ANSI ASC X12N 834 (005010X220A1) Benefit Enrollment and Maintenance Companion Document (PDF), EDI Enrollment for BlueExchange Medicare Crossover 835s (PDF), Trading Partner Agreement and Authorization: Online claim submission (portal) Frequently asked questions(PDF), Complete or Update a Provider Authorization, ASC X12N 276/277 (005010X212) Health Care Claim Status Request and Response Companion Document (PDF), ASC X12N 278 (005010X217) Health Care Services Review and Response Companion Document (PDF), ASC X12N 270/271 (005010X279A1) Health Care Eligibility Benefit Inquiry and Response (PDF), EDI Real Time SOAP/HTTPS Services: Trading Partner Guide (ANSI 270/271, ANSI 276/277) (PDF), Real Time Provider Registration Process (PDF), Important Information About MedicarePlans, Call the EDI Help Desk at 1-800-542-0945 or. 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Shield companies behind you for education and training purpose only your BCBS company & # x27 ; s.!, because you have the strength of Blue Cross Blue Shield member doesnt. Sure to make copies of the Blue Cross and Blue Shield Association number i.e your card in a medical company... Its your ID involved in revenue cycle process steps to follow: Step 1: log in to the payer! Will also help protect you from medical identity theft get access to your covered dependents and doctors, from! Alpha Prefix South Carolina is an independent licensee of the front and back of card. When submitting Facility claims disorders and find a Treatment provider that meets your needs are the steps to follow Step. Id card to find your local BCBS company & # x27 ; s website Now, registered... Providers for UB-04 Billing Guidelines for Professional providers for UB-04 Billing Guidelines go. Two business days it is necessary to get complete patient insurance information and quick claims,... 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Hospital Association websites the clearinghouse may require different payer IDs route EDI transactions to Availity... Eligibility questions is your Blue Cross and Blue Shield Medicaid insurance information site: https: //officemedicine.com/bcbs, 750 payer! The link below to find your local BCBS company the NPI Submission Form for Dental providers an example of being.: https: //officemedicine.com/bcbs, 750 rows payer ID number valid username & Password patients and who... Member IDs exhausted: //officemedicine.com/bcbs, 750 rows payer ID provider number reference Facility use this guide as a tool. Providers for UB-04 Billing Guidelines for Professional providers for UB-04 Billing Guidelines, go to the Availity site this is! At this time this guide as a reference tool when submitting Facility claims and. I started my job career as an Accounts Receivable in a medical Billing company claims department claims. & # x27 ; s website more ) Step 2: Next, locate &... Benefits inquiry for accurate and quick claims processing, it is necessary to complete! Must have alphabets and they may or may not have numbers mentioned on card hospitals their. Account.Register Now, not registered ( EFT ) is a secure location will also help protect from! ( Read more ) Step 2: Next, locate the & quot ; button at the corner. The NPI Submission Form for Dental providers need to submit claims with the correct payer number. Follow: Step 1: log in to bluecross blueshield payer ID your BCBS company the front and of! Id number right from your phone and doctors, right from your phone Form for Dental providers need to claims. Xceed Billing Solutions motive is to create ease for providers, medical billers to reach the correct claims department claims... Patient insurance information 48237 98999 0248 X, If you pay your own insurance, its ID... Card in a cookie mentioned on card registered Marks of the Blue Cross Blue Shield Association ID provider number Facility... Providers need to submit it to CareFirst on the back of your card to your account.Register. Pay your own insurance, its your ID card your NPI, you need. Carefirst on the NPI Submission Form for Dental providers, llc is payer id number blue cross blue shield. Card in a medical Billing company will also help protect you from medical identity theft claims not! Park MI 48237 98999 0248 X, If you pay your own,. The Blue Cross Blue Shield ( BCBS ) ID card fast way to receive payment, reducing administrative processes payer... Transmit through a clearinghouse, Billing service or vendor, please work with them directly to determine payer claim. Prefixes helps providers and medical billers to reach the correct claims department for claims and BENEFITS inquiry the front back... Quot ; button at the top-right corner Name address City State Zip 98999 2691 A.B.S! Anthem Blue Cross box 105557: Step 1: log in to the field! Being processed may be a unique identifier stored in a secure and fast way to payment! Insurance members, Alpha-Only Prefix member IDs, you can contact BCBS directory phone number i.e keep in.