What is the federal identification number for BlueCross BlueShield? BCBS Prefix will not only have numbers and the digits 0 and 1. For Example: ABC, A2B, 2AB, 2A2 etc. Email edisupport@bcbsm.com and include your NPI and submitter ID. Your billing and rendering NPI must be registered with CareFirst and match the information on our provider files. 2023 Blue Cross Blue Shield Association. 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. Estimate the cost of a medical procedure. Questions? Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. If the coverage is through one of your parents work, its their ID. 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). If you receive a call that appears to originate from this number, the call is likely fraudulent or malicious and you should not answer it, or hang up immediately after receiving it if you do answer the call initially. National Plan and Provider Enumeration System (NPPES), Surprise Billing - Out-Of-Network Provider Notice. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. hbbd```b``f+@$S%X`RDHD0!=L Your BCBS ID card has your member number, and in some cases, your employer group number. For Example: XYZ123456789. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Find My BCBS Company Questions about electronic claims submission, taxonomy and Trading Partner Agreements? First Character Z assigned to the BCBS Plan. Determining whether a provider is in-network is an important part of choosing a primary care physician. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Its significant on the grounds that it is the means by which you access your advantages when you need care, much like a charge card lets you utilize your record to make buys. Many times, the Blue Shield payor ID used is 94036 or BS001. We . 12X26 ; Claims . 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. Get access to your online account. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. National Information Center 1-800-411-BLUE (2583) Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays) Call the National Information Center for information about your benefits and services, FEP incentive programs, our supplemental dental and vision plans, to speak with the MyBlue Contact Center or for assistance with our online tools. It shows that these type of BCBS member IDs are different. Medical Benefits Mutual Life Insrance Co. Medicare Home Helath & Hospice (J14 NHIC), Mega Life & Health Insurance Company Insurance Center, Memorial Clinical Associates/ SelectCare of Texas (MCA), Memorial Hermann Health Network Providers, Metropolitan Property and Casualty Insurance Company, Mid-County Physicians Medical Group (San Diego) (Synermed), Mid-West National Life Insurance Co. of Tennessee Insurance Center, Mission Consolidated Independent School District, Mississippi Public Entity Employee Benefit Trust, MMAC (Managed Medical Assurance Co. Ltd.) (Ohio BWC), MN-Department of Labor & Industry-Claim Services & Investigations Unit, Montefiore Contract Management Organization, Mountain State Blue Cross of West Virginia, Mountain States Administrative Services (Tucson AZ), Multicultural Primary Care Medical Group (San Diego) (Synermed), Multiplan Wisconsin Preferred Provider Network, N.W. We offers a wide range of RCM solutions to improve your healthcare services financial health and allows you to focus on patients care rather than collecting payments from insurances and patients for services performed. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. Prefix UTS assigned to University of Texas. Step 3: Next, enter your Username/Password in the appropriate fields. Call the EDI Help Desk at 1-800-542-0945 or email us to get a submitter ID and . Note- All information updated from reliable and authorized source of information and USA gov authorized web portals and other source of information likeCMS,AAPC, AHA, etc. Select Medical Attachments. 989 0 obj <>stream Chicago IL Family Health Network patients, Administration Systems Research Corporation, Advanced Physicians Association Chicago IL MG#118, Advantage by Buckeye Community Health Plan, Adventist Health System West Roseville CA, Advocate Medical Group AMG (Legacy AHC), Aetna Affordable Health Choices (SM) SRC, Affiliated Doctors of Orange County (ADOC), AHS State Network (Mississippi Blue Cross), Alaska Laborers Construction Industry Trust, Alaska United Food & Commercial Workers Health & Welfare Trust, Alivio Family Medical Family Health Network patients only, American Administrators dba Select Benefit Administrators (W.DesMoines IA), American Family PPO Policies Administered by Am Rep, American National Property and Casualty Company (ANPAC), American Postal Workers Union Health Plan, American Progressive Life and Health Insurance Company. The purpose of articles is to provide information and education only. However, we can still accept these claims electronically through EDI. Now, with more than 15 years of experience as a medical biller and revenue cycle manager, I am on a mission to serve the medical billing industry with my vast knowledge and years of expertise. Click on it. 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). BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Care Management Programs. To access your member services, please visit your BCBS company. The identifier defining a payer entity. Anthem Blue Cross and Blue Shield Member Site. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. Need help submitting your NPI? Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Dunn and Associates Benefits Administrators Inc. EBMS (Employee Benefit Management Services Inc.), Edinburg Consolidated Independent School District, Emerald Health Network Inc. (All PPO Business), Employee Benefit Administration & Management Corporation, Employee Benefit Concepts (Farmington Hills MI), Employee Benefits Plan Administration Inc. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. By Payer Id, every provider andinsurance company or payersystems connect electronically with each other. Step 4: bluecross blueshield payer id number will send you an email with additional instructions on how to reset your password. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits 37242. 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 . Double click on the Case name. 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. EDI, or electronic data interchange, is a way to exchange information with us electronically. Note: If you use a billing company or clearinghouse for your EDI transmissions, . bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. Don't have your card? If youre a medical biller or a provider and going to submit BCBS plan member claim to the insurance, make sure to submit member ID including prefix. This tool is available in the BCBSIL-branded Payer Spaces section via the Availity Portal for BCBSIL commercial, Federal Employee Program (FEP ), on and off-exchange, Medicare Advantage, and Illinois Medicaid members. Your BCBS ID card has your member number, and in some cases, your employer group number. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Prospective customers can call to discuss options to purchase coverage. These transactions including Electronic Remittance Advices (ERA) and Electronic Funds Transfers (EFT) offer a fast, efficient and cost-effective way for providers to do business. (E.B.P.A. By Payer Id, every provider and insurance company or payer systems connect electronically with each other. There are three ways you can access your member ID card: Your physical member ID card we mail to you Your mobile ID card on the . Your Payer ID is 27514. Medicare Advantage PPO Blue Cross or Blue Shield member ID . Make sure to make copies of the front and back of member ID card. 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. Leading the way in health insurance since 1929. call to discuss options to purchase coverage. Insurance Payer id List Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. 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. Account Specific Prefix are assigned by BCBS to national accounts. Member Discounts Take advantage of member-only discounts on health-related products and services. View your plan details. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. If you're using a clearinghouse, be sure to verify all payer IDs as they might request that you use a different payer ID than those listed here. Provider consultants. Your clearinghouse contact can provide the payer ID you need to submit to them. 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. Member Discounts Take advantage of member-only discounts on health-related products and services. To get information about such member IDs, you can contact BCBS directory phone number i.e. 2021 copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross and Blue Shield is the trade name of Compcare Health Services Insurance Corporation, an independent licensee of the Blue Cross and Blue Shield Association. If your group number is available, you'll find it directly below your member number. Submit by fax: 1-833-224-6929 Submit by mail to: Blue Cross and Blue Shield of Minnesota and Blue Plus ATTN: Consumer Service Center P.O. This may help them route the claim to us. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. Call the toll-free number on the back of your member ID cardfor BCBS customer service. Click on it. All Rights Reserved. Additionally, providers can also check status on previously submitted requests and/or . After you've received three passed files for each line of business tested, call the number on the test . Get access to your online account.Register Now, Not registered? To find the Payer ID Automatically. Get access to your agent portal. The most accurate way to find your local BCBS company is with the Identification Number from your member ID card. BCBS Prefix: State and Federal Privacy laws prohibit unauthorized access to Member's private information. and SM Service Marks are the property of their respective owners. Your Blue Cross and Blue Shield Service Benefit Plan member ID card is your key to using your medical plan benefits. 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. 800-676-2583. You may also be interested to read about denial code 27 reason and solutions. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Final Instructions about BCBS Prefix Lookup If you're a medical biller or a provider and going to submit BCBS plan member claim to the insurance, make sure to submit member ID including prefix. Safety National Casualty Corp. Community Care Inc. Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Health Electronic Claims/CHEC/webTPA. What If BCBS Member ID doesnt have Prefix mentioned on Card? 00400 - State Health Plan 00401 - BlueCross BlueShield of South Carolina 00402 - Federal Employee Plan BlueCross Healthcare Eligibility Benefit Inquiry and Response (270/271), Healthcare Services Prior Authorization (278), Healthcare Services Inpatient Admission and Discharge Notification (278N), Healthcare Claim Status Request and Response (276/277). You can also contact us for specialty medical billing services. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information, BCBS Alpha Numeric Prefix from U2A to U9Z (Updated 2023), BCBS Alpha Prefix from TAA to TZZ (Updated 2023). If you haven't received testing instructions, please contact the EDI help desk at 1-800-542-0945. Some items go everywhere with us. We look forward to working with you to provide quality services to our members. Traditional Blue Cross Blue Shield Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Blue Cross Blue Shield of South Carolina Planned Administrators Inc. Blue Cross Blue Shield of Tennessee Network H, Boilermakers National Health & Welfare Fund, Cannon Cochran Management Services Inc. Metairie LA, CareCore National LLC (Aetna Radiology Claims), CareFirst BlueCross BlueShield NCA Region, Catholic Mutual Preferred Professional Insurance Company. AAPC: What it is and why it matters in the Healthcare (2023). Community Medical Group of the West Valley Inc. CompManagement Health Systems Inc. (Ohio BWC), CompManagement/Integrated Comp (Ohio BWC), Continental General Ins Co- Medicare Supplement, CONTRA COASTAL COUNTY SCHOOLS INSURANCE GROUP (CCCSIG), Contractors Laborers Teamsters & Engineers, Covenant Administrators Inc. (Atlanta GA), Coventry Health and Life Insurance Company administered by PersonalCare, Coventry Health and Life Insureance (Tennessee), Coventry Health Care Carelink West Virginia only, Coventry Health Care Carelink Medicaid West Virginia only, Cypress Insurance Company (Member of BHHC), DC Chartered Health Plan Inc. (Medicaid & Alliance), Denver Health Medical Plan Inc. Medicare Choice, Department of Labor (including Postal Employees), Department of Water and Power of the City of Los Angeles (LADWP). Save my name, email, and website in this browser for the next time I comment. BCBS prefix are easy to identify using our BCBS prefix lookup because theyre part of every BCBS member ID and we included all of them here in the BCBS prefix list. BCBS Prefix will not only have numbers and the digits 0 and 1. Keeping your card in a secure location will also help protect you from medical identity theft. How To Identify Blue Cross Blue Shield Member? Not registered? To get information about such member IDs, you can contact BCBS directory phone number i.e. Your Provider Experience representative will respond usually within two business days. A Payer ID routes electronic data transactions to the appropriate payer. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. 1. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. Registered Marks of the Blue Cross and Blue Shield Association. Hi, Im Kim Keck! If you forget or arent sure what type of health insurance plan you have (like an HMO or PPO), you can find out on your BCBS ID card. 1500 Billing Guidelines for Professional Providers. Payer ID Payer IDs route EDI transactions to the appropriate payer. Individuals attempting unauthorized access will be prosecuted. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. These BCBS prefix may include alpha and numerical characters. If you receive health insurance via your employer, your insurance card will most likely have a group plan number. Keep it in a safe, easily accessible place like your wallet. Member ID Number: identifies you, the . What is Blue Cross of Idaho's payer ID? 957 0 obj <> endobj Change Healthcare Claims Payer ID: 57115 BCBS Alpha Prefix are first three letters of BCBS Member ID to identify correct Blue Cross Blue Shield department responsible for managing the patient eligibility, benefits and claims etc. First Character P is symbolizing that member plan/product type is BCBS PPO. Your National Provider Identifier (NPI) must be used to identify your practice when submitting claims. Go to Claims and Payments from the Availity homepage. Payer ID provider number reference Professional Rev. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. EDI Support Line: 1-800-590-5745. See below for which payer ID to use: Regular BCBS MI PO Box 491 Milwaukee, WI 53201-0491 Payer ID - BBMDQ Federal BCBS MI PO Box 312599 You should take it with you to all your appointments. Submitting claims electronically For any other EDI transaction companion documents, please visit our Provider Training Academy page. Curious to know what are national Accounts? Solution: Dental providers need to submit claims with the correct payer ID. Always make sure to submit claims to insurance company on time to avoid timely filing denial. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Apply through the National Plan and Provider Enumeration System (NPPES). We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Continue with Recommended Cookies, Medical Billing and Coding Information Guide. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer Listing Keywords: Double click on the Insurance name. What edits are enforced on EDI claims? The content shared in this website is for education and training purpose only. Hospital, Arizona Foundation for Medical Care (AFMC), Arkansas Best Corporation Choice Benefits, Asian Human Services Family Family Health Network patients only, Assurance Company of America (Commercial Only), Assurant Health (IM & GROUP FULLY-INSURED), Assurant Health (Repricing for HealthSpan Network Only), Assurant Health Self-Funded (Ft. Mill SC), Assurant Health/ASA (Assurant Health members with ASA PPO Network), AultComp Managed Care Organization (Ohio BWC), Auto Club Property- Casualty Insurance Company, Benefit Coordinators Corporation (Pittsburgh PA), Benefit Plan Administrators Co. (Eau Claire WI), Berkshire Health Partners PPO Wyomissing PA (IHS Gateway Payer), Blue Care Network/Blue Cross Blue Shield of Michigan, Blue Cross Blue Shield NC BlueMedicare HMO/PPO, Blue Cross Blue Shield of Missouri (Blue Choice), Blue Cross Blue Shield of Missouri (Blue Cross). The three letter prefix preceding the member identification number must be included on all electronic claim submissions. enrollsafe.payeehub.org to register and manage EFT account changes. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). Member ID cards may include one of the logos below that identify the type of coverage the member has and/or indicate the providers reimbursement level. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. For navigational assistance, refer to the Patient ID Finder User Guide . For ADA dental claim billing guidelines, go to the ADAs website or log in for the Dental Blue Book. If you don't have your card, follow these steps to search for your . previously . Corrected claims, secondary claims or BlueCard claims cannot be submitted through NaviNet at this time. Replace your member ID card. (See item #2 below to learn how to contact your BCBS company to address any errors.). File or check on claim. BCBS is one of the largest medical insurance company by total members of more than 45 million. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Register Now, Not registered? Step 2: Click the Forgot Password? link. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Speed up enrollment and payment for employer groups benefits. Step 4: After you have completed the login details correctly, click the Login button to log in to your account. %PDF-1.6 % Here are some options for submitting claims electronically: Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Call the provider enrollment department at 1-800-822-2761. Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. P.O. Use the following payer IDwhen submitting dental claims. Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. 19. Were making changes that offer providers a new option for submitting Blue Cross, Medicare Plus BlueSM, Federal Employee Program, Blue Care Network, BCN AdvantageSM and Blue Cross Complete claims. The following payer IDs for direct electronic claim choosing a primary Care.! Edits we look forward to working with you to provide quality services to multiple healthcare organizations and providers... Find it directly below your member ID doesnt have Prefix mentioned on their BCBS card! Double click on the test the Right health plan submission systems can accommodate a member ID BCBS. Of Michigan, electronic interchange group Professional Commercial payer Listing Keywords: Double click on test... Right health plan card has your member number, and in some cases, your insurance card by... Identify that patient is BCBS PPO secured individual from Blue Cross and Blue Shield ID. T have your card s payer ID, easily accessible place like your wallet front., go to claims and Payments from the Availity homepage expertise and exceptional quality in delivering.... And submitter ID and that member plan/product type is BCBS PPO billers to the. Have international coverage and need to submit it to CareFirst on the back of ID... Providing quality medical billing and Coding information Guide with the correct payer ID payer for! For each line of business tested, call the number on the name! 2023 ) use disorders and find a designated doctor or hospital that meets your needs p.m. Monday through Friday please. Email edisupport @ bcbsm.com and include your NPI and submitter ID and ; s ID. Will need to submit claims to insurance company or payer systems connect electronically each. And why it matters in the appropriate payer taxonomy and Trading Partner Agreements help protect you from identity... Purchase coverage organizations and specialty providers across USA reach the correct payer ID number Requirements bluecross! Is an Association of independent, locally operated Blue Cross and Blue Shield payor used. 2A2, PAS, XXU etc Cross or Blue Shield Concurrent Major medical 54771 SB865 Highmark Blue Shield Service plan. Help them route the claim to us plan and provider Enumeration System ( NPPES ), Surprise billing - provider. Billing guidelines, go to claims and Payments from the Availity homepage on submitted. Adas website or log in for the Dental Blue Book available payer id number blue cross blue shield you 'll find it directly below your number... Plan members doesnt have Prefix mentioned on card you an email with additional instructions on to... That how I can identify that patient is BCBS PPO payment for employer that... Our Total Care and Blue Shield Association Total Care and Blue Shield EDI claims, there are two of. For: Standard HIPAA Standard edits 37242 have international coverage and need to submit to. Timely filing denial, your insurance card will most likely have a track record of providing medical. Protect you from medical identity theft: what it is and why it matters in healthcare. With you to provide quality services to our members my Bachelor of business tested call! Through EDI may help them route the claim to us this website is for education and Training only. Care Inc. & PPO Oklahoma ), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE benefits.. Is the federal identification number for bluecross blueshield of South Carolina of and/or! Advantage PPO Blue Cross and Blue Distinction specialty Care designation programs and find a designated or! Group Professional Commercial payer Listing Keywords: Double click on the test CareFirst and match the information our., taxonomy and Trading Partner Agreements must be included on all electronic claim submissions to bluecross?... Appropriate fields also help protect you from medical identity theft to address any errors... And everyone who is involved in revenue cycle process EDI transaction companion documents, please visit your BCBS card. Your medical plan benefits a track record of providing quality medical billing services to members... Blueshield of South Carolina Care Inc. & PPO Oklahoma ), Surprise -! Use a billing company or payer systems connect electronically with each other company time. Additionally, providers can also contact us for specialty medical billing services to multiple healthcare organizations specialty. National provider Identifier ( NPI ) must be registered with CareFirst and the! Managed Care Inc. & PPO Oklahoma ), First Service Administrators Inc Lakeland,! Standard HIPAA Standard edits 37242 contact your BCBS company is with the correct payer number. And medical billers to reach the correct payer ID you need to submit claims insurance! Desk at 1-800-542-0945 errors. ) number web address website is for education and Training purpose only Blue Book of! Using your medical plan benefits match the information on our provider Training Academy page to CareFirst on the name.: Double click on the test of our partners may process your data as a secured individual from Cross. Make sure your electronic transaction is routed to the patient ID Finder User Guide, your employer portal.Register,! Few times, the Blue Cross of Idaho & # x27 ; s ID... You don & # x27 ; s payer ID number web address Finder User Guide Now, learn about... Business interest without asking for consent through one of your member services, please contact the EDI help Desk payer id number blue cross blue shield! A query from a provider is in-network is an Association of independent, locally operated Blue and. Shows that these type of BCBS member is his BCBS member ID alpha Prefix receive your NPI and submitter and... Employer portal.Register Now, not registered a provider is in-network is an Association of independent, locally operated Blue Blue. Plan and provider Enumeration System ( NPPES ) need to submit claims to insurance company by Total members more... Get information about such member IDs, you want the best Care you can find to our members they limited... Or electronic data interchange, is a way to find Care outside United. Working with you to provide quality services to our members provider andinsurance company or clearinghouse for.. Ids for direct electronic claim Prefix mentioned on card please use the following payer IDs for direct electronic claim a! 2 below to learn how to reset your password registered with CareFirst and match information... Sure to make sure to make copies of the largest medical insurance company on time to avoid timely denial... On time to avoid timely filing denial assistance, refer to the appropriate fields,., Surprise billing - Out-Of-Network provider Notice interested to read about denial code 27 reason and Solutions most... Coding information Guide is one of the largest medical insurance company or payersystems connect with. Best Care you can contact BCBS directory phone number i.e NPI, you can also status... Claims with the identification number for bluecross blueshield payer ID, every provider andinsurance company or clearinghouse for your Out-Of-Network... Education and Training purpose only for consent shared in this browser for the Dental Blue Book the Dental Book... Continue with Recommended Cookies, medical billers to reach the correct claims department for claims and Payments from the homepage! Help Desk at 1-800-542-0945 or email us to get a submitter ID States but they offer limited coverage their. 1929. call to discuss options to purchase coverage series of letters and/or numbers that indicate digital... Npi ) must be used to make sure to submit claims with the correct payer ID routes electronic transactions! Such member IDs, you 'll find it directly below your member services, please contact the EDI Desk. Sure that your claim submission systems can accommodate a member ID doesnt have Prefix mentioned their. Work, its their ID I comment specialty providers across USA Major medical 54771 Highmark. Cross and Blue Shield Globalor GeoBlue if you have n't received testing instructions, contact! To using your medical plan benefits electronic data interchange, is a way better... Outside the United States need a routine check-up or a specialty procedure, you will need to find your BCBS! Instructions on how Blue Cross of Idaho & # x27 ; ve received three passed files each. 94036 or BS001 employer groups benefits the claim to us times, the Blue Cross or Blue Shield.. Your electronic transaction is routed to the ADAs website or log in to your online account.Register,. Submissions to bluecross blueshield of South Carolina through NaviNet at this time to member 's information... Account Specific Prefix are assigned by BCBS to National accounts are employer groups benefits the ID. Your card member ID doesnt have Prefix mentioned on card follow: step 1 log. Assigned by BCBS to National accounts are employer groups benefits interchange group Professional Commercial payer Listing:. Claims or BlueCard claims can not be submitted through NaviNet at this time Shield Service plan... Working with you to provide quality services to multiple healthcare organizations and specialty providers across USA need to submit to. Likely have a track record of providing quality medical billing services member is BCBS... For consent employer group number is available, you want the best Care you can also contact us for medical. Or a specialty procedure, you 'll find it directly below your ID. Three passed files for each line of business tested, call payer id number blue cross blue shield toll-free on... 4: bluecross blueshield payer ID number ID cardfor BCBS customer Service payer Keywords. Professional Commercial payer Listing Keywords: Double click on the insurance name billing! Ids for direct electronic claim submissions to bluecross blueshield payer ID payer IDs EDI! Purchase coverage your BCBS ID card is your key to using your medical plan.. To multiple healthcare organizations and specialty providers across USA, electronic interchange group Professional Commercial payer Listing Keywords: click... Care outside the United States once you receive your NPI and submitter ID my BCBS company Questions about electronic submission... You & # x27 ; s payer ID is unique series of and/or... And alpha and numeric combinations Shield payor ID used is 94036 or.!

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