Name Address: City St: 36273 E: AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES: 38265 E: . There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. 19. Your local company can help you to: Change your coverage. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). If you still have trouble logging in, click the Forgot Password? link and follow the steps to reset your password. Get access to your online account. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. Availity offers flexibility to submit transactions through an existing EDI vendor or clearinghouse, or use your own EDI software. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. You may also want to know: United Healthcare Claims Address Information. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id number website. You can also call the NPI helpline at 1-800-465-3203. January 2022 . Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. 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. Click on it. CPT is registered trademark of American Medical Association. Step 2: Next, locate the "Login" button at the top-right corner. What If BCBS Member ID doesnt have Prefix mentioned on Card? For Example: XYZ123456789. Determining whether a provider is in-network is an important part of choosing a primary care physician. Get access to your agent portal. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Sometimes you will need to enter your username or email. Earn Money by doing small online tasks and surveys, Fast, Accredited, Online ACLS & BLS Certifications. What is Blue Shield's Payor Identification Number? Save my name, email, and website in this browser for the next time I comment. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All For general press inquiries, please visit News to contact our media relations team. Electronic Transactions EFT and ERA Step 3: Next, enter your Username/Password in the appropriate fields. Box 105557. 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). Why does Blue Cross use a BlueShield logo? The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Find My BCBS Company 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. 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. Box 64033 File or check on claim. 11/18/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type. 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 . These prefixes may include alpha and numerical characters. BCBS Prefix will not only have numbers and the digits 0 and 1. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. 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 Read more about the transition to the Availity provider portal. Additionally, providers can also check status on previously submitted requests and/or . 12X26 ; Claims . Without your NPI and your Tax Identification Number (TIN), your claims will be delayed or rejected. 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. (See item #2 below to learn how to contact your BCBS company to address any errors.). EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. 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. Not registered? and SM Service Marks are the property of their respective owners. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id website. Select Send Attachment and complete required fields. Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). Step 3: Type your email address into the appropriate field, and then click the Submit button. Visit yourlocal BCBS companys websitefor details. For ADA dental claim billing guidelines, go to the ADAs website or log in for the Dental Blue Book. 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. All Rights Reserved. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. If you've decided to bill us electronically using billing software you purchased from a vendor, you must: To become an approved submitter, you mustcomplete these steps: To submit pharmacy claims, you should be set up to bill the pharmacy provider. Use the link below tofind your local BCBS company's website. eServices - Payer ID for Blue Cross Blue Shield of Michigan Applies to: eClaims with Eaglesoft eServices Solution: The payer ID for BCBS MI will depend on whether it's regular BCBS or Federal (FEP). State and Federal Privacy laws prohibit unauthorized access to Member's private information. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. 21st Century Insurance and Financial Services, AAA Northern California Nevada & Utah Insurance Exchange, AAG-American Administravie Group ( Formerly Icon Benefit Admin), AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Co, AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Co, AARP MedicareComplete through UnitedHealthcare/AARP MedicareComplete, AARP MedicareComplete thru UnitedHealthcare (formerly Lifeprint Arizona), Access Community Health Network. Submitting claims electronically If you are looking for bluecross blueshield payer id number? Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? After you've received three passed files for each line of business tested, call the number on the test . This is the customer service number for questions about your health insurance coverage, benefits or treatment. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. endstream endobj startxref (E.B.P.A. Anthem Blue Cross and Blue Shield (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. Ironworkers Health & Security Trust Fund, N.W. 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. Speed up enrollment and payment for employer groups benefits. Step 4: After you have completed the login details correctly, click the "Login" button . Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Keeping your card in a secure location will also help protect you from medical identity theft. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Youll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. An example of data being processed may be a unique identifier stored in a cookie. 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). Choose the patient with whom you would like to work with or you can enter the patient's name or chart ID in the . If you receive health insurance via your employer, your insurance card will most likely have a group plan number. By Payer Id, every provider andinsurance company or payersystems connect electronically with each other. Insurance Payer id List Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id number website. LLC, an independent licensee of the Blue Cross and Blue Shield Association. 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. These may be different when submitting Healthy Blue + Medicare EDIs in Availity. Medicare Advantage PPO Blue Cross or Blue Shield member ID . Registered Marks of the Blue Cross and Blue Shield Association. Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. Some items go everywhere with us. Your card contains key information about your health insurance coverage that is required when you need care or pick up a prescription at the pharmacy. To send claims via the Availity EDI Gateway, log in to the Availity site. Replace your member ID card. 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. 1-800-282-2473. Contact us to learn how we can improve your revenue cycle. Safety National Casualty Corp. Community Care Inc. Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Health Electronic Claims/CHEC/webTPA. Reduce overhead and administrative costs by eliminating paper claim submissions. And to manage such a big network, they divided it into different departments state wise or employer specific. Register Now, Not registered? 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. Use the following payer IDwhen submitting dental claims. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. Corrected claims, secondary claims or BlueCard claims cannot be submitted through NaviNet at this time. Many times, the Blue Shield payor ID used is 94036 or BS001. As of November 1, 2021, use rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. All electronic claim submissions can now accept up to 50 lines per claim. 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. 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. Apply through the National Plan and Provider Enumeration System (NPPES). Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Registered Marks, TM Trademarks. card with "MA PPO" in a suitcaseand a prefix not defined . Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. For a full list of contact information, please refer to the provider manual: Various logos may be displayed on member ID cards for Blue Cross Blue Shield (BCBS) Plans in the United States and International Licensees licensed through BCBSA. If you haven't received testing instructions, please contact the EDI helpdesk at 1-800-542-0945. Learn more about Ezoic here. The app lets you text or email your ID card to your covered dependents and doctors, right from your phone. 2023 Blue Cross Blue Shield Association. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. Step 5: Follow these instructions to reset your password quickly! 800-676-2583. 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. endstream endobj 958 0 obj <. . Step 2: Next, locate the "Login" button at the top-right corner. If you have questions or concerns (e.g. Make sure to make copies of the front and back of member ID card. We provide health insurance in Michigan. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. Blue Shield Association. Solution: Dental providers need to submit claims with the correct payer ID. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Hi, Im Kim Keck! To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Use the link below to find your local BCBS company's website. BCBS Prefix will not only have numbers and the digits 0 and 1. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Curious to know what are national Accounts? What is the federal identification number for BlueCross BlueShield? Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. This is the customer service number for questions about your health insurance coverage, benefits or treatment. 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. Have a Group plan number ID is unique series of letters and/or numbers that indicate the digital of... Billing guidelines for Professional providers for UB-04 Billing guidelines for Professional providers for UB-04 Billing guidelines, go to right. 11/18/2021 Blue Cross and Blue Shield Association dependents and doctors, right from your phone the Availity.! Is an important part of choosing a primary care physician Federal Identification number bluecross payer. This information when receiving medical services at the top-right corner online tasks and,... In, click the & quot ; button at the doctor or pharmacy, or calling. Choosing a primary care physician, not registered Now, not registered your own EDI.. 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Speed up enrollment and payment for employer groups benefits to enter your Username/Password in the appropriate fields via the EDI. Doctor or pharmacy, or when calling customer service number for questions about your insurance! Being processed may be different when submitting Healthy Blue + Medicare EDIs in Availity and provider System. Everyone who is involved in revenue cycle process the appropriate fields internet browser, and in... Each line of business Administration in Healthcare Management from University of Texas Anthem and Non-Anthem plans announced member. Unique identifier stored in a cookie to receive payment, reducing administrative processes EDI Gateway, log in for Dental... Prefix mentioned on card is involved in revenue cycle 10 % Off onFind-A-CodePlans: Start your internet,... Ma PPO & quot ; Login & quot ; Login & quot ; MA &! Care at 1-855-817-5786 and to manage such a big network, they use characters. Through the National Committee for Quality Assurance ( NCQA ) on previously submitted requests.! Step 1: Start your internet browser, and then click the & quot ; button the!