800-676-2583. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. 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. Your clearinghouse contact can provide the payer ID you need to submit to them. BCBS Prefix: Choose a Blue Shield Approved EDI Clearinghouse from our list. For Example: ABC, A2B, 2AB, 2A2 etc. Need help submitting your NPI? GROUP (or RxGroup): 788257. After you've received three passed files for each line of business tested, call the number on the test instruction letter to begin subsystem testing. A Payer ID routes electronic data transactions to the appropriate payer. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Providers in states other than Minnesota providing services to a patient with Blue Cross Blue Shield Minnesota coverage should submit their claims to their local Blue Cross Blue Shield plan and should not submit claims using payer ID CBMN1. Select Medical Attachments. Speed up enrollment and payment for employer groups benefits. Step 3: Type your email address into the appropriate field, and then click the Submit button. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. 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. Federal Employee Program (FEP) members should visit the FEP website. Keeping your card in a secure location will also help protect you from medical identity theft. bluecross blueshield payer id number valid Username & Password. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. A. Click on it. We recommend electronic claim submission for the most efficient processing. Apply through the National Plan and Provider Enumeration System (NPPES). The 835 eliminates the need for paper remittance reconciliation. Hi, Im Kim Keck! For ADA dental claim billing guidelines, go to the ADA's website or log in for the Dental Blue Book. For other language assistance or translation services, please call the customer service number for your local Blue Cross . In Virginia, CareFirst MedPlus and CareFirst Diversified Benefits are is the business names of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). 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. Use the following payer IDwhen submitting dental claims. For Example: XYZ123456789. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 957 0 obj <> endobj These BCBS prefix may include alpha and numerical characters. This may help them route the claim to us. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 1. We look forward to working with you to provide quality services to our members. %PDF-1.6 % Make sure to make copies of the front and back of member ID card. Prospective customers can call to discuss options to purchase coverage. Review your balance. As of November 1, 2021, use Change Healthcare Claims Payer ID: 57115 Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. Get access to your employer portal. For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC. Rocky Mountain Health Plan- Grand Junction, Sacramento Primary Care Practices of Sacramento EHS, San Diego Hospice and The Institute for Palliative Medicine, San Diego Metropolitan Transit System (SCHIP Liability), Santa Clara Valley Tansportation Authority, SelectCare of Texas (HPN) Heritage Physicians Network, Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA), Sinai Medical Group Chicago IL Family Health Network patients only, Solidarity Managed Care Organization (Ohio BWC), Sound Health (now known as First Choice Health Network), South Central Preferred PPO York PA (IHS Gateway Payer), Southern CA Childrens Network (SynerMed), Spectrum Administrators Inc. TPA Allentown PA (IHS Gateway Payer), St. Anthony Memorial Healthcare Centers MDWISE, St. Francis Health Care Chicago IL MG#112, St. Margaret Mercy Healthcare Centers MDWISE, Superior Administrators Inc (Santa Ana CA), Sutter East Bay Regional Hospital- Affinity, TEAMSTERS (UT/ ID / MT) Group Benefit Admin, The Care Network/The Savannah Business Group, The Health Plan (Massillon Ohio and St. Clairsville Ohio only), The Loomis Company TPA Wyomissing PA (IHS Gateway Payer), The MEGA Life & Health Insurance Company Insurance Center, The MEGA Life & Health Insurance Company Starbridge StarHRG, The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM, The Preferred Healthcare System (TPHS) PPO Altoona PA (IHS GatewayPayer), Thomas Staffing Services Inc/Venturi Staffing, Todays Options (American Progressive and Pyramid Life), TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE, TransAmerica Occidental Life Insurance Company, Transchoice or TransSmile First Service Administrators Inc, TX Medicare Part A and Indian Health Services J4, UMR (formerly Harrington Benefit Services Westerville), UMR (formerly Harrington Benefit Services), UMR (formerly Lexington / CommonWealth Administrative Group), UMR (formerly UMR San Antonio Benefit Planners), UMR (formerly UMR Wausau Fiserv Benesight), UMR Westerville (formerly Harrington Benefit Services Columbus), UMR/Cincinnati (Repricing for HealthSpan Network Only), UNION PACIFIC RAILROAD EMPLOYES Health Systems, United Teacher Assoc Ins Co- Medicare Supplement, United Wisconsin Insurance Company-United Heartland, UnitedHealthcare (formerly Definity Health Plan), UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI), UnitedHealthcare / MAHP MD IPA Optimum Choice MLH (formerly MAMSI), UnitedHealthcare / UHIS UnitedHealth Integrated Services, UnitedHealthcare / UnitedHealthcare Plan of the River Valley, UnitedHealthcare / UnitedHealthcare StudentResources, UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare), UnitedHealthCare Community Plan (KS / KanCare), UnitedHealthcare Community Plan / DC DE OH PA SC (formerly Unison), UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA), UnitedHealthcare Community Plan / FLHI LA MD MS CAN OH RI TX WAWI), UnitedHealthcare Community Plan / IA (formerly AmeriChoice of Iowa), UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan), UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS-CHIP), UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid), UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care), UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP, UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ), UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare), UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care, UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete, UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect, UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan, UnitedHealthcare West (formerly PacifiCare of Arizona), UnitedHealthcare West (formerly PacifiCare of CA Claims), UnitedHealthcare West (formerly PacifiCare of Colorado), UnitedHealthcare West (formerly PacifiCare PPO All States), UnitedHealthOne (American Medical Security), UnitedHeathcare Community Plan (formerly Unison Health Plan), Unitrin Direct Property & Casualty Company, Univera Healthcare SSA WNY PPO Traditional, University Family Care Healthcare Group, University Family Care Maricopa Health Plan, University of Illinois at Chicago Div of Specialized Care for Children, USAA (United Services Automobile Association), USFHP St. Vincent Catholic Medical Centers of New York, Utah Blue Cross (Regence Blue Cross of Oregon), Valley Health Care Management Services LLC, ValueOptions/MBHP (MA Behavioral Health Partnership), WASHINGTON State Dept of LABOR & INDUSTRY, Waterstone Benefit Administrators (Oklahoma Providers), Waterstone Benefit Administrators (Outside Oklahoma), webTPA/Community Health Electronic Claims/CHEC, West Texas Rural Counties Association Preferred Risk Pool WC, Western Southern Financial Group (Cincinnati OH), WINhealth Partners/Wyoming Health Solutions, Znat Insurance (Zenith National Insurance). Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. Step 3: Next, enter your Username/Password in the appropriate fields. When it comes to healthcare services, that item is your Blue Cross Blue Shield (BCBS) ID card. 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. Submit files within Availity or use your file transfer protocol (FTP) software. Note: If you use a billing company or clearinghouse for your EDI transmissions, . 19. 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. Choose the patient with whom you would like to work with or you can enter the patient's name or chart ID in the . You can use the first three numbers on your member ID card to log into your account and access your benefits. endstream endobj startxref Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. 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. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. EDI Support Line: 1-800-590-5745. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Reduce overhead and administrative costs by eliminating paper claim submissions. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Step 3: Next, enter your Username/Password in the appropriate fields. If the coverage is through one of your parents work, its their ID. CPT is registered trademark of American Medical Association. Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. Many times, the Blue Shield payor ID used is 94036 or BS001. Ironworkers Health & Security Trust Fund, N.W. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. 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