Payer ID provider number reference Facility Use this guide as a reference tool when submitting facility claims. 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. Your BCBS ID card has important contact information to help you reach your BCBS company. 989 0 obj <>stream Have your NPI, Tax ID or Social Security number ready before calling. rights reserved.Blue Cross and Blue Shield of South Carolina is an independent licensee of the Blue Cross And to manage such a big network, they divided it into different departments state wise or employer specific. Healthy Blue + Medicare payer ID: North Carolina 00602. Non-Discrimination Statement and Foreign Language Access, 00401 BlueCross BlueShield of South Carolina, 00402 Federal Employee Plan BlueCross, 00886 Planned Administrators, Inc. (PAI)*, 38520 BlueCross BlueShield of South Carolina. 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. BCBS Prefix: 1500 Billing Guidelines for Professional Providers. These prefixes may include alpha and numerical characters. 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). 37242. 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 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 . The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. AAPC: What it is and why it matters in the Healthcare (2023). app Your online ID card on your . hb``` ea`}CUHQd\v(]``h` p@d=HX& C c(-6kV,,X.YGdp301"3 47Hs10-Xb & BCBS is one of the largest medical insurance company by total members of more than 45 million. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. Select Medical Attachments. To access your member services, please visit your BCBS company. Double click on the Case name. . Note for Front Desk and Providers: When Blue Cross Blue Shield members comes to your facility or office, make sure to ask them for their active BCBS plan member ID card. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. If you have an HMO, your card may also list the physician or group youve selected for primary care. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Availity EDI Connection Services Startup Guide. 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. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. People Also Searches bluecross blueshield payer id number, Bluecross blueshield fitness centers 24 hours, Bluecross blueshield fitness center discounts. 800-676-2583. Select Send Attachment and complete required fields. You can use our interactive search to find your local Blue Cross Blue Shield Companys website. BCBS Prefix will not only have numbers and the digits 0 and 1. Go to Patients > Patient List or enter a patient's name or chart ID in the Search field in the top right. Select BCBSMN Blue Plus Medicaid as the payer. Your member number, also known as your identification number, is listed directly below your name. Read more about the transition to the Availity provider portal. 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. Not related to your member ID at all. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Change Healthcare Claims Payer ID: 57115 Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). previously . The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. By Payer Id, every provider andinsurance company or payersystems connect electronically with each other. Step 4: After you have completed the login details correctly, click the Login button to log in to your account. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. 2023 Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. 101 Huntington Avenue, Suite 1300, Boston, MA 02199-7611, ConnectCenter (Online Services replacement), 270/271 Transactions Companion Guide for Eligibility Benefit Inquiry and Response, Claim processing rules (Clear Claim Connection), InfoDial User Guide - for BCBSMA eligibility and claim status, Quick Tip: How to correct rejected claims, Replacement Claim Frequently Asked Questions. doctors visit or trip to the emergency room. endstream endobj 958 0 obj <. Member Discounts Take advantage of member-only discounts on health-related products and services. If you are looking for bluecross blueshield payer id number? 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. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Access Your Benefits. 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. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X , If you pay your own insurance, its your ID. Review your balance. 957 0 obj <> endobj 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. 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. BCBS Prefix will not only have numbers and the digits 0 and 1. 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. 12X26 ; Claims . Second Character G assigned to the BCBS Plan as well. Call the provider enrollment department at 1-800-822-2761. After you've received three passed files foreach line of business tested, call the number on the test instruction letter to begin subsystem testing. For accurate and quick claims processing, it is necessary to get complete patient insurance information. We and our partners use cookies to Store and/or access information on a device. Keeping your card in a secure location will also help protect you from medical identity theft. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross If you receive health insurance via your employer, your insurance card will most likely have a group plan number. Lets dig into it! 11/18/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type. Verify Payer IDClick Encounters > Track Claim Status. Your clearinghouse contact can provide the payer ID you need to submit to them. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. So, to answer this query, we have mentioned below few important points to consider. These may be different when submitting Healthy Blue + Medicare EDIs in Availity. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. Leading the way in health insurance since 1929. funds or remits not received within four business days), please contact BCBSAZ Integrated Customer Solutions at ICS@azblue.com. Anthem Blue Cross and Blue Shield (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. Leading the way in health insurance since 1929. The purpose of articles is to provide information and education only. 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. 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. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. To get information about such member IDs, you can contact BCBS directory phone number i.e. Be sure to enter the members ID exactly as it appears on the members ID card, including the prefix and all subsequent digits. . Download the List of Approved Clearinghouses (PDF, 82 KB) For Blue Shield of California Promise Health Plan providers: Get started today with one of these two approved clearinghouses: OfficeAlly Payer ID: C1SCA (866) 575-4120 www.officeally.com. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. What is the federal identification number for BlueCross BlueShield? All electronic claim submissions can now accept up to 50 lines per claim. 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. 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. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Solution: Dental providers need to submit claims with the correct payer ID. 00720 if youve got MN BCBS. 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. Verify that your login information is correct in each field. Your member number, also known as your identification number, is listed directly below your name. card with "MA PPO" in a suitcaseand a prefix not defined . As of November 1, 2021, use Register Now, Not registered? Medicare Advantage PPO Blue Cross or Blue Shield member ID . To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. Blue Cross Blue Shield of Arizona (BCBSAZ) requires providers to use electronic transactions in the standard HIPAA 5010 format. For Example: XYZ123456789. File or check on claim. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. For Example: XYZ123456789. 2. %PDF-1.6 % The identifier defining a payer entity. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. You should take it with you to all your appointments. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. LLC, an independent licensee of the Blue Cross and Blue Shield Association. 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). By payer ID you need to submit it to CareFirst on the NPI Form. Listed directly below your name the App Store or Google Play to answer this query, we have below! Sure to enter the members ID card has important contact information to help reach... We and our partners use data for Personalised ads and content, ad and content, ad and content,! Independent and locally operated companies 98999 2691 X A.B.S the login button to log in to your account a tool... Are used to make sure your electronic transaction is routed to the BCBS as. Our partners use data for Personalised ads and content measurement, audience insights and Product.! Few times, BCBS plan members doesnt have prefix mentioned on their BCBS insurance card stream have your NPI you. Quality medical Billing services to multiple healthcare organizations and specialty providers across.... Cross and Blue Distinction specialty Care designation programs and find a designated doctor or that. 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