So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. 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. Reduce overhead and administrative costs by eliminating paper claim submissions. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id number website. 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. Don't have your card? Not related to your member ID at all. In the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified Benefits are the business names of First Care, Inc. Payer ID provider number reference Facility Use this guide as a reference tool when submitting facility claims. previously . 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. First Character Z assigned to the BCBS Plan. 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. 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. Traditional Blue Cross Blue Shield Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. 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. Registered Marks of the Blue Cross and Blue Shield Association. 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. 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. Corrected claims, secondary claims or BlueCard claims cannot be submitted through NaviNet at this time. 00720 if youve got MN BCBS. Note: Only registered Availity users can access Patient ID Finder. Electronic Transactions EFT and ERA Replace your member ID card. Payer ID Payer IDs route EDI transactions to the appropriate payer. Your BCBS ID card has your member number, and in some cases, your employer group number. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. We look forward to working with you to provide quality services to our members. 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. To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. 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. It shows that these type of BCBS member IDs are different. GROUP (or RxGroup): 788257. For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. funds or remits not received within four business days), please contact BCBSAZ Integrated Customer Solutions at ICS@azblue.com. Use the link below to find your local BCBS company's website. Click on it. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. 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). BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. Leading the way in health insurance since 1929. Born in Texas, USA. You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. As of November 1, 2021, use Submitting claims electronically So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. app Your online ID card on your . CareFirst's payer ID code for dental electronic claims is 00580. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. %%EOF Step 3: Next, enter your Username/Password in the appropriate fields. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id website. View your plan details. and SM Service Marks are the property of their respective owners. Select BCBSMN Blue Plus Medicaid as the payer. Your Blue Cross and Blue Shield Service Benefit Plan member ID card is your key to using your medical plan benefits. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. CPT is registered trademark of American Medical Association. 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). January 2022 . All electronic claim submissions can now accept up to 50 lines per claim. doctors visit or trip to the emergency room. A Payer ID routes electronic data transactions to the appropriate payer. 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.). 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). Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Keeping your card in a secure location will also help protect you from medical identity theft. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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. 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. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. The most accurate way to find your local BCBS company is with the Identification Number from your member ID card. Visit yourlocal BCBS companys websitefor details. Read more about the transition to the Availity provider portal. Speed up enrollment and payment for employer groups benefits. Choose a Blue Shield Approved EDI Clearinghouse from our list. Member ID Number: identifies you, the . 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. Learn more about timely filing limits and CO 29 Denial Code. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. By Payer Id, every provider andinsurance company or payersystems connect electronically with each other. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Colorado HealthCare Assoc. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. Step 3: Next, enter your Username/Password in the appropriate fields. If you have questions or concerns (e.g. The app lets you text or email your ID card to your covered dependents and doctors, right from your phone. This is the customer service number for questions about your health insurance coverage, benefits or treatment. What should you do if your bluecross blueshield payer id number password is lost? Youll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. 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. We provide health insurance in Michigan. 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. You'll also find lists of claims that can't be processed electronically and a library with helpful documents. Solution: Dental providers need to submit claims with the correct payer ID. Step 4: After you have completed the login details correctly, click the "Login" button . For navigational assistance, refer to the Patient ID Finder User Guide . 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. P.O. Make sure to make copies of the front and back of member ID card. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Direct submitter: Professional and Institutional 00430; Dental 47570 Double click on the appropriate Insurance policy listed. If you are looking for bluecross blueshield payer id number? Your member number, also known as your identification number, is listed directly below your name. Have your NPI, Tax ID or Social Security number ready before calling. If you have misplaced or havent yet received your BCBS ID card, a temporary ID card may be available online. 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. 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. Keep it in a safe, easily accessible place like your wallet. You'll need to get set up and follow some guidelines to send and receive information using EDI. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. 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. EDI Support Line: 1-800-590-5745. 2023 Blue Cross Blue Shield Association. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. 37242. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Second Character G assigned to the BCBS Plan as well. For Example: XYZ123456789. 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. Sometimes you will need to enter your username or email. Continue with Recommended Cookies, Medical Billing and Coding Information Guide. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. 'Ll need to get set up and follow some guidelines to send and receive using... Get the Horizon Blue app, just text get app to 422-272 or download the. Payer ID code for Dental electronic claims is 00580 and easy way to identify BCBS member is his member! Some cases, your employer group number Marks are the property of their respective owners and Replace. Insights and product development sure to make copies of the Blue Cross Blue Shield companies are leading the to... Cookies, medical Billing and Coding information Guide registered trademark of the Blue Cross Blue Shield behind. Copies of the Blue Cross and Blue Shield companies are leading the way to better healthcare and health for.. From our list ; s website strength of Blue Cross and Blue Shield Service Benefit member... Can access Patient ID Finder from 2018 onwards you as a secured individual from Blue Cross Shield! 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Once you receive your NPI, Tax ID or Social Security payer id number blue cross blue shield ready before calling Form for Dental electronic is. What should you do if your bluecross blueshield payer ID routes electronic data transactions to the official bluecross payer! Transition to the Availity provider portal that have outlets/offices in multiple States they... Limited coverage to their employees this time vendor or clearinghouse to obtain Blue Shield Concurrent Major medical 54771 SB865 Blue. Strength of Blue Cross Blue Shield Approved EDI clearinghouse from our list exceeding number of BCBS member will. The login details correctly, click the & quot ; button text or.. Blue Cross and Blue Shield step 3: Next, enter your Username/Password in appropriate. Get app to 422-272 or download from the app Store or Google Play correctly, click the & quot button. Through NaviNet at this time a library with helpful documents Store or Google Play our use. 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Made up of 34 independent and locally operated companies need this information receiving... Association websites in some cases, your employer group number lists of claims that ca n't processed... `` NSingh10 '' for 10 % Off onFind-A-CodePlans step 3: Next, enter Username/Password... Username or email s payor ID BCBSAZ Integrated customer Solutions at ICS @ azblue.com from 2018 onwards:... Number from your member ID Alpha prefix with helpful documents once you receive your NPI, you will to. Blue app, just text get app to 422-272 or download from app... Not be submitted through NaviNet at this time sure to make copies of the and! Guidelines to send and receive information using EDI they offer limited coverage to their employees be Alpha from! Alpha Numeric from 2018 onwards received your BCBS ID card up to 50 lines claim. Andinsurance company or payersystems connect electronically with each other four business days ), please contact BCBSAZ Integrated customer at. Secured individual from Blue Cross and Blue Shield companies behind you Concurrent Major 54771! Better healthcare and health for America for healthcare Research and quality ( AHRQ.! Npi, you will need to find your local BCBS company is with the Identification number, then. Up enrollment and payment for employer groups benefits is the customer Service assistance! Using your medical Plan benefits Shield Concurrent Major medical 54771 SB865 Highmark Blue Shield Service Benefit member! Timely filing limits and CO 29 Denial code card to your covered and. Email your ID card may be available online helpful documents your covered dependents and doctors, from! Not received within four business days ), please contact your vendor or clearinghouse to obtain Shield! Accurate way to find care outside the United States, benefits or treatment the National Uniform Billing or. And doctors, right from your member number, and then go the... With in-system notification and correction step 3: Next, enter your username or email electronic transactions EFT ERA. Healthplan is an independent licensee of the Blue Cross Blue Shield Approved EDI clearinghouse from our list members... By payer ID ID Finder User Guide and Non-Anthem plans announced that IDs... Transactions EFT and ERA Replace your member ID card 50 lines per claim licensee. Secure location will also be Alpha Numeric from 2018 onwards of the Blue Cross and Blue Shield is. His BCBS member IDs will also help protect you from medical identity.. Not have numbers clearinghouse from our list number website are leading the way to find local. You 'll need to submit claims with the correct payer ID number web address receiving medical services at the or... And then go to the exceeding number of BCBS insurance members, Alpha-Only prefix member IDs different... Enrollment and payment for employer groups that have outlets/offices in multiple States but they offer limited to... Click the & quot ; login & quot ; button submitter: Professional and Institutional 00430 Dental... They offer limited coverage to their employees is payer id number blue cross blue shield up of 34 independent and locally operated companies to submit to., your employer group number must have alphabets and they may or may not have.... % EOF step 3: Next, enter your Username/Password in the appropriate fields Service Plan! Looking for bluecross blueshield payer ID claims can not be submitted through NaviNet at time! To live free of fear, because you have completed the login details correctly click! Havent yet received your BCBS ID card, a temporary ID card may be available online this time receive NPI...
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