Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. We . Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. 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. app Your online ID card on your . Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. So, to answer this query, we have mentioned below few important points to consider. 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. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield. Daily Mexican Auto Insurance rates start at $5/day. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id website. 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. 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. (See item #2 below to learn how to contact your BCBS company to address any errors.). These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. 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 is the customer service number for questions about your health insurance coverage, benefits or treatment. You'll need to get set up and follow some guidelines to send and receive information using EDI. Member ID Number: identifies you, the . The InsurancePayer IDis a unique identification numberassigned to eachinsurancecompany. Double click on the Insurance name. Earn Money by doing small online tasks and surveys, Fast, Accredited, Online ACLS & BLS Certifications. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. 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). Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Payer ID Payer IDs route EDI transactions to the appropriate payer. Account Specific Prefix are assigned by BCBS to national accounts. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. Blue Cross Blue Shield providers in Michigan, go paperless with claims, enrollments, and more through our network's EDI, or electronic data interchange. The 835 eliminates the need for paper remittance reconciliation. An example of data being processed may be a unique identifier stored in a cookie. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Get access to your online account. Questions? Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Step 2: Next, locate the Login button at the top-right corner. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 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 . For any other EDI transaction companion documents, please visit our Provider Training Academy page. 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). BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. A Payer ID routes electronic data transactions to the appropriate payer. Atlanta, GA 30348-5557. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Need help submitting your NPI? 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. Click on it. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Check here bluecross blueshield payer id number official portal step by step. If you still have trouble logging in, click the Forgot Password? link and follow the steps to reset your password. For providers and medical billers who are performing medical billing services, BCBS alpha prefix are helpful to identify the correct payer ID and address for claims submission. BANKERS CLAIM SER. (Read more) Use the link below tofind your local BCBS company's website. Our phones, keys, drivers licenses and credit cards are kept at our fingertips at all times. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. What is Blue Shield's Payor Identification Number? Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. Start by reading our Trading Partner Agreement and Authorization: Online claim submission (portal) Frequently asked questions(PDF) and select the option that most closely describes you. Click on it.
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. Born in Texas, USA. Your National Provider Identifier (NPI) must be used to identify your practice when submitting claims. Speed up enrollment and payment for employer groups benefits. 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). doctors visit or trip to the emergency room. Or learn more online about coverage for: This number is used solely to receive calls and never to make calls to BCBS members. If your group number is available, you'll find it directly below your member number. %%EOF
A Google Certified Publishing Partner. You'll also find lists of claims that can't be processed electronically and a library with helpful documents. Save my name, email, and website in this browser for the next time I comment. Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. Name Address: City St: 36273 E: AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES: 38265 E: . 2023 Blue Cross Blue Shield Association. Look for and double click on the encounter that needs correcting. Hi, Im Kim Keck! 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. What is Blue Cross of Idaho's payer ID? . Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Prefix UTS assigned to University of Texas. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Your BCBS ID card has your member number, and in some cases, your employer group number. However, we can still accept these claims electronically through EDI. Register Now, Not registered? Go to Claims and Payments from the Availity homepage. If the coverage is through one of your parents work, its their ID. Double click on the Case name. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. 00400 - State Health Plan 00401 - BlueCross BlueShield of South Carolina 00402 - Federal Employee Plan BlueCross Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. Find My BCBS Company Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. 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. 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. Apply through the National Plan and Provider Enumeration System (NPPES). For general press inquiries, please visit News to contact our media relations team. Call the toll-free number on the back of your member ID cardfor BCBS customer service. Your Blue Cross and Blue Shield Service Benefit Plan member ID card is your key to using your medical plan benefits. . 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