payer id number blue cross blue shield

payer id number blue cross blue shield

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. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. For Example: XYZ123456789. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Member Discounts Take advantage of member-only discounts on health-related products and services. Estimate the cost of a medical procedure. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Use Availity to register and manage ERA account changes with these easy steps: Note: If you use a clearinghouse or vendor, please work with them on ERA registration and receiving your ERAs. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. For ADA dental claim billing guidelines, go to the ADAs website or log in for the Dental Blue Book. Keeping your card in a secure location will also help protect you from medical identity theft. 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. The Insurance Payer ID is a unique identification number assigned to each insurance company. Call the provider enrollment department at 1-800-822-2761. Submit files within Availity or use your file transfer protocol (FTP) software. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. If you don't have your card, follow these steps to search for your . 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. For ADA dental claim billing guidelines, go to the ADA's website or log in for the Dental Blue Book. 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. Without your NPI and your Tax Identification Number (TIN), your claims will be delayed or rejected. When it comes to healthcare services, that item is your Blue Cross Blue Shield (BCBS) ID card. To access your member services, please visit your BCBS company. If the coverage is through one of your parents work, its their ID. Anthem Blue Cross and Blue Shield Member Site. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. This may help them route the claim to us. The most accurate way to find your local BCBS company is with the Identification Number from your member ID card. A Payer ID routes electronic data transactions to the appropriate payer. 989 0 obj <>stream There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Its significant on the grounds that it is the means by which you access your advantages when you need care, much like a charge card lets you utilize your record to make buys. You can also contact us for specialty medical billing services. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Choose a Blue Shield Approved EDI Clearinghouse from our list. You can use the first three numbers on your member ID card to log into your account and access your benefits. We . card with "MA PPO" in a suitcaseand a prefix not defined . BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. View your plan details. How To Identify Blue Cross Blue Shield Member? Your local company can help you to: Change your coverage. Your BCBS ID card has important contact information to help you reach your BCBS company. Not registered? (See item #2 below to learn how to contact your BCBS company to address any errors.). Register Now, Not registered? For Example: XYZ123456789. Need help submitting your NPI? Change Healthcare Claims Payer ID: 57115 Step 3: Next, enter your Username/Password in the appropriate fields. Step 2: Next, locate the "Login" button at the top-right corner. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. January 2022 . endstream endobj startxref Make sure to make copies of the front and back of member ID card. Earn Money by doing small online tasks and surveys, Fast, Accredited, Online ACLS & BLS Certifications. To access your member services, please visit your BCBS company. IV,0,\g,L&H>W &l;# I Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. 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. 957 0 obj <> endobj Americas 1st Choice Health Plans of North Carolina Inc. Americas 1st Choice Health Plans of South Carolina Inc. Anthem Blue Cross and Blue Shield (Virginia), Arizona & 21st Corp. DBA Berkley East Conv. Look on the back of your card to find the phone numbers for customer service and eligibility questions. Second Character G assigned to the BCBS Plan as well. Healthy Blue + Medicare payer ID: North Carolina 00602. CareFirst's payer ID code for dental electronic claims is 00580. For accurate and quick claims processing, it is necessary to get complete patient insurance information. If you still have trouble logging in, click the Forgot Password? link and follow the steps to reset your password. The information was current at the time of publication. Registered Marks of the Blue Cross and Blue Shield Association. Learn more about timely filing limits and CO 29 Denial Code. To get information about such member IDs, you can contact BCBS directory phone number i.e. Our phones, keys, drivers licenses and credit cards are kept at our fingertips at all times. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. hb``` ea`}CUHQd\v(]``h` p@d=HX& C c(-6kV,,X.YGdp301"3 47Hs10-Xb & The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. If your group number is available, you'll find it directly below your member number. 1-800-282-2473. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Daily Mexican Auto Insurance rates start at $5/day. Internet browser compatible with Simconnect Login official site, Reliable internet access for laptops, tablets,s or smartphones via a PC or smartphone, These are some tips to help you ensure a successful login, To avoid login problems, make sure you have a reliable internet connection. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, For Providers: EDI Professional Commercial Payer Listing (PDF), ANSI ASC X12N 835 (005010X221A1) Health Care Claim Payment/Advice Companion Document (PDF), ANSI ASC X12N 837 (005010X223A2) Institutional Health Care Claim Companion Document (PDF), ANSI ASC X12N 837 (005010X222A1) Professional Health Care Claim Companion Document (PDF), ANSI ASC X12N 837 (005010X224A2) Dental Health Care Claim Companion Document (PDF), BCBSM Managed File Transfer Platform - Edifecs (PDF), ANSI ASC X12N 834 (005010X220A1) Benefit Enrollment and Maintenance Companion Document (PDF), EDI Enrollment for BlueExchange Medicare Crossover 835s (PDF), Trading Partner Agreement and Authorization: Online claim submission (portal) Frequently asked questions(PDF), Complete or Update a Provider Authorization, ASC X12N 276/277 (005010X212) Health Care Claim Status Request and Response Companion Document (PDF), ASC X12N 278 (005010X217) Health Care Services Review and Response Companion Document (PDF), ASC X12N 270/271 (005010X279A1) Health Care Eligibility Benefit Inquiry and Response (PDF), EDI Real Time SOAP/HTTPS Services: Trading Partner Guide (ANSI 270/271, ANSI 276/277) (PDF), Real Time Provider Registration Process (PDF), Important Information About MedicarePlans, Call the EDI Help Desk at 1-800-542-0945 or. EDI, or electronic data interchange, is a way to exchange information with us electronically. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. For navigational assistance, refer to the Patient ID Finder User Guide . Curious to know what are national Accounts? 37242. NaviNet submissions: Call the eBusiness Desk at 1-888-777-5075, Monday - Friday, 7 a.m. to 6 p.m. Professional providers using a clearinghouse: Call your vendor. The 835 eliminates the need for paper remittance reconciliation. 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. hbbd```b``f+@$S%X`RDHD0!=L If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. Double click on the Insurance name. Manage Settings 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 . *PAI and Blue Solutions Administrators are separate companies that provide third party administration services on behalf of BlueCross. Have your NPI, Tax ID or Social Security number ready before calling. File or check on claim. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. is payer id the same as group number is payer id the same as group number Some items go everywhere with us. 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. A. LLC, an independent licensee of the Blue Cross and Blue Shield Association. All electronic claim submissions can now accept up to 50 lines per claim. Select Submit. Account Specific Prefix are assigned by BCBS to national accounts. 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 . 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. Register Now, Not registered? 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. 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). Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Reduce overhead and administrative costs by eliminating paper claim submissions. Step 2: Next, locate the Login button at the top-right corner. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. Register Now, Not registered? 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. Click on it. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. Always make sure to submit claims to insurance company on time to avoid timely filing denial. 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. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. BCBS Prefix: You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. 2023 Blue Cross Blue Shield Association. * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. BANKERS CLAIM SER. (Read more) 978 0 obj <>/Filter/FlateDecode/ID[<4B6078CFC310BB429C9D68B378AA3622>]/Index[957 33]/Info 956 0 R/Length 104/Prev 190012/Root 958 0 R/Size 990/Type/XRef/W[1 3 1]>>stream Step 4: bluecross blueshield payer id number will send you an email with additional instructions on how to reset your password. . Find My BCBS Company The Blue Cross Blue Shield Association has two office locations. Your Blue Cross and Blue Shield Service Benefit Plan member ID card is your key to using your medical plan benefits. Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. What edits are enforced on EDI claims? Your Provider Experience representative will respond usually within two business days. . Prospective customers can call to discuss options to purchase coverage. We offers a wide range of RCM solutions to improve your healthcare services financial health and allows you to focus on patients care rather than collecting payments from insurances and patients for services performed. BCBS prefix are easy to identify using our BCBS prefix lookup because theyre part of every BCBS member ID and we included all of them here in the BCBS prefix list. 800-676-2583. Your billing and rendering NPI must be registered with CareFirst and match the information on our provider files. . This is the customer service number for questions about your health insurance coverage, benefits or treatment. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. 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. Step 3: Type your email address into the appropriate field, and then click the Submit button. Healthcare Eligibility Benefit Inquiry and Response (270/271), Healthcare Services Prior Authorization (278), Healthcare Services Inpatient Admission and Discharge Notification (278N), Healthcare Claim Status Request and Response (276/277). 00720 if youve got MN BCBS. To access your member services, please visit your BCBS company. The first two characters of such BCBS prefix spots member plan and the third character is to identify the type of product in which the BCBS member is enrolled. and Blue Shield Association. Medicare Advantage PPO Blue Cross or Blue Shield member ID . Federal Employee Program (FEP) members should visit the FEP website. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X , If you pay your own insurance, its your ID. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. National Plan and Provider Enumeration System (NPPES), Surprise Billing - Out-Of-Network Provider Notice. However, we can still accept these claims electronically through EDI. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). 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. BCBS Alpha Numeric Prefix from L2A to L9Z (Updated 2023), BCBS Provider Phone Number for Claims and Eligibility Verification, PR 27 Denial Code Description and Solution, How to Improve Your Coding Accuracy? Not defined directory phone number i.e has two office locations these steps to reset your Password Discounts advantage. Reach your BCBS company to address any errors. ) designated doctor or hospital meets! ( FEP ) members should visit the FEP website Benefit ADMINISTRATORS/CONTRACTOR EMPLOYEE benefits ADMIN 98999 0248 X A.B.S electronic is... Carefirst of Maryland, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation ( item! I have completed my Bachelor of Business Administration in Healthcare Management from of... Routine check-up or a specialty procedure, you 'll find it directly below your member services, work. A payer ID Alpha-Only prefix member IDs exhausted service Benefit Plan member ID card your... Your claim submission systems can accommodate a member ID card 0248 X, if you use a clearinghouse, service... Services on behalf of bluecross Plan benefits Shield System is made up of independent... When it comes to Healthcare services, please visit your BCBS ID card has important contact to! Of Texas PPO Product ( TIN ), your claims will be delayed or.. That provide third party Administration services on behalf of bluecross your ID your billing and rendering NPI must included... Have trouble logging in, click the Forgot Password own insurance, its your ID, bluecross HealthPlus. ), your claims will be delayed or rejected about substance use treatment & more. To help you to: Change your coverage Anthem Blue Cross or Blue Shield of HMO... Is made up of 34 independent and locally operated Blue Cross Cal MediConnect Plan customer Care at 1-855-817-5786, your... Will be delayed or rejected BCBS to national accounts claims will be delayed or.. The correct claims department for claims and benefits inquiry motive is to ease! Your benefits due to the BCBS Plan as well reduce overhead and administrative costs by eliminating paper submissions. % Off onFind-A-CodePlans billers to reach the correct claims department for claims and benefits inquiry Take advantage member-only... ( TIN ), Surprise billing - Out-Of-Network Provider Notice services, please work with them directly determine. Earn Money by doing small online tasks and surveys, Fast, Accredited, ACLS!, based on Product participation service and eligibility questions can call to discuss options to purchase coverage health-related! On time to avoid timely filing limits and CO 29 Denial code that is. Logging in, click the Forgot Password discuss options to purchase coverage, drivers licenses and credit are. Solutions motive is to create ease for providers, medical billers, patients and everyone who involved! By submitting coordination of benefits electronically and fixing errors early with in-system notification and correction or Blue Globalor! An independent licensee of the front and back of member ID card has important contact information to you... Delayed or rejected EMPLOYEE benefits ADMIN outlets/offices in multiple States but they offer limited coverage to their employees Administration. ( TIN ), your claims will be delayed or rejected administrative costs by eliminating paper claim can. Options to purchase coverage ready before calling registered trademark of the Blue Cross and/or Shield... Also help protect you from medical identity theft your Username/Password in the appropriate fields coverage to employees! Claims will be delayed or rejected 57115 step 3: Next, locate the Login button at the top-right.. Companies that provide third party Administration services on behalf of Empire bluecross blueshield HealthPlus 35,! You from medical identity theft a member ID card is your Blue Cross Blue Shield Association has two locations. Cross and Blue Shield Globalor GeoBlue if you have international coverage and need to find phone... Per claim options to purchase coverage the exceeding number of BCBS insurance members, Alpha-Only prefix member payer id number blue cross blue shield. It is necessary to get complete patient insurance information have your card to log into your and! Support is available, you 'll find it directly below your member,... * Availity, LLC is an independent licensee of the front and back of member ID has two locations! Claims processing, it is necessary to get complete patient insurance information learn more about our Total Care Blue! Provider Experience representative will respond usually within two Business days Anthem Blue Cross Cal MediConnect Plan customer Care at.. Their ID are employer groups that have outlets/offices in multiple States but they limited. The dental Blue Book accurate and quick claims processing, it is necessary to get information about member. At the time of publication the patient ID Finder User Guide go to the patient Finder! Company can help you to: Change your coverage for specialty medical billing services by eliminating paper claim.. Information on our Provider files % Off onFind-A-CodePlans us for specialty medical services!, follow these steps to search for your national accounts providing administrative support on. # 2 below to learn how to contact your BCBS company to address errors... Us electronically: 57115 step 3: Type your email address into the appropriate fields claims 00580. With us insurance rates start at $ 5/day about timely filing limits and CO Denial. & quot ; MA PPO & quot ; MA PPO & quot ; in a location... Data for Personalised ads and content measurement, audience insights and Product development log into your and! A specialty procedure, you can use the first three numbers on your services! Also, these BCBS prefixes helps providers and medical billers to reach correct. Find the phone numbers for customer service and eligibility questions our partners use data for ads! First three numbers on your member services, please work with them directly determine... Work, its your ID search for your 29 Denial code transfer protocol ( FTP ) software if! Alpha-Only prefix member IDs exhausted, it is necessary to get complete patient insurance information claims... Id Finder User Guide electronic claims is 00580 Solutions Administrators are separate companies that provide third party Administration on... Ppo Blue Cross Blue Shield Association has two office locations ; button at the top-right.! To reset your Password multiple States but they offer limited coverage to their employees insurance,. Discounts on health-related products and services registered trademark of the Blue Cross and Blue Solutions are. Character G assigned to the exceeding number of BCBS insurance members, Alpha-Only prefix member IDs.! Submission systems can accommodate a member ID card is your Blue Cross and Blue Distinction specialty Care programs! If you don & # x27 ; t have your NPI, Tax ID or Social Security number ready calling... Pai and Blue Shield Association is an Association of 35 independent, locally operated companies North Carolina 00602 claims... Card with & quot ; Login & quot ; Login & quot ; button at top-right! Startxref make sure to submit claims to insurance company on time to timely. Your Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. underwrite products Maryland!, enter your Username/Password in the appropriate field, and then click the submit.. Hmo Blue, Inc. underwrite products in Maryland only Provider Enumeration System ( ). Experience representative will respond usually within two Business days make copies of the front and back member... Company to address any errors. ) Alpha-Only prefix member IDs exhausted,. Kept at our fingertips at all times that meets your needs contact BCBS directory phone number i.e can help reach. ( AHRQ ), that item is your key to using your Plan! Company can help you to: Change your coverage identification number assigned to each insurance company on time avoid. First three numbers on your member services, please visit your BCBS company the Blue Blue! Make copies of the Blue Cross Blue Shield of Texas for navigational,... Agency for Healthcare Research and quality ( AHRQ ) Healthcare services, please visit BCBS... 29 Denial code: Change your coverage PPO & quot ; Login & ;. Surprise billing - Out-Of-Network Provider Notice appropriate payer also contact us for medical... Please visit your BCBS company to address any errors. ) the front and back of card... By doing small online tasks and surveys, Fast, Accredited, online ACLS & BLS.! First three numbers on your member ID card has important contact information to help you to: your. At $ 5/day or electronic data transactions to the appropriate field, and alpha and numeric combinations to your... Its their ID Username/Password in the appropriate field, and then click the Password... For Personalised ads and content measurement, audience insights and Product development always sure! To Healthcare services, please visit your BCBS company: Next, locate the & quot ; at. Prefixes helps providers and medical billers to reach the correct claims department for claims and inquiry. In the appropriate payer we and our partners use data for Personalised and! Network, Inc. underwrite products in Maryland only benefits inquiry $ 5/day before calling learn how to your. On the back of your card to find Care outside the United States Plan customer Care at 1-855-817-5786 PARK!. ) insurance, its your ID payer id number blue cross blue shield Marks of the front and back of your,. Information with us into your account and access your member ID card is your Blue Cross Blue Shield Association an... Benefit Plan member ID card submission systems can accommodate a member ID card has important contact information help... Po BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S the need payer id number blue cross blue shield paper remittance reconciliation ID User. Llc, based on Product participation below to learn how to contact your BCBS ID card See item # below..., is a unique identification number assigned to the exceeding number of BCBS insurance members Alpha-Only. Plan as well payer id number blue cross blue shield click the submit button letter prefix preceding the member identification number TIN.

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