payer id number blue cross blue shield

You should take it with you to all your appointments. 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. hbbd```b``f+@$S%X`RDHD0!=L Register Now, Not registered? These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. Click on it. Electronic Transactions EFT and ERA 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. Get access to your agent portal. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Questions? 54704 ; 54704 . 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). Find My BCBS Company We look forward to working with you to provide quality services to our members. Without your NPI and your Tax Identification Number (TIN), your claims will be delayed or rejected. View your plan details. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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. Fax: 1-866-900-0250. Your member number, also known as your identification number, is listed directly below your name. 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. Step 2: Click the Forgot Password? link. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. previously . Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. EDI Support Line: 1-800-590-5745. The InsurancePayer IDis a unique identification numberassigned to eachinsurancecompany. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Your Provider Experience representative will respond usually within two business days. You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. Your Blue Cross and Blue Shield Service Benefit Plan member ID card is your key to using your medical plan benefits. 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. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Make sure to make copies of the front and back of member ID card. Call the provider enrollment department at 1-800-822-2761. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. These may be different when submitting Healthy Blue + Medicare EDIs in Availity. Call the EDI Help Desk at 1-800-542-0945 or email us to get a submitter ID and . Continue with Recommended Cookies, Medical Billing and Coding Information Guide. You can also easily view and print your ID card, or order a replacement anytime by signing in at HorizonBlue.com and clicking ID Cards. The Insurance Payer ID is a unique identification number assigned to each insurance company. Always make sure to submit claims to insurance company on time to avoid timely filing denial. Member Discounts Take advantage of member-only discounts on health-related products and services. Reduce overhead and administrative costs by eliminating paper claim submissions. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. State and Federal Privacy laws prohibit unauthorized access to Member's private information. For Example: ABC, A2B, 2AB, 2A2 etc. 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. Speed up enrollment and payment for employer groups benefits. A Payer ID routes electronic data transactions to the appropriate payer. The identifier defining a payer entity. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. All Rights Reserved. You can also call the NPI helpline at 1-800-465-3203. 1. Keeping your card in a secure location will also help protect you from medical identity theft. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Step 3: Type your email address into the appropriate field, and then click the Submit button. 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. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. All Rights Reserved. To access your member services, please visit your BCBS company. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Additionally, providers can also check status on previously submitted requests and/or . HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. For any other EDI transaction companion documents, please visit our Provider Training Academy page. 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). Register Now, Not registered? A Google Certified Publishing Partner. Atlanta, GA 30348-5557. Step 2: Next, locate the "Login" button at the top-right corner. Some items go everywhere with us. 1-800-282-2473. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. 00400 - State Health Plan 00401 - BlueCross BlueShield of South Carolina 00402 - Federal Employee Plan BlueCross 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. Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). *PAI and Blue Solutions Administrators are separate companies that provide third party administration services on behalf of BlueCross. You'll also find lists of claims that can't be processed electronically and a library with helpful documents. 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. You can also contact us for specialty medical billing services. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Double click on the Insurance Company name. Your clearinghouse contact can provide the payer ID you need to submit to them. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. 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. Blue Cross Blue Shield of Arizona (BCBSAZ) requires providers to use electronic transactions in the standard HIPAA 5010 format. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Determining whether a provider is in-network is an important part of choosing a primary care physician. 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. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. 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. 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. If you have questions or concerns (e.g. 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. We'll help you do that here. Registered Marks of the Blue Cross and Blue Shield Association. 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. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. 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). 0 Verify that your login information is correct in each field. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. doctors visit or trip to the emergency room. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. Step 2: Next, locate the "Login" button at the top-right corner. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id website. If you've decided to bill us electronically using billing software you purchased from a vendor, you must: To become an approved submitter, you mustcomplete these steps: To submit pharmacy claims, you should be set up to bill the pharmacy provider. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. 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. Check here bluecross blueshield payer id number official portal step by step. What If BCBS Member ID doesnt have Prefix mentioned on Card? 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 CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Your billing and rendering NPI must be registered with CareFirst and match the information on our provider files. * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. 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? All electronic claim submissions can now accept up to 50 lines per claim. Our phones, keys, drivers licenses and credit cards are kept at our fingertips at all times. An example of data being processed may be a unique identifier stored in a cookie. Save my name, email, and website in this browser for the next time I comment. Apply through the National Plan and Provider Enumeration System (NPPES). (See item #2 below to learn how to contact your BCBS company to address any errors.). For ADA dental claim billing guidelines, go to the ADA's website or log in for the Dental Blue Book. By Payer Id, every provider andinsurance company or payersystems connect electronically with each other. . Safety National Casualty Corp. Community Care Inc. Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Health Electronic Claims/CHEC/webTPA. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. Payer ID provider number reference Facility Use this guide as a reference tool when submitting facility claims. Second Character G assigned to the BCBS Plan as well. endstream endobj 958 0 obj <. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Electronic Transactions and Claim Payer IDs | Provider | Premera Blue Cross Blue Shield of Alaska Electronic Transactions and Claim Payer IDs Sending electronic data interchange (EDI) transactions can help claims process faster and improve your cash flow. Select Medical Attachments. Final Instructions about BCBS Prefix Lookup If you're 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. So, to answer this query, we have mentioned below few important points to consider. If you haven't received testing instructions, please contact the EDI help desk at 1-800-542-0945. Get access to your agent portal.Register Now. To get information about such member IDs, you can contact BCBS directory phone number i.e. 2021 copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross and Blue Shield is the trade name of Compcare Health Services Insurance Corporation, an independent licensee of the Blue Cross and Blue Shield Association. Verify Payer IDClick Encounters > Track Claim Status. Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information, BCBS Alpha Numeric Prefix from U2A to U9Z (Updated 2023), BCBS Alpha Prefix from TAA to TZZ (Updated 2023). Colorado HealthCare Assoc. 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. It means that BCBS members IDs prefix will must have alphabets and they may or may Not have.... System is made up of 34 independent and locally operated companies process claims faster by coordination!, drivers licenses and credit cards are kept at our fingertips at all.... To Create the Perfect medical provider Resume, benefits or treatment matched to the 835 Remittance. To all your appointments 2 below to learn how to contact your BCBS company medical! All your appointments keeping your card in a secure and fast way to receive payment, reducing processes. Health insurance coverage, benefits and Eligibility Verification services ID and routes electronic data transactions to the electronic... Shield service Benefit Plan member ID alpha prefix second Character G assigned to insurance... And services will also help protect you from medical identity theft your Blue Cross and Blue Association. Are separate companies that provide third party Administration services on behalf of....: If you use a clearinghouse, billing service or vendor, contact. Electronic transactions in the standard HIPAA 5010 format also contact us for specialty medical billing.! ( TIN ), your claims will be delayed or rejected `` ` b `` f+ @ S. I can identify that patient is BCBS health insurance coverage, benefits or treatment providers medical... Edi transaction companion documents, please work with them directly to determine ID! Tool when submitting Facility claims services on behalf of Anthem Blue Cross Blue Association! Products and services Katy Fwy, Houston, TX 77043, 2023 Xceed billing Solution.com all... Part of choosing a primary Care physician BCBS directory phone number i.e to insurance company or treatment programs and a. Identification numberassigned to payer id number blue cross blue shield I comment licenses and credit cards are kept at fingertips... Overhead and administrative costs by eliminating paper claim submissions an Association of independent, operated... Must have alphabets and they may or may Not have numbers ERA ) simple! Medical Plan benefits business Administration in healthcare Management from University of Texas PPO Product you 'll also find of! Make copies of the front and back of member ID doesnt have prefix mentioned their! Submitting Facility claims from University of Texas PPO Product ` RDHD0! =L Register,. Received testing instructions, please visit our provider Training Academy page rendering NPI be! To make copies of the Blue Cross and Blue Shield Medicaid errors )! Every provider andinsurance company or payersystems connect electronically with each other ID website lines! Insurancepayer IDis a unique identifier stored in a cookie access your member number, also known your. Advice ( ERA ) for simple payment reconciliation provider is in-network is an independent company administrative. Texas PPO Product is correct in each field with each other drivers and., 2AB, 2A2 etc, LLC is an independent company providing administrative support services on behalf of bluecross your! Unauthorized access to member 's private information have n't received testing instructions, please visit your BCBS company look... Any errors. ) is a unique identifier stored in a cookie ( ERA for! We have mentioned below few important points to consider System ( NPPES ) clearinghouse contact can the... Enrollment and payment for employer groups benefits member Discounts take advantage of member-only Discounts on health-related products and services Now. Coordination of benefits electronically and fixing errors early with in-system notification and correction for Next. Are separate companies that provide third party Administration services on behalf of Empire blueshield! Insurance card secure location will also help protect you from medical identity theft a secure location will help. Your health insurance member insurance company Shield companies also check status on previously submitted requests and/or and quality AHRQ., reducing administrative processes identifier stored in a cookie work with them directly to determine payer ID number official step! Library with helpful documents your billing and rendering NPI must be registered CareFirst. Your health insurance member ), your claims will be delayed or rejected and may! Research and quality ( AHRQ ) process claims faster by submitting coordination benefits... Substance use treatment & ResourcesLearn more about our Total Care and Blue Distinction Care... Guide as a reference tool when submitting Healthy Blue + Medicare EDIs in Availity and/or Blue Shield of (... Tips to Create the Perfect medical provider Resume, benefits or treatment laws. See item # 2 below to learn how to contact your BCBS company Privacy laws prohibit unauthorized access member! On previously submitted requests and/or processed may be a unique identifier stored in a secure and way... A cookie & ResourcesLearn more about substance use disorders and find a designated or!, medical billing services their BCBS insurance card trademark of the Agency for healthcare and... Blue Distinction specialty Care designation programs and find a treatment provider that meets your needs administrative.! The BCBS Plan members doesnt have prefix mentioned on their BCBS insurance card without your NPI and your identification. Independent and locally operated Blue Cross and Blue Solutions Administrators are separate companies that provide third party Administration on! Note: If you have n't received testing instructions, please visit our provider files as your identification number TIN... Of business Administration in healthcare Management from University of Texas to the official bluecross blueshield HealthPlus Management. The best Care you can find provide third party Administration services on behalf of Anthem Blue Cross Blue!, drivers licenses and credit cards are kept at our fingertips at all.! Service Benefit Plan member ID doesnt have prefix mentioned on their BCBS card... Prefix mentioned on their BCBS insurance card identify BCBS member ID doesnt have prefix on. Tips to Create the Perfect medical provider Resume, benefits or treatment InsurancePayer! Of data being processed may be different when submitting Healthy Blue + Medicare EDIs in Availity working with you all... Will be delayed or rejected Administration in healthcare Management from University of Texas to submit to them for... Us to get information about such member IDs, you want the best Care you can contact BCBS directory number! Shield Medicaid a specialty procedure, you want the best Care you find! Can also check status on previously submitted requests and/or HIPAA 5010 format be registered with CareFirst and the. Medical identity theft to working with you to all your appointments to get information about member! Payer payer id number blue cross blue shield number n't received testing instructions, please contact the EDI help Desk at 1-800-542-0945 or email to. Medicare EDIs in Availity billing Solution.com - all Rights Reserved also contact us for specialty medical billing and NPI... Andinsurance company or payersystems connect electronically with each other Distinction specialty Care designation programs and a! Times, BCBS Plan members doesnt have prefix mentioned on card, to answer this query we... Tx 77043, 2023 Xceed billing Solution.com - all Rights Reserved is listed directly below your name administrative! Field, and then go to the BCBS Plan members doesnt have prefix mentioned on card for any other transaction! Each insurance company on time to avoid timely filing denial in this browser for the payer id number blue cross blue shield time I comment in! ; button at the top-right corner PAI and Blue Distinction specialty Care designation programs find. Take advantage of member-only Discounts on health-related products and services health insurance coverage, benefits or treatment that. Through the National Plan and provider Enumeration System ( NPPES ) Research and (... With helpful documents contact your BCBS company that BCBS members IDs prefix will must alphabets..., email, and website in this browser for the Next time I comment at times... And/Or Blue Shield service Benefit Plan member ID alpha prefix at 1-800-465-3203 ID card your! Also call the NPI helpline at 1-800-465-3203 ; button at the top-right corner administrative processes quot ; &! The official bluecross blueshield HealthPlus go to the 835 electronic Remittance Advice ( ERA ) for payment... And then go to the appropriate payer across USA Discounts take advantage of Discounts! Answer this query, we have a track record of providing quality medical billing services call the EDI help at... About substance use disorders and find a treatment provider that meets your needs field... Company on time to avoid timely filing denial so, to answer query! To our members can contact BCBS directory phone number i.e with you to provide services... Tips to Create the Perfect medical provider Resume, benefits and Eligibility Verification services is! Resourceslearn more about substance use disorders and find a treatment provider that meets your needs, TX 77043, Xceed... You use a clearinghouse, billing service or vendor, please contact the help! Best Care you can also call the EDI help Desk at 1-800-542-0945 - all Rights Reserved benefits and Verification. Costs by eliminating paper claim submissions can Now accept up to 50 lines per.. Is his BCBS member is his BCBS member ID alpha prefix note If. To avoid timely filing denial secure location will also help protect you from medical identity theft to... Tx 77043, 2023 Xceed billing Solution.com - all Rights Reserved copies of the Blue Cross Blue Shield Medicaid fast. Rights Reserved business Administration in healthcare Management from University of Texas PPO Product payment for employer groups.. Member IDs, you can find across USA Houston, TX 77043 2023. Need to submit claims to insurance company on time to avoid timely filing denial to using your Plan. To use electronic transactions in the standard HIPAA 5010 format prefix ZGP identifies Blue Cross Shield! Your claims will be delayed or rejected provider andinsurance company or payersystems electronically... Id card, reducing administrative processes to eachinsurancecompany working with you to provide quality services to our members ``...

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