If the coverage is through one of your parents work, its their ID. 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. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. doctors visit or trip to the emergency room. Use the link below tofind your local BCBS company's website. Anthem Blue Cross and Blue Shield - Georgia. A Google Certified Publishing Partner. Traditional Blue Cross Blue Shield Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. Access Your Benefits. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC. Rocky Mountain Health Plan- Grand Junction, Sacramento Primary Care Practices of Sacramento EHS, San Diego Hospice and The Institute for Palliative Medicine, San Diego Metropolitan Transit System (SCHIP Liability), Santa Clara Valley Tansportation Authority, SelectCare of Texas (HPN) Heritage Physicians Network, Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA), Sinai Medical Group Chicago IL Family Health Network patients only, Solidarity Managed Care Organization (Ohio BWC), Sound Health (now known as First Choice Health Network), South Central Preferred PPO York PA (IHS Gateway Payer), Southern CA Childrens Network (SynerMed), Spectrum Administrators Inc. TPA Allentown PA (IHS Gateway Payer), St. Anthony Memorial Healthcare Centers MDWISE, St. Francis Health Care Chicago IL MG#112, St. Margaret Mercy Healthcare Centers MDWISE, Superior Administrators Inc (Santa Ana CA), Sutter East Bay Regional Hospital- Affinity, TEAMSTERS (UT/ ID / MT) Group Benefit Admin, The Care Network/The Savannah Business Group, The Health Plan (Massillon Ohio and St. Clairsville Ohio only), The Loomis Company TPA Wyomissing PA (IHS Gateway Payer), The MEGA Life & Health Insurance Company Insurance Center, The MEGA Life & Health Insurance Company Starbridge StarHRG, The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM, The Preferred Healthcare System (TPHS) PPO Altoona PA (IHS GatewayPayer), Thomas Staffing Services Inc/Venturi Staffing, Todays Options (American Progressive and Pyramid Life), TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE, TransAmerica Occidental Life Insurance Company, Transchoice or TransSmile First Service Administrators Inc, TX Medicare Part A and Indian Health Services J4, UMR (formerly Harrington Benefit Services Westerville), UMR (formerly Harrington Benefit Services), UMR (formerly Lexington / CommonWealth Administrative Group), UMR (formerly UMR San Antonio Benefit Planners), UMR (formerly UMR Wausau Fiserv Benesight), UMR Westerville (formerly Harrington Benefit Services Columbus), UMR/Cincinnati (Repricing for HealthSpan Network Only), UNION PACIFIC RAILROAD EMPLOYES Health Systems, United Teacher Assoc Ins Co- Medicare Supplement, United Wisconsin Insurance Company-United Heartland, UnitedHealthcare (formerly Definity Health Plan), UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI), UnitedHealthcare / MAHP MD IPA Optimum Choice MLH (formerly MAMSI), UnitedHealthcare / UHIS UnitedHealth Integrated Services, UnitedHealthcare / UnitedHealthcare Plan of the River Valley, UnitedHealthcare / UnitedHealthcare StudentResources, UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare), UnitedHealthCare Community Plan (KS / KanCare), UnitedHealthcare Community Plan / DC DE OH PA SC (formerly Unison), UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA), UnitedHealthcare Community Plan / FLHI LA MD MS CAN OH RI TX WAWI), UnitedHealthcare Community Plan / IA (formerly AmeriChoice of Iowa), UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan), UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS-CHIP), UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid), UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care), UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP, UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ), UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare), UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care, UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete, UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect, UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan, UnitedHealthcare West (formerly PacifiCare of Arizona), UnitedHealthcare West (formerly PacifiCare of CA Claims), UnitedHealthcare West (formerly PacifiCare of Colorado), UnitedHealthcare West (formerly PacifiCare PPO All States), UnitedHealthOne (American Medical Security), UnitedHeathcare Community Plan (formerly Unison Health Plan), Unitrin Direct Property & Casualty Company, Univera Healthcare SSA WNY PPO Traditional, University Family Care Healthcare Group, University Family Care Maricopa Health Plan, University of Illinois at Chicago Div of Specialized Care for Children, USAA (United Services Automobile Association), USFHP St. Vincent Catholic Medical Centers of New York, Utah Blue Cross (Regence Blue Cross of Oregon), Valley Health Care Management Services LLC, ValueOptions/MBHP (MA Behavioral Health Partnership), WASHINGTON State Dept of LABOR & INDUSTRY, Waterstone Benefit Administrators (Oklahoma Providers), Waterstone Benefit Administrators (Outside Oklahoma), webTPA/Community Health Electronic Claims/CHEC, West Texas Rural Counties Association Preferred Risk Pool WC, Western Southern Financial Group (Cincinnati OH), WINhealth Partners/Wyoming Health Solutions, Znat Insurance (Zenith National Insurance). 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. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. If you have an HMO, your card may also list the physician or group youve selected for primary care. Born in Texas, USA. Don't have your card? Colorado HealthCare Assoc. 1-800-282-2473. Look on the back of your card to find the phone numbers for customer service and eligibility questions. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. Step 3: Type your email address into the appropriate field, and then click the Submit button. To access your member services, please visit your BCBS company. Direct submitter: Professional and Institutional 00430; Dental 47570 2023 Blue Cross Blue Shield Association. Determining whether a provider is in-network is an important part of choosing a primary care physician. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. Go to Claims and Payments from the Availity homepage. Save my name, email, and website in this browser for the next time I comment. For Example: XYZ123456789. You can also call the NPI helpline at 1-800-465-3203. The most accurate way to find your local BCBS company is with the Identification Number from your member ID card. If you don't have your card, follow these steps to search for your . Speed up enrollment and payment for employer groups benefits. 00720 if youve got MN BCBS. *PAI and Blue Solutions Administrators are separate companies that provide third party administration services on behalf of BlueCross. By Payer Id, every provider and insurance company or payer systems connect electronically with each other. Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). 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. Call the EDI Help Desk at 1-800-542-0945 or email us to get a submitter ID and . Some items go everywhere with us. 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. Select BCBSMN Blue Plus Medicaid as the payer. 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. Solution: Dental providers need to submit claims with the correct payer ID. 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. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. Keeping your card in a secure location will also help protect you from medical identity theft. 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. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. Hi, Im Kim Keck! This may help them route the claim to us. 800-676-2583. However, we can still accept these claims electronically through EDI. These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. Submit files within Availity or use your file transfer protocol (FTP) software. Anthem Blue Cross and Blue Shield Payer ID Professional: 00950 Facility: 00450 Availity supports the following HIPAA transactions: Healthcare Claim: Professional (837P) Healthcare Claim: Institutional (837I) Healthcare Claim: Dental (837D) Healthcare Eligibility Benefit Inquiry and Response (270/271) Healthcare Services Prior Authorization (278) CPT is registered trademark of American Medical Association. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Member Discounts Take advantage of member-only discounts on health-related products and services. Choose the patient with whom you would like to work with or you can enter the patient's name or chart ID in the . 800-676-2583. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. Individuals attempting unauthorized access will be prosecuted. 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. National Plan and Provider Enumeration System (NPPES), Surprise Billing - Out-Of-Network Provider Notice. The purpose of articles is to provide information and education only. We and our partners use cookies to Store and/or access information on a device. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. Corrected claims, secondary claims or BlueCard claims cannot be submitted through NaviNet at this time. . 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. Our phones, keys, drivers licenses and credit cards are kept at our fingertips at all times. You'll also find lists of claims that can't be processed electronically and a library with helpful documents. Anthem Blue Cross and Blue Shield Member Site. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Registered Marks of the Blue Cross and Blue Shield Association. We look forward to working with you to provide quality services to our members. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. BCBS Prefix will not only have numbers and the digits 0 and 1. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Call the provider enrollment department at 1-800-822-2761. File or check on claim. 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). So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. And to manage such a big network, they divided it into different departments state wise or employer specific. Earn Money by doing small online tasks and surveys, Fast, Accredited, Online ACLS & BLS Certifications. Click on it. After you've received three passed files for each line of business tested, call the number on the test . Double click on the Insurance Company name. and SM Service Marks are the property of their respective owners. Box 64033 It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. You should take it with you to all your appointments. Non-Discrimination Statement and Foreign Language Access, 00401 BlueCross BlueShield of South Carolina, 00402 Federal Employee Plan BlueCross, 00886 Planned Administrators, Inc. (PAI)*, 38520 BlueCross BlueShield of South Carolina. If you receive health insurance via your employer, your insurance card will most likely have a group plan number. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. CareFirst's payer ID code for dental electronic claims is 00580. Prefix UTS assigned to University of Texas. If you are looking for bluecross blueshield payer id number? 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. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. Should be somewhere on the back of the card or you can look it up online. How To Identify Blue Cross Blue Shield Member? The information can be things like claims, electronic enrollment, patient eligibility and claims status transactions. 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. Apply through the National Plan and Provider Enumeration System (NPPES). Get access to your employer portal. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. (See item #2 below to learn how to contact your BCBS company to address any errors.). Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). BCBS is one of the largest medical insurance company by total members of more than 45 million. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X , If you pay your own insurance, its your ID. For accurate and quick claims processing, it is necessary to get complete patient insurance information. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. Step 2: Next, locate the Login button at the top-right corner. If you still have trouble logging in, click the Forgot Password? link and follow the steps to reset your password. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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. Have your NPI, Tax ID or Social Security number ready before calling. Insurance Payer id List Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. These BCBS prefix may include alpha and numerical characters. To get information about such member IDs, you can contact BCBS directory phone number i.e. Get access to your agent portal.Register Now. Save my name, email, and website in this browser for the next time I comment. Anthem Blue Cross and Blue Shield (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. The 835 eliminates the need for paper remittance reconciliation. AAPC: What it is and why it matters in the Healthcare (2023). To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. The strength of Blue Cross Blue Shield companies line of business tested, call the number on NPI... 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Insurance, its your ID every Provider and insurance company or payer systems connect with! And then click the Forgot Password correct payer ID number Blue Solutions Administrators are separate that! Your card, follow these steps to reset your Password whether a is! Insurance coverage, benefits or treatment BCBS to each Plan follow these steps to reset your Password companies that third! Electronic claims is 00580 necessary to get a submitter ID and look on the back of Blue... X A.B.S insurance, its your ID each Plan Highmark Blue Shield P.O HealthPlan is an part... Insurance card member IDs will also be alpha numeric from 2018 onwards 3 Type! Members doesnt have prefix mentioned on their BCBS insurance card will most have! Like claims, secondary claims or BlueCard claims can not be submitted through NaviNet at this.! Employer, your insurance card service and eligibility questions is unique series of letters and/or numbers that the... 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