Your Provider Experience representative will respond usually within two business days. 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. 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. 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. 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. Save my name, email, and website in this browser for the next time I comment. First Character Z assigned to the BCBS Plan. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. A Payer ID routes electronic data transactions to the appropriate payer. Don't have your card? Step 2: Click the Forgot Password? link. 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. Need help submitting your NPI? 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). First Character P is symbolizing that member plan/product type is BCBS PPO. Get access to your agent portal. Not related to your member ID at all. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer 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. Registered Marks of the Blue Cross and Blue Shield Association. Were making changes that offer providers a new option for submitting Blue Cross, Medicare Plus BlueSM, Federal Employee Program, Blue Care Network, BCN AdvantageSM and Blue Cross Complete claims. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. All Child Care providers who receive CalWORKs payment must provide a Social Security Number or Tax Payer ID Number. Click on it. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. Medicare Advantage PPO Blue Cross or Blue Shield member ID . Use the link below to find your local BCBS company's website. 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. 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. This is the customer service number for questions about your health insurance coverage, benefits or treatment. %PDF-1.6 % Blue Cross Blue Shield providers in Michigan, go paperless with claims, enrollments, and more through our network's EDI, or electronic data interchange. Keep it in a safe, easily accessible place like your wallet. Your billing and rendering NPI must be registered with CareFirst and match the information on our provider files. Direct submitter: Professional and Institutional 00430; Dental 47570 You can use the first three numbers on your member ID card to log into your account and access your benefits. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Electronic Transactions EFT and ERA fepblue. funds or remits not received within four business days), please contact BCBSAZ Integrated Customer Solutions at ICS@azblue.com. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. What is Blue Cross of Idaho's payer ID? 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. (See item #2 below to learn how to contact your BCBS company to address any errors.). For accurate and quick claims processing, it is necessary to get complete patient insurance information. Double click on the appropriate Insurance policy listed. The information was current at the time of publication. Your BCBS ID card has your member number, and in some cases, your employer group number. Many times, the Blue Shield payor ID used is 94036 or BS001. rights reserved.Blue Cross and Blue Shield of South Carolina is an independent licensee of the Blue Cross ), EMPLOYERS CLAIM SERVICE INC CITY OF NAPERVILLE, Employers Mutual Inc (Jacksonville Florida), Equitable Plan Services (Oklahoma City OK), E-V Benefits Management Inc (Columbus OH), Evolutions Healthcare Systems (New Port Richey FL), Excellus Blue Cross Blue Shield Central NY, Excellus Blue Cross Blue Shield Rochester Area, F&G Guaranty Ins Co/Main Street Program Colorado, Family Christian Health Center Family Health Network patients only, Family Health Partners Healthwave of Kansas, First Health Network (f.k.a. (If you use Search, it will take you to the patient's chart and you can go to step 3). GROUP (or RxGroup): 788257. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Questions? You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. So, to answer this query, we have mentioned below few important points to consider. Estimate the cost of a medical procedure. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Contact Us BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. Register Now, Learn more about registering for our web tools. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. 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.). Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer Listing Keywords: EDI Support Line: 1-800-590-5745. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. Box 64033 Provider consultants. You may also be interested to read about denial code 27 reason and solutions. 989 0 obj <>stream 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Not registered? Review your balance. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. We'll help you do that here. Individuals attempting unauthorized access will be prosecuted. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 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. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. . Select Send Attachment and complete required fields. What is Blue Shield's Payor Identification Number? If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. 37242. 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). 800-676-2583. 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. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. We and our partners use cookies to Store and/or access information on a device. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Solution: Dental providers need to submit claims with the correct payer ID. Step 3: Type your email address into the appropriate field, and then click the Submit button. Box 105557. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. 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. Your Blue Cross and Blue Shield Service Benefit Plan member ID card is your key to using your medical plan benefits. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Find My BCBS Company You may also want to know: United Healthcare Claims Address Information. Step 2: Next, locate the Login button at the top-right corner. 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. If you have misplaced or havent yet received your BCBS ID card, a temporary ID card may be available online. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id website. Anthem Blue Cross and Blue Shield Member Site. Get access to your employer portal. To access your member services, please visit your BCBS company. (E.B.P.A. 00720 if youve got MN BCBS. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. 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