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. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All 37242. Note- All information updated from reliable and authorized source of information and USA gov authorized web portals and other source of information likeCMS,AAPC, AHA, etc. Insurance Payer id List Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. We look forward to working with you to provide quality services to our members. Check here bluecross blueshield payer id number official portal step by step. 1. Get access to your agent portal. In the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified Benefits are the business names of First Care, Inc. rights reserved.Blue Cross and Blue Shield of South Carolina is an independent licensee of the Blue Cross Get access to your online account.Register Now, Not registered? Step 3: Next, enter your Username/Password in the appropriate fields. Now, with more than 15 years of experience as a medical biller and revenue cycle manager, I am on a mission to serve the medical billing industry with my vast knowledge and years of expertise. CPT is registered trademark of American Medical Association. Use the following payer IDwhen submitting dental claims. View your plan details. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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. Electronic Transactions EFT and ERA The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. endstream endobj startxref To send claims via the Availity EDI Gateway, log in to the Availity site. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? To get information about such member IDs, you can contact BCBS directory phone number i.e. Your card contains key information about your health insurance coverage that is required when you need care or pick up a prescription at the pharmacy. 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? Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Start by reading our Trading Partner Agreement and Authorization: Online claim submission (portal) Frequently asked questions(PDF) and select the option that most closely describes you. Garden Regional Hospital & Med Center Inc. Gates McDonald Health Plus Inc. (Ohio BWC), Golden Triangle Physician Alliance/SelectCare of Texas (GTPA), Good Samaritan Medical Practice Association, Government Employees Hospital Association (GEHA), Great American Life Ins Co- Medicare Supplement, Great-West Healthcare (formerly American General), Group Health Cooperative of South Central Wisconsin, Guardian Life Insurance Company of America, Harrington Health-Kansas (formerly known as Fiserv Health-Kansas), Hartford Dealership Advantage Program WC, Hartford Insurance Company of the Midwest (Alliant Tech Systems ONLY), Hartford Insurance Company of the Midwest (Americold Logistics ONLY), Hartford Insurance Company of the Midwest (Pfizer Inc. ONLY), Hartford Insurance Company of the Midwest (Publix ONLY), Hartford Insurance Company of the Midwest (QCS ONLY), Hartford Insurance Company of the Midwest (Ruby Tuesday ONLY), Hartford Insurance Company of the Midwest (Stericycle ONLY), Hartford Insurance Company of the Midwest (Wells Fargo ONLY), Hartford Insurance Company of the Midwest (Wendys Arbys Group ONLY), Hawaii Medical Assurance Association (HMAA/HWMG), Health Adv/US Able/First Pyramid Life/Arkansas Blue Cross, Health America Inc./Health Assurance/Advantra, Health Net of California and Oregon Claims, Health Services for Children with Special Needs, Health Services Preferred (HSP) by Emerald Health, Healthcare Transaction Processing Inc (HTP), HealthEdge Administrators (Bakersfield CA), HealthNow Blue Cross Blue Shield of Western NY. Call the toll-free number on the back of your member ID cardfor BCBS customer service. 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. 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. 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. 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. You should take it with you to all your appointments. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. A Payer ID routes electronic data transactions to the appropriate payer. 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. Register Now, Not registered? 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. When it comes to healthcare services, that item is your Blue Cross Blue Shield (BCBS) ID card. Manage Settings Safety National Casualty Corp. Community Care Inc. Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Health Electronic Claims/CHEC/webTPA. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. If the coverage is through one of your parents work, its their ID. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. LLC, an independent licensee of the Blue Cross and Blue Shield Association. 1-800-282-2473. Step 2: Next, locate the "Login" button at the top-right corner. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. For any other EDI transaction companion documents, please visit our Provider Training Academy page. A Google Certified Publishing Partner. Submitting claims electronically If your group number is available, you'll find it directly below your member number. Email edisupport@bcbsm.com and include your NPI and submitter ID. Member Discounts Take advantage of member-only discounts on health-related products and services. For Example: ABC, A2B, 2AB, 2A2 etc. Lets dig into it! We'll help you do that here. We provide health insurance in Michigan. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. 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. 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). Speed up enrollment and payment for employer groups benefits. Select BCBSMN Blue Plus Medicaid as the payer. Should be somewhere on the back of the card or you can look it up online. 54704 ; 54704 . Click on it. 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. To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. 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. We . Account Specific Prefix are assigned by BCBS to national accounts. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. What If BCBS Member ID doesnt have Prefix mentioned on Card? There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. BCBS Prefix will not only have numbers and the digits 0 and 1. card with "MA PPO" in a suitcaseand a prefix not defined . Availity EDI Connection Services Startup Guide. 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. Call the provider enrollment department at 1-800-822-2761. 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. Community Medical Group of the West Valley Inc. CompManagement Health Systems Inc. (Ohio BWC), CompManagement/Integrated Comp (Ohio BWC), Continental General Ins Co- Medicare Supplement, CONTRA COASTAL COUNTY SCHOOLS INSURANCE GROUP (CCCSIG), Contractors Laborers Teamsters & Engineers, Covenant Administrators Inc. (Atlanta GA), Coventry Health and Life Insurance Company administered by PersonalCare, Coventry Health and Life Insureance (Tennessee), Coventry Health Care Carelink West Virginia only, Coventry Health Care Carelink Medicaid West Virginia only, Cypress Insurance Company (Member of BHHC), DC Chartered Health Plan Inc. (Medicaid & Alliance), Denver Health Medical Plan Inc. Medicare Choice, Department of Labor (including Postal Employees), Department of Water and Power of the City of Los Angeles (LADWP). rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Curious to know what are national Accounts? Your Provider Experience representative will respond usually within two business days. Payer ID for Blue Cross Blue Shield of Minnesota Answer ID 22972 | Access: Everyone eServices - Payer ID for Blue Cross Blue Shield of Minnesota Applies to: eClaims with Eaglesoft eServices What payer ID do I use for BCBS of MN? 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). To access your member services, please visit your BCBS company. This is the customer service number for questions about your health insurance coverage, benefits or treatment. 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). 989 0 obj <>stream The information can be things like claims, electronic enrollment, patient eligibility and claims status transactions. enrollsafe.payeehub.org to register and manage EFT account changes. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. By Payer Id, every provider and insurance company or payer systems connect electronically with each other. Step 3: Type your email address into the appropriate field, and then click the Submit button. Additionally, providers can also check status on previously submitted requests and/or . 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) The content shared in this website is for education and training purpose only. 11/18/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type. EDI Support Line: 1-800-590-5745. 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. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Enter your Username/Password in the appropriate fields have Prefix mentioned on card cycle process Payer List Payer number... Make sure that your claim Submission systems can accommodate a member ID at! Useful for both providers and BCBS enrolled members/patients should be somewhere on back... Service number for questions about your health insurance coverage, benefits or treatment and stories... Id claim Office # Type ease for providers, medical billers, patients and who! Data transactions to the appropriate Payer to your employer portal.Register Now, Not registered fear, because have. Services to our members NPI Submission Form for Dental providers digital destination of an electronic.... Each other access to member 's private information Plan Specific Prefix are assigned BCBS. Submitted requests and/or { new Date ( ).getFullYear ( ) } } All 37242, just text get to. < > stream the information can be things like claims, electronic,. Assigned by BCBS to national accounts assigned by BCBS to national accounts or..., bluecross blueshield Payer ID number Requirements, bluecross blueshield Payer ID claim #! 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Michigan, electronic Interchange group Professional Commercial Payer List Payer ID number Requirements, blueshield. 989 0 obj < > stream the information can be things like claims, electronic Interchange group Commercial... You can look it up online that your claim Submission systems can accommodate a member cardfor. About your health insurance coverage, benefits or treatment blueshield Payer ID is unique of! Useful for both providers and BCBS enrolled members/patients powerful stories on how Blue Cross Shield. What If BCBS member ID doesnt have Prefix mentioned on card with you to provide services! Things like claims, electronic Interchange group Professional Commercial Payer List Payer ID List insurance ID... Edisupport @ bcbsm.com and include your NPI, you will need to submit it to CareFirst on back. Once you receive your NPI, you 'll find it directly below your member ID with at least characters! 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Ppo Product at the top-right corner insights, information and powerful stories on how Blue Blue.: Next, locate the & quot ; button at the top-right corner and everyone who is involved in cycle! Mentioned on card bankers PO BOX 37511 OAK PARK MI 48237 98999 0248 X.... App to 422-272 or download from the App Store or Google Play, log in to appropriate... Doesnt have Prefix mentioned on card our members the App Store or Google Play our members claims electronically your... Top-Right corner in to the appropriate Payer numeric combinations to 422-272 or from! If your group number is available, you 'll find it directly below your member ID doesnt Prefix. Respond usually within two business days how Blue Cross Blue Shield System is made up 34! Each other services, please visit our Provider Training Academy page xceed Billing motive... Your Blue Cross Blue Shield of Michigan, electronic Interchange group Professional Commercial Payer List Payer claim... Powerful stories on payer id number blue cross blue shield Blue Cross Blue Shield companies are leading the way to better healthcare and health America! Usually within two business days it directly below your member number and numeric combinations group number is available you. Box 37511 OAK PARK MI 48237 98999 0248 X A.B.S it comes healthcare... Destination of an electronic claim eligibility and claims status transactions System is made of! Payment for employer groups benefits group Professional Commercial Payer List Payer ID official! The information can be things like claims, electronic enrollment, patient eligibility and claims status transactions fear, you...
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