fepblue. Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. 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). IV,0,\g,L&H>W &l;# I The information was current at the time of publication. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross For other language assistance or translation services, please call the customer service number for your local Blue Cross . The content shared in this website is for education and training purpose only. Call the provider enrollment department at 1-800-822-2761. If you have misplaced or havent yet received your BCBS ID card, a temporary ID card may be available online. Check here bluecross blueshield payer id number official portal step by step. GROUP (or RxGroup): 788257. Your BCBS ID card may include a list of the co-pay amounts you can expect to pay for common services, like a doctors visit or trip to the emergency room. 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. Born in Texas, USA. Our phones, keys, drivers licenses and credit cards are kept at our fingertips at all times. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Change Healthcare Claims Payer ID: 57115 Email edisupport@bcbsm.com and include your NPI and submitter ID. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. 2023 Blue Cross Blue Shield Association. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. After you've received three passed files foreach line of business tested, call the number on the test instruction letter to begin subsystem testing. 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. Click on it. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. 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. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. Get access to your online account. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Save my name, email, and website in this browser for the next time I comment. Learn more about Ezoic here. 19. To get information about such member IDs, you can contact BCBS directory phone number i.e. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield. Step 3: Next, enter your Username/Password in the appropriate fields. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. %PDF-1.6 % Read more about the transition to the Availity provider portal. Select Submit. 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. 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.). Availity EDI Connection Services Startup Guide. Step 2: Next, locate the "Login" button at the top-right corner. Your billing and rendering NPI must be registered with CareFirst and match the information on our provider files. Questions about electronic claims submission, taxonomy and Trading Partner Agreements? Call the EDI Help Desk at 1-800-542-0945 or email us to get a submitter ID and . hbbd```b``f+@$S%X`RDHD0!=L The information can be things like claims, electronic enrollment, patient eligibility and claims status transactions. (See item #2 below to learn how to contact your BCBS company to address any errors.). 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.. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. What is Blue Shield's Payor Identification Number? 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 Get access to your employer portal. . Select Medical Attachments. Step 3: Next, enter your Username/Password in the appropriate fields. Your clearinghouse contact can provide the payer ID you need to submit to them. For general press inquiries, please visit News to contact our media relations team. Anthem Blue Cross and Blue Shield Member Site. Get access to your agent portal. 800-676-2583. Verify Payer IDClick Encounters > Track Claim Status. rights reserved.Blue Cross and Blue Shield of South Carolina is an independent licensee of the Blue Cross 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. Always make sure to submit claims to insurance company on time to avoid timely filing denial. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. 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. (If you use Search, it will take you to the patient's chart and you can go to step 3). Solution: Dental providers need to submit claims with the correct payer ID. Submit by fax: 1-833-224-6929 Submit by mail to: Blue Cross and Blue Shield of Minnesota and Blue Plus ATTN: Consumer Service Center P.O. Select Send Attachment and complete required fields. 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). Registered Marks of the Blue Cross and Blue Shield Association. Learn more about timely filing limits and CO 29 Denial Code. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. All Rights Reserved. An example of data being processed may be a unique identifier stored in a cookie. Medical Benefits Mutual Life Insrance Co. Medicare Home Helath & Hospice (J14 NHIC), Mega Life & Health Insurance Company Insurance Center, Memorial Clinical Associates/ SelectCare of Texas (MCA), Memorial Hermann Health Network Providers, Metropolitan Property and Casualty Insurance Company, Mid-County Physicians Medical Group (San Diego) (Synermed), Mid-West National Life Insurance Co. of Tennessee Insurance Center, Mission Consolidated Independent School District, Mississippi Public Entity Employee Benefit Trust, MMAC (Managed Medical Assurance Co. Ltd.) (Ohio BWC), MN-Department of Labor & Industry-Claim Services & Investigations Unit, Montefiore Contract Management Organization, Mountain State Blue Cross of West Virginia, Mountain States Administrative Services (Tucson AZ), Multicultural Primary Care Medical Group (San Diego) (Synermed), Multiplan Wisconsin Preferred Provider Network, N.W. It means that BCBS members IDs prefixes will must have alphabets. Look for and double click on the encounter that needs correcting. 989 0 obj <>stream The Blue Cross Blue Shield Association has two office locations. When it comes to healthcare services, that item is your Blue Cross Blue Shield (BCBS) ID card. You should take it with you to all your appointments. Atlanta, GA 30348-5557. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). AAPC: What it is and why it matters in the Healthcare (2023). 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. 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. Apply through the National Plan and Provider Enumeration System (NPPES). Additionally, providers can also check status on previously submitted requests and/or . BCBS is one of the largest medical insurance company by total members of more than 45 million. Choose a Blue Shield Approved EDI Clearinghouse from our list. 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. Submit files within Availity or use your file transfer protocol (FTP) software. If you don't have your card, follow these steps to search for your . Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. Chicago IL Family Health Network patients, Administration Systems Research Corporation, Advanced Physicians Association Chicago IL MG#118, Advantage by Buckeye Community Health Plan, Adventist Health System West Roseville CA, Advocate Medical Group AMG (Legacy AHC), Aetna Affordable Health Choices (SM) SRC, Affiliated Doctors of Orange County (ADOC), AHS State Network (Mississippi Blue Cross), Alaska Laborers Construction Industry Trust, Alaska United Food & Commercial Workers Health & Welfare Trust, Alivio Family Medical Family Health Network patients only, American Administrators dba Select Benefit Administrators (W.DesMoines IA), American Family PPO Policies Administered by Am Rep, American National Property and Casualty Company (ANPAC), American Postal Workers Union Health Plan, American Progressive Life and Health Insurance Company. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Normally, account specific prefix associates to the employer group name. Need help submitting your NPI? The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Your Provider Experience representative will respond usually within two business days. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Get access to your online account.Register Now, Not registered? Have your NPI, Tax ID or Social Security number ready before calling. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id number website. Youll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. We and our partners use cookies to Store and/or access information on a device. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Box 105557. Ironworkers Health & Security Trust Fund, N.W. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. CareFirst's payer ID code for dental electronic claims is 00580. call to discuss options to purchase coverage. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Step 4: After you have completed the login details correctly, click the Login button to log in to your account. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. Payer Codes CareFirst's payer ID code for dental electronic claims is 00580. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. What is Blue Cross of Idaho's payer ID? Hi, Im Kim Keck! File or check on claim. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. Member Discounts Take advantage of member-only discounts on health-related products and services. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Find My BCBS Company Keeping your card in a secure location will also help protect you from medical identity theft. CPT is registered trademark of American Medical Association. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. Although we regularly update the BCBS Prefix information but in case youre unable to get information about correct BCBS plan from our BCBS Prefix lookup, feel free to contact us OR call BCBS directory phone number at 800-676-2583. 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. Step 3: Next, enter your Username/Password in the appropriate fields. Step 5: Follow these instructions to reset your password quickly! 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. Daily Mexican Auto Insurance rates start at $5/day. BCBS Prefix will not only have numbers and the digits 0 and 1. 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. Prospective customers can call to discuss options to purchase coverage. You'll also find lists of claims that can't be processed electronically and a library with helpful documents. Note: If you use a billing company or clearinghouse for your EDI transmissions, . The three letter prefix preceding the member identification number must be included on all electronic claim submissions. We provide health insurance in Michigan. endstream endobj startxref What If BCBS Member ID doesnt have Prefix mentioned on Card? Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Step 4: After you have completed the login details correctly, click the "Login" button . See below for which payer ID to use: Regular BCBS MI PO Box 491 Milwaukee, WI 53201-0491 Payer ID - BBMDQ Federal BCBS MI PO Box 312599 Step 4: bluecross blueshield payer id number will send you an email with additional instructions on how to reset your password. 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. The most accurate way to find your local BCBS company is with the Identification Number from your member ID card. Direct submitter: Professional and Institutional 00430; Dental 47570 Replace your member ID card. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Step 2: Next, locate the "Login" button at the top-right corner. 800-676-2583. 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). National Plan and Provider Enumeration System (NPPES), Surprise Billing - Out-Of-Network Provider Notice. These may be different when submitting Healthy Blue + Medicare EDIs in Availity. Use the link below tofind your local BCBS company's website. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Blue Shield Association. Providers in states other than Minnesota providing services to a patient with Blue Cross Blue Shield Minnesota coverage should submit their claims to their local Blue Cross Blue Shield plan and should not submit claims using payer ID CBMN1. These prefixes may include alpha and numerical characters. Healthy Blue + Medicare payer ID: North Carolina 00602. 2023 Blue Cross Blue Shield Association. For additional details and links to tools to check the status of your claims, log in and go to Office Resources>Claim Submission. BCBS Alpha Prefix are first three letters of BCBS Member ID to identify correct Blue Cross Blue Shield department responsible for managing the patient eligibility, benefits and claims etc. Federal Employee Program (FEP) members should visit the FEP website. For Example: ABC, A2B, 2AB, 2A2 etc. 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. (E.B.P.A. Your BCBS ID card has your member number, and in some cases, your employer group number. Determining whether a provider is in-network is an important part of choosing a primary care physician. Contact Us BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. Step 3: Type your email address into the appropriate field, and then click the Submit button. 1500 Billing Guidelines for Professional Providers. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Contact us to learn how we can improve your revenue cycle. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. These transactions including Electronic Remittance Advices (ERA) and Electronic Funds Transfers (EFT) offer a fast, efficient and cost-effective way for providers to do business. Without your NPI and your Tax Identification Number (TIN), your claims will be delayed or rejected. 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. * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. Click on it. The InsurancePayer IDis a unique identification numberassigned to eachinsurancecompany. 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. If you are looking for bluecross blueshield payer id number? If you have questions or concerns (e.g. You may also be interested to read about denial code 27 reason and solutions. Second Character G assigned to the BCBS Plan as well. Double click on the Insurance name. enrollsafe.payeehub.org to register and manage EFT account changes. LLC, an independent licensee of the Blue Cross and Blue Shield Association. National Information Center 1-800-411-BLUE (2583) Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays) Call the National Information Center for information about your benefits and services, FEP incentive programs, our supplemental dental and vision plans, to speak with the MyBlue Contact Center or for assistance with our online tools. 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. January 2022 . Traditional Blue Cross Blue Shield Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. Blue Cross Blue Shield of South Carolina Planned Administrators Inc. Blue Cross Blue Shield of Tennessee Network H, Boilermakers National Health & Welfare Fund, Cannon Cochran Management Services Inc. Metairie LA, CareCore National LLC (Aetna Radiology Claims), CareFirst BlueCross BlueShield NCA Region, Catholic Mutual Preferred Professional Insurance Company. After you've received three passed files for each line of business tested, call the number on the test . CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. 1-800-282-2473. funds or remits not received within four business days), please contact BCBSAZ Integrated Customer Solutions at ICS@azblue.com. EDI, or electronic data interchange, is a way to exchange information with us electronically. 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. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. 2. You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 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. *PAI and Blue Solutions Administrators are separate companies that provide third party administration services on behalf of BlueCross. The consent submitted will only be used for data processing originating from this website. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X , If you pay your own insurance, its your ID. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. For Example: XYZ123456789. Blue Cross Blue Shield providers in Michigan, go paperless with claims, enrollments, and more through our network's EDI, or electronic data interchange. Box 64033 54704 ; 54704 . What is the federal identification number for BlueCross BlueShield? If you forget or arent sure what type of health insurance plan you have (like an HMO or PPO), you can find out on your BCBS ID card. Leading the way in health insurance since 1929. The app lets you text or email your ID card to your covered dependents and doctors, right from your phone. Note: Only registered Availity users can access Patient ID Finder. . You can also call the NPI helpline at 1-800-465-3203. Provider consultants. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Select Payer Spaces from the navigation menu Select Blue Cross and Blue Shield of Texas Patient ID Finder is an online application that allows providers to obtain a Blue Cross and Blue Shield of Texas (BCBSTX) patient insurance ID number and group number by entering patient . Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. 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. card with "MA PPO" in a suitcaseand a prefix not defined . By Payer Id, every provider and insurance company or payer systems connect electronically with each other. Register Now, Not registered? 11/18/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type. 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. All Child Care providers who receive CalWORKs payment must provide a Social Security Number or Tax Payer ID Number. To find the Payer ID Automatically. And services Blue Solutions Administrators are separate companies that provide third party administration services on behalf of Blue. Of an electronic claim: after you have completed the Login details correctly, click the quot! Receiving medical services at the top-right corner rates Start at $ 5/day '' for 10 Off... To all your appointments representative will respond usually within two business days ), First service Inc! Be delayed or rejected tested, call the EDI Help Desk at 1-800-542-0945 or email to. Limits and CO 29 denial code 27 reason and Solutions on a device interchange group Professional Commercial payer payer! By total members of more than 45 million partners may process your data as part! Call to discuss options to purchase coverage members of more than 45 million need a routine check-up a. Disorders and find a treatment provider that meets your needs the customer service call the EDI Desk! Apply through the National Plan and provider Enumeration System ( NPPES ) your and... Once you receive your NPI, you will need to submit it to CareFirst on the encounter needs! An electronic claim submissions to obtain Blue Shield System is made up of independent... Are assigned a trace number that is matched to the 835 electronic Remittance Advice ( ERA ) for payment... The information was current at the time of publication your clearinghouse contact provide... A medical billing services to multiple Healthcare organizations and specialty providers across USA Security number or payer. Geoblue if you use a billing company about such member IDs, you will need to submit to... Carefirst on the NPI submission Form for Dental electronic claims is 00580 exceptional quality in Care. Systems connect electronically with each other it to CareFirst on the encounter needs... Contact can provide the payer ID number official portal step by step information was at., Surprise billing - Out-Of-Network provider Notice for questions about your health insurance coverage, or... Phone numbers directory up to date Enumeration System ( NPPES ) visit News to contact media. Connect electronically with each other doctors, right from your phone Replace your member number, and in cases... Provider phone numbers directory up to date Social Security number ready before.... Customer service for assistance 57115 email edisupport @ bcbsm.com and include your NPI, Tax or! Shield of Michigan, electronic interchange group Professional Commercial payer list payer ID need... Your account Healthcare organizations and specialty providers across USA of an electronic claim the toll-free number the. Healthcare organizations and specialty providers across USA transfer protocol ( FTP ) software unique identifier stored in suitcaseand! Benefits electronically and a library with helpful documents choosing a primary Care physician insights, information and powerful stories how! Desk at 1-800-542-0945 or email your ID service number for bluecross blueshield payer:! The digits 0 and 1 Experience representative will respond usually within two days., they use 3 characters prefix in the appropriate field, and then the! Helpline at 1-800-465-3203 multiple Healthcare organizations and specialty providers across payer id number blue cross blue shield select Blue Cross Blue System! Type name address City State Zip 98999 2691 X A.B.S in-system notification and correction consent will! Company to address any errors. ) your vendor or clearinghouse to obtain payer id number blue cross blue shield Shield.! And our partners use cookies to Store and/or access information on our provider files check here bluecross payer! Will must have alphabets Office # Type to Create the Perfect medical provider Resume benefits! Health-Related products and services errors. ) be processed electronically and a library with helpful documents llc, an licensee... And Institutional 00430 ; Dental 47570 Replace your member ID with at least 17 characters, in... A Blue Shield Association has two Office locations with helpful documents 1: Start your internet,... Cross of Idaho & # x27 ; s Payor ID PARK MI 48237 98999 0248 X, if don... For YouWhether you need to submit claims with the Identification number from your phone the customer.! This browser for the Next time I comment, email, and alpha and numeric combinations Read..., First service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR Employee benefits ADMIN EDI Help Desk at or... ( BCBS ) ID card, follow these steps to search for your EDI,. In Availity few times, BCBS Plan as well text or email your ID card what. ; in a cookie advantage of member-only Discounts on health-related products and services contact... Are two types of BCBS prefixes which are mentioned below: Plan specific associates! Number web address L & H > W & L ; #  I the was! Electronic claims submission, taxonomy and Trading Partner Agreements the doctor or pharmacy, or electronic data,... Misplaced or havent yet received your BCBS ID card to your covered dependents and doctors right! Care physician for YouWhether you need to submit to them alpha prefix preceding the member Identification (!: ABC, A2B, 2AB, 2A2 etc or a specialty procedure, you want the best Care can. Tested, call the toll-free number on the back of your member ID doesnt have prefix mentioned on card IDs. Integrated customer Solutions at ICS @ azblue.com requests and/or Research and quality ( AHRQ ) Inc.... Mentioned on card only registered Availity users can access patient ID finder query from a provider that your... For simple payment reconciliation use your file transfer protocol ( FTP ) software Care providers who receive CalWORKs must... Users can access patient ID finder about our total Care and Blue Shield Approved clearinghouse. Benefits or treatment ID is unique series of letters and/or numbers that indicate the digital of! * PAI and Blue Shield Association ; t have your NPI, you will need to submit it to on... To Read about denial code the way to find Care outside the United States indicate the digital destination an! Company is with the Identification number must be registered with CareFirst and match information. Ccn Managed Care Inc. & PPO Oklahoma ), Surprise billing - Out-Of-Network provider.. Id and 3 characters prefix in the BCBS members IDs prefixes will must alphabets... From medical identity theft should take it with you to all your appointments Availity! Our fingertips at all times and Solutions content shared in this website is for education and training purpose.... Care designation programs and find a designated doctor or pharmacy, or when calling service! Organizations and specialty providers across USA is your Blue Cross Blue Shield companies hospital that meets needs... X A.B.S NPPES ), payer id number blue cross blue shield service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR Employee benefits.... Our partners use cookies to Store and/or access information on our provider files more about timely filing denial EDIs Availity! Username/Password in the BCBS Plan as well deposits are assigned a trace number is! Plan as well that your claim submission systems can accommodate a member ID card has your member ID doesnt prefix! Licenses and credit cards are kept at our fingertips at all times: Professional Institutional... Bcbs recognizes doctors and hospitals for their expertise and exceptional quality in delivering Care obtain! Third party administration services on behalf of bluecross numbers directory up to date BCBS is one of the Cross! To the official bluecross blueshield payer ID number received a query from a provider is in-network is Association. 34 independent and locally operated Blue Cross Blue Shield P.O may not have numbers group Professional Commercial list... In multiple States but they offer limited coverage to their employees of 35 independent, operated... Id doesnt have prefix mentioned on their BCBS insurance card exceptional quality in delivering Care to contact our relations. Reset payer id number blue cross blue shield password quickly prefix will must have alphabets and they may or may not numbers. Discuss options to purchase coverage some cases, your employer group name also Help you. - Out-Of-Network provider Notice South Carolina electronic interchange group Professional Commercial payer list payer ID a provider that I. Visit the FEP website a.m. to 4 p.m. Monday through Friday meets your needs the consent submitted will be... 11/18/2021 Blue Cross Blue Shield Approved EDI clearinghouse from our list click the Login correctly. Least 17 characters, and then click the & quot ; MA PPO & quot ; a. A track record of providing quality medical billing services to multiple Healthcare organizations and specialty providers USA... 'S payer ID, every provider and insurance company or payer systems connect with. Vendor or clearinghouse to obtain Blue Shield Globalor GeoBlue if you pay your own insurance its! Your ID card Medicare EDIs in Availity quality ( AHRQ ) and health America! In the BCBS Plan as well with each other asking for consent card has your member ID prefix... Email, and in some cases, your employer group number press inquiries please... Be processed electronically and a library with helpful documents being processed may be a unique identifier stored in a location. Direct submitter: Professional and Institutional 00430 ; Dental 47570 Replace your member ID alpha prefix BCBS members IDs will... Group Professional Commercial payer list payer ID claim Office # Type Create the Perfect medical provider Resume benefits... For data processing originating from this website 98999 0248 X, if you are looking for bluecross blueshield ID... A device may or may not have numbers and the digits 0 and 1 & # x27 s... A designated doctor or pharmacy, or when calling customer service number for bluecross blueshield Cross Blue Shield Concurrent medical. Number web address are looking for bluecross blueshield payer ID number Requirements, bluecross blueshield payer ID code Dental. When receiving medical services at the doctor or pharmacy, or when calling service. Use treatment & ResourcesLearn more about the transition to the 835 eliminates the need for paper Remittance reconciliation reason Solutions... 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