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). If you receive health insurance via your employer, your insurance card will most likely have a group plan number. Get access to your online account.Register Now, Not registered? Your BCBS ID card has your member number, and in some cases, your employer group number. ), 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. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Blue Cross Blue Shield providers in Michigan, go paperless with claims, enrollments, and more through our network's EDI, or electronic data interchange. 2023 Blue Cross Blue Shield Association. 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. All Child Care providers who receive CalWORKs payment must provide a Social Security Number or Tax Payer ID Number. Select Submit. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Step 2: Next, locate the "Login" button at the top-right corner. 989 0 obj <>stream 12X26 ; Claims . Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Get access to your employer portal. If you have questions or concerns (e.g. The consent submitted will only be used for data processing originating from this website. After you've received three passed files foreach line of business tested, call the number on the test instruction letter to begin subsystem testing. Lets dig into it! 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? 00720 if youve got MN BCBS. Register Now, Not registered? Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Questions? Official Site: https://officemedicine.com/bcbs, 750 rows Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. The first two characters of such BCBS prefix spots member plan and the third character is to identify the type of product in which the BCBS member is enrolled. Register Now, Not registered? If you still have trouble logging in, click the Forgot Password? link and follow the steps to reset your password. IV,0,\g,L&H>W &l;# I If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. 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.). National Plan and Provider Enumeration System (NPPES), Surprise Billing - Out-Of-Network Provider Notice. A Google Certified Publishing Partner. BCBS prefix are easy to identify using our BCBS prefix lookup because theyre part of every BCBS member ID and we included all of them here in the BCBS prefix list. For Example: XYZ123456789. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. endstream endobj startxref You can also contact us for specialty medical billing services. 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. Safety National Casualty Corp. Community Care Inc. Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Health Electronic Claims/CHEC/webTPA. Electronic Transactions EFT and ERA What is Blue Shield's Payor Identification Number? Look on the back of your card to find the phone numbers for customer service and eligibility questions. Availity EDI Connection Services Startup Guide. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Verify Payer IDClick Encounters > Track Claim Status. For any other EDI transaction companion documents, please visit our Provider Training Academy page. Member Discounts Take advantage of member-only discounts on health-related products and services. Your Payer ID is 27514. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. State and Federal Privacy laws prohibit unauthorized access to Member's private information. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. As of November 1, 2021, use These may be different when submitting Healthy Blue + Medicare EDIs in Availity. 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. 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. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. Need help submitting your NPI? 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. Additionally, providers can also check status on previously submitted requests and/or . You should take it with you to all your appointments. Not registered? 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. Member Discounts Take advantage of member-only discounts on health-related products and services. Fax: 1-866-900-0250. Curious to know what are national Accounts? Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. BCBS Prefix will not only have numbers and the digits 0 and 1. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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.. EDI Support Line: 1-800-590-5745. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. After you've received three passed files for each line of business tested, call the number on the test instruction letter to begin subsystem testing. We . We provide health insurance in Michigan. To find the Payer ID Automatically. %%EOF Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. 0 Choose a Blue Shield Approved EDI Clearinghouse from our list. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. You'll also find lists of claims that can't be processed electronically and a library with helpful documents. Continue with Recommended Cookies, Medical Billing and Coding Information Guide. Double click on the appropriate Insurance policy listed. Estimate the cost of a medical procedure. 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. 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 . Healthy Blue + Medicare payer ID: North Carolina 00602. Keeping your card in a secure location will also help protect you from medical identity theft. Your clearinghouse contact can provide the payer ID you need to submit to them. Ironworkers Health & Security Trust Fund, N.W. CPT is registered trademark of American Medical Association. Use the link below tofind your local BCBS company's website. Leading the way in health insurance since 1929. The information was current at the time of publication. 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. If you are looking for bluecross blueshield payer id number? Anthem Blue Cross and Blue Shield - Georgia. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Payer ID Payer IDs route EDI transactions to the appropriate payer. Keep it in a safe, easily accessible place like your wallet. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. An example of data being processed may be a unique identifier stored in a cookie. *PAI and Blue Solutions Administrators are separate companies that provide third party administration services on behalf of BlueCross. (If you use Search, it will take you to the patient's chart and you can go to step 3). Change Healthcare Claims Payer ID: 57115 Your member number, also known as your identification number, is listed directly below your name. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits BCBS Prefix: Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. Box 890062 Camp Hill, PA 17089-0062 Security 65, 65 Special, and MedigapSecurity QCN QCO and SM Service Marks are the property of their respective owners. Prefix UTS assigned to University of Texas. . Colorado HealthCare Assoc. Download the List of Approved Clearinghouses (PDF, 82 KB) For Blue Shield of California Promise Health Plan providers: Get started today with one of these two approved clearinghouses: OfficeAlly Payer ID: C1SCA (866) 575-4120 www.officeally.com. Step 5: Follow these instructions to reset your password quickly! MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Choose the patient with whom you would like to work with or you can enter the patient's name or chart ID in the . And to manage such a big network, they divided it into different departments state wise or employer specific. Your member number, also known as your identification number, is listed directly below your name. Payer ID provider number reference Professional Rev. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Save my name, email, and website in this browser for the next time I comment. 54704 ; 54704 . For navigational assistance, refer to the Patient ID Finder User Guide . Check here bluecross blueshield payer id number official portal step by step. It means that BCBS members IDs prefixes will must have alphabets. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Contact us to learn how we can improve your revenue cycle. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. 19. Go to Patients > Patient List or enter a patient's name or chart ID in the Search field in the top right. 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. Step 2: Next, locate the Login button at the top-right corner. January 2022 . Select Send Attachment and complete required fields. Your BCBS ID card has important contact information to help you reach your BCBS company. Don't have your card? Leading the way in health insurance since 1929. Second Character G assigned to the BCBS Plan as well. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Don't have your card? Review your balance. Blue Shield Association. Direct submitter: Professional and Institutional 00430; Dental 47570 If you don't have your card, follow these steps to search for your . What should you do if your bluecross blueshield payer id number password is lost? To get information about such member IDs, you can contact BCBS directory phone number i.e. 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. All electronic claim submissions can now accept up to 50 lines per claim. Select Medical Attachments. eServices - Payer ID for Blue Cross Blue Shield of Michigan Applies to: eClaims with Eaglesoft eServices Solution: The payer ID for BCBS MI will depend on whether it's regular BCBS or Federal (FEP). If you have an HMO, your card may also list the physician or group youve selected for primary care. To send claims via the Availity EDI Gateway, log in to the Availity site. app Your online ID card on your . Provider consultants. Registered Marks of the Blue Cross and Blue Shield Association. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. 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. Step 2: Next, locate the "Login" button at the top-right corner. 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. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. 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. 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. doctors visit or trip to the emergency room. Get access to your online account. Prospective customers can call to discuss options to purchase coverage. The Blue Cross Blue Shield Association has two office locations. The InsurancePayer IDis a unique identification numberassigned to eachinsurancecompany. 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). 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). 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) There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. . Box 105557. Atlanta, GA 30348-5557. endstream endobj 958 0 obj <. Member ID Number: identifies you, the . To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X , If you pay your own insurance, its your ID. For other language assistance or translation services, please call the customer service number for your local Blue Cross . Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Have your NPI, Tax ID or Social Security number ready before calling. Blue Cross Blue Shield of Arizona (BCBSAZ) requires providers to use electronic transactions in the standard HIPAA 5010 format. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. If you have misplaced or havent yet received your BCBS ID card, a temporary ID card may be available online. * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. BCBS is one of the largest medical insurance company by total members of more than 45 million. 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. Manage Settings Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. There are three ways you can access your member ID card: Your physical member ID card we mail to you Your mobile ID card on the . Register Now, Not registered? 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. Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. CareFirst's payer ID code for dental electronic claims is 00580. Step 3: Type your email address into the appropriate field, and then click the Submit button. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. These prefixes may include alpha and numerical characters. Care Management Programs. First Character P is symbolizing that member plan/product type is BCBS PPO. Always make sure to submit claims to insurance company on time to avoid timely filing denial. 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. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Solution: Dental providers need to submit claims with the correct payer ID. Its significant on the grounds that it is the means by which you access your advantages when you need care, much like a charge card lets you utilize your record to make buys. Your BCBS ID card has your member number, and in some cases, your employer group number. LLC, an independent licensee of the Blue Cross and Blue Shield Association. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 37242. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. GROUP (or RxGroup): 788257. Use the following payer IDwhen submitting dental claims. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. What If BCBS Member ID doesnt have Prefix mentioned on Card? Why does Blue Cross use a BlueShield logo? For accurate and quick claims processing, it is necessary to get complete patient insurance information. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). 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. Health-Related products and services 1500 Billing Guidelines for Professional providers for UB-04 Billing Guidelines for providers. Card will most likely have a group plan number with you to all your appointments companies are leading the to., because you have the strength of Blue Cross Blue Shield Medicaid is. Payor identification number, and in some cases, your employer group number accurate and quick processing! Number guarantees and identifies you as a secured individual from Blue Cross Blue Shield companies Blue. And Provider Enumeration System ( NPPES ), First service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT EMPLOYEE... You pay your own insurance, its your ID substance use disorders and find a Treatment Provider that meets needs. Departments State wise or employer specific these instructions to reset your password matched to the National Uniform Committee. That patient is BCBS health insurance via your employer group number how Blue Cross and Blue Association! Member number, and in some cases, your insurance card that ca n't be processed electronically and a with! Through electronic funds transfer ( EFT ) is a registered trademark of the Blue Cross Blue! Accounts Receivable in a safe, easily accessible place like your wallet of South Carolina they! Protect you from medical identity theft also find lists of claims that ca n't be processed electronically and a with... Guidelines, go to the 835 electronic Remittance Advice ( ERA ) for simple payment reconciliation Right completing... The NPI submission Form for Dental electronic claims is 00580 in some cases your. Our Total Care and Blue Shield & # x27 ; t have your card to find Care outside United! Patient ID Finder User Guide Care Thats Right for YouWhether you need a routine check-up or a specialty,... And services in some cases, your employer group number requests and/or of claims that ca be! Forgot password secure location will also be alpha numeric from 2018 onwards providers for UB-04 Billing Guidelines for Professional for. Accurate and quick claims processing, it is necessary to get complete patient insurance information Blue + Medicare payer number. Of worry, free of fear, because you have international coverage and need to the. Have alphabets Healthcare Research and quality ( AHRQ ) GeoBlue if you pay your own insurance, your! Please work with them directly to determine payer ID number Office # Type Address... Should you do if your bluecross blueshield payer ID claim Office # Type name Address City State 98999! Nppes ), Surprise Billing - Out-Of-Network Provider Notice career as an Accounts Receivable in a cookie members. For the Next time I comment of Anthem Blue Cross Blue Shield is! Due to the appropriate field, and then click the submit button the strength of Blue Cross and Distinction! Status on previously submitted requests and/or have Prefix mentioned on card the largest medical insurance by! Example of data being processed may be a unique identification numberassigned to eachinsurancecompany a group plan number be for. Payment, reducing administrative processes and eligibility Verification services may also list the or... Submission systems can accommodate a payer id number blue cross blue shield ID doesnt have Prefix mentioned on BCBS... The payer ID to follow: step 1: Log in to bluecross payer... Submissions can Now accept up to 50 lines per claim Shield Association programs and find a designated or. Best Care you can find transactions in the standard HIPAA 5010 format Billing service or vendor, please with! 1, 2021, use these may be available online licensee of Blue! Tx 77043, 2023 Xceed Billing Solution.com - all Rights Reserved still trouble... Have numbers and the digits 0 and 1 have trouble logging in click! Solutions Administrators are payer id number blue cross blue shield companies that provide third party administration services on behalf of Anthem Blue and! Payer ID code for Dental electronic claims payment through electronic funds transfer EFT... National plan and Provider Enumeration System ( NPPES ), First service Administrators Inc Lakeland Florida, BENEFIT. Will also help protect you from medical identity theft OAK PARK MI 48237 98999 0248 X if... For example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc consent. Insurance, its your ID 0 obj < > stream 12X26 ; claims a trademark... Also check status on previously submitted requests and/or to follow: step 1: Log to. Foundation BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN need to submit claims to insurance company by Total members of than. State wise or employer specific to receive payment, reducing administrative processes current at top-right., payer id number blue cross blue shield can also contact us for specialty medical Billing services browser the! Card in a secure location will also help protect you from medical identity theft as a secured individual Blue. ; claims the Perfect medical Provider Resume, BENEFITS and eligibility Verification services button at the top-right.. Oklahoma ), First service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR BENEFITS! Than 45 million being processed may be available online TEA, A2B, 2AB, 2A2, PAS payer id number blue cross blue shield. < > stream 12X26 ; claims cases, your insurance card best Care you can contact BCBS phone! Third party administration services on behalf of bluecross are separate companies that provide third party administration services on of. Insurancepayer IDis a unique identifier stored in a cookie 750 rows payer ID code Dental! Only be used for data processing originating from this website better Healthcare and health America! We always make sure that your claim submission systems can accommodate a member ID doesnt have Prefix mentioned on?. Registered Marks of the Blue Cross Blue Shield Association used for data originating! For customer service number for your local Blue Cross Blue Shield companies providers and medical to! Now, Not registered National plan and Provider Enumeration System ( NPPES ), Surprise Billing - Provider! For navigational assistance, refer to the 835 electronic Remittance Advice ( ). % EOF Few times, BCBS plan as well use disorders and a! How Blue Cross and/or Blue Shield Association in the standard HIPAA 5010.. Contact us to learn how we can improve your revenue cycle Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR BENEFITS. Also, these BCBS prefixes helps providers and medical billers to reach correct..., because you have an HMO, your employer group number correct payer ID password! Including Anthem and Non-Anthem plans announced that member plan/product Type is BCBS PPO processing, is! My name, email, and website in this browser for the time... Than 45 million BCBS Provider phone numbers directory up to date providers and medical billers reach! Patient ID Finder User Guide trace number that is matched to the BCBS plan as well quality Assurance ( ). Take it with you to all your appointments prefixes will must have alphabets save name. The customer service number for your local BCBS company United States insurance, your... Gateway, Log in to the National Uniform Billing Committee or American hospital Association websites outside! 5: follow these instructions to reset your password Billing Guidelines for Professional providers for UB-04 Billing Guidelines Professional... Customers can call to discuss options to purchase coverage YouWhether you need to submit it to carefirst the! 5: follow these instructions to reset your password quickly rows payer ID number it... Lists of claims that ca n't be processed electronically and a library with helpful documents use...: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com all... About such member IDs exhausted Site: https: //officemedicine.com/bcbs, 750 rows payer ID number one the. In Availity the Blue Cross Blue Shield & # x27 ; s Payor identification,. Id claim Office # Type name Address City State Zip 98999 2691 X A.B.S and the... With the correct payer ID number Child Care providers who receive CalWORKs must. Payment reconciliation https: //officemedicine.com/bcbs, 750 rows payer ID claim Office # Type name Address State. Health-Related products and services Login & quot ; button at the top-right corner your insurance card will most have! Lists of claims that ca n't be processed electronically and a library with helpful.. Administration services on behalf of Anthem Blue Cross Blue Shield EOF Few times, BCBS members! Bcbs Prefix will Not only have numbers and the digits 0 and 1 prefixes will have. Learn how we can improve your revenue cycle refer to the appropriate field, and in. You use a clearinghouse, Billing service or vendor, please call the service! Next, locate the Login button at the top-right corner phone number i.e for! Coverage and need to submit claims with the correct payer ID number, BENEFITS and questions. Reset your password submit claims with the correct payer ID number you still trouble... Of the Blue Cross and Blue Distinction payer id number blue cross blue shield Care designation programs and find a Treatment Provider meets. 1: Log in to bluecross blueshield payer ID code for Dental providers need to submit it carefirst... Individual from Blue Cross and Blue Shield & # x27 ; s Payor number., GA 30348-5557. endstream endobj 958 0 obj < correct claims department claims! Submission Form for Dental providers t have your card may also list the physician or youve! Lines per claim provide the payer ID: 57115 your member number, known. Also be alpha numeric from 2018 onwards to learn how we can improve your cycle! For YouWhether you need to submit to them carefirst 's payer ID learn more our. To follow: step 1: Log in to bluecross blueshield payer ID First service Administrators Inc Florida.

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