As of November 1, 2021, use Member Discounts Take advantage of member-only discounts on health-related products and services. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. For any other EDI transaction companion documents, please visit our Provider Training Academy page. is payer id the same as group number is payer id the same as group number Contact us to learn how we can improve your revenue cycle. Learn more about timely filing limits and CO 29 Denial Code. Your Payer ID is 27514. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X , If you pay your own insurance, its your ID. Availity offers flexibility to submit transactions through an existing EDI vendor or clearinghouse, or use your own EDI software. Final Instructions about BCBS Prefix Lookup If you're a medical biller or a provider and going to submit BCBS plan member claim to the insurance, make sure to submit member ID including prefix. . 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 There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Step 4: After you have completed the login details correctly, click the Login button to log in to your account. When it comes to healthcare services, that item is your Blue Cross Blue Shield (BCBS) ID card. Normally, account specific prefix associates to the employer group name. Apply through the National Plan and Provider Enumeration System (NPPES). 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. If you receive health insurance via your employer, your insurance card will most likely have a group plan number. 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. 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). When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits Call the toll-free number on the back of your member ID cardfor BCBS customer service. If you don't have your card, follow these steps to search for your . 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). Blue Shield Association. You'll need to get set up and follow some guidelines to send and receive information using EDI. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. These may be different when submitting Healthy Blue + Medicare EDIs in Availity. If you haven't received testing instructions, please contact the EDI helpdesk at 1-800-542-0945. 00720 if youve got MN BCBS. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. 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. Change Healthcare Claims Payer ID: 57115 Step 2: Next, locate the "Login" button at the top-right corner. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Federal Employee Program (FEP) members should visit the FEP website. bluecross blueshield payer id number valid Username & Password. Medicare Advantage PPO Blue Cross or Blue Shield member ID . 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. Safety National Casualty Corp. Community Care Inc. Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Health Electronic Claims/CHEC/webTPA. We . The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. enrollsafe.payeehub.org to register and manage EFT account changes. Member Discounts Take advantage of member-only discounts on health-related products and services. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. For navigational assistance, refer to the Patient ID Finder User Guide . You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. 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. We and our partners use cookies to Store and/or access information on a device. Check here bluecross blueshield payer id number official portal step by step. Account Specific Prefix are assigned by BCBS to national accounts. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Blue Cross Blue Shield Federal Phone Number Health insurance policy number: Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. 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. %%EOF
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. 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? BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. 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). Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Solution: Dental providers need to submit claims with the correct payer ID. 2023 Blue Cross Blue Shield Association. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. The Blue Cross Blue Shield Association has two office locations. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. GROUP (or RxGroup): 788257. National Plan and Provider Enumeration System (NPPES), Surprise Billing - Out-Of-Network Provider Notice. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Email edisupport@bcbsm.com and include your NPI and submitter ID. After you've received three passed files foreach line of business tested, call the number on the test instruction letter to begin subsystem testing. For Example: ABC, A2B, 2AB, 2A2 etc. For additional details and links to tools to check the status of your claims, log in and go to Office Resources>Claim Submission. Select Submit. To find the Payer ID Automatically. If you have questions or concerns (e.g. 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. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. File or check on claim. Read more about the transition to the Availity provider portal. For Example: XYZ123456789. How To Identify Blue Cross Blue Shield Member? Learn more about Ezoic here. Determining whether a provider is in-network is an important part of choosing a primary care physician. 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. Not related to your member ID at all. 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. 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. Call the EDI Help Desk at 1-800-542-0945 or email us to get a submitter ID and . Colorado HealthCare Assoc. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. 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). . Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All To get information about such member IDs, you can contact BCBS directory phone number i.e. You can use our interactive search to find your local Blue Cross Blue Shield Companys website. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. hbbd```b``f+@$S%X`RDHD0!=L Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Second Character G assigned to the BCBS Plan as well. 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