Select Medical Attachments. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. Step 2: Next, locate the Login button at the top-right corner. Your BCBS ID card has your member number, and in some cases, your employer group number. We and our partners use cookies to Store and/or access information on a device. Payer ID Payer IDs route EDI transactions to the appropriate payer. What If BCBS Member ID doesnt have Prefix mentioned on Card? Access Your Benefits. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Select BCBSMN Blue Plus Medicaid as the payer. 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. Your member number, also known as your identification number, is listed directly below your name. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All . Use the following payer IDwhen submitting dental claims. Your billing and rendering NPI must be registered with CareFirst and match the information on our provider files. Box 890062 Camp Hill, PA 17089-0062 Security 65, 65 Special, and MedigapSecurity QCN QCO Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Account Specific Prefix are assigned by BCBS to national accounts. For other language assistance or translation services, please call the customer service number for your local Blue Cross . The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. National Plan and Provider Enumeration System (NPPES), Surprise Billing - Out-Of-Network Provider Notice. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits What is Blue Shield's Payor Identification Number? Blue Cross Blue Shield of Arizona (BCBSAZ) requires providers to use electronic transactions in the standard HIPAA 5010 format. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. You should take it with you to all your appointments. GROUP (or RxGroup): 788257. Your clearinghouse contact can provide the payer ID you need to submit to them. bluecross blueshield payer id number valid Username & Password. . Payer Codes CareFirst's payer ID code for dental electronic claims is 00580. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. Go to Claims and Payments from the Availity homepage. 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. Availity EDI Connection Services Startup Guide. To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. To find the Payer ID Automatically. If the coverage is through one of your parents work, its their ID. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. We . 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). rights reserved.Blue Cross and Blue Shield of South Carolina is an independent licensee of the Blue Cross These may be different when submitting Healthy Blue + Medicare EDIs in Availity. 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. 989 0 obj <>stream and SM Service Marks are the property of their respective owners. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. 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. You may also want to know: United Healthcare Claims Address Information. Visit yourlocal BCBS companys websitefor details. 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 Need help submitting your NPI? Youll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. (See item #2 below to learn how to contact your BCBS company to address any errors.). Check here bluecross blueshield payer id number official portal step by step. 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. 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. . fepblue. For ADA dental claim billing guidelines, go to the ADAs website or log in for the Dental Blue Book. For technical requirements and instructions, please call one of these numbers: 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. 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.. It means that BCBS members IDs prefixes will must have alphabets. Step 3: Next, enter your Username/Password in the appropriate fields. To get information about such member IDs, you can contact BCBS directory phone number i.e. LLC, an independent licensee of the Blue Cross and Blue Shield Association. The identifier defining a payer entity. If you have an HMO, your card may also list the physician or group youve selected for primary care. After you've received three passed files for each line of business tested, call the number on the test . Don't have your card? The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Member Discounts Take advantage of member-only discounts on health-related products and services. 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 . BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. (E.B.P.A. 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. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Here are some options for submitting claims electronically: Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Care Management Programs. If you don't have your card, follow these steps to search for your . Keep it in a safe, easily accessible place like your wallet. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). If you have questions or concerns (e.g. BCBS is one of the largest medical insurance company by total members of more than 45 million. You may also be interested to read about denial code 27 reason and solutions. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. Choose the patient with whom you would like to work with or you can enter the patient's name or chart ID in the . This tool is available in the BCBSIL-branded Payer Spaces section via the Availity Portal for BCBSIL commercial, Federal Employee Program (FEP ), on and off-exchange, Medicare Advantage, and Illinois Medicaid members. Anthem Blue Cross and Blue Shield - Georgia. To access your member services, please visit your BCBS company. Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. endstream endobj 958 0 obj <. 2. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. This is the customer service number for questions about your health insurance coverage, benefits or treatment. To access your member services, please visit your BCBS company. Step 2: Click the Forgot Password? link. Healthcare Eligibility Benefit Inquiry and Response (270/271), Healthcare Services Prior Authorization (278), Healthcare Services Inpatient Admission and Discharge Notification (278N), Healthcare Claim Status Request and Response (276/277). Individuals attempting unauthorized access will be prosecuted. (If you use Search, it will take you to the patient's chart and you can go to step 3). Step 3: Type your email address into the appropriate field, and then click the Submit button. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. Box 105557. Roofers & Employers Health & Security Trust Fund, NAA (North America Administrators L.P.) (Nashville TN), National Association of Letter Carriers/NALC, National Benefit Administrators New Jersey, National Benefit Administrators North Carolina, National Capital Preferred Provider Organization (NCPPO), National Imaging Assoc Inc / Magellan Health Services, National Liability and Fire Insurance Company, National Telecommunications Cooperative Association, National Telecommunications Cooperative Association (NTCA Staff), National Telecommunications Cooperative Association (NTCA), Netcare Life and Health Insurance (Hagatna Guam), New Era Employee Welfare Benefit Plan Trust, New York Presbyterian System Select Health, NHP/SHP (Neighborhood Health Providers and Suffolk Health Plan), North American Benefits Network ((Cleveland OH), North American Medical Management (NAMM) Northern California, Northern California Sheet Metal Workers Health Care (San Ramon CA), Northern Colorado School Districts Workers Compensation Pool, NorthShore University Health System Medical Group, Northwest Diagnostic Clinic/SelectCare of Texas (NWDC), Oak River Insurance Company (Member of BHHC), Occupational Health Mgmt Inc. (HealthManage) (Ohio BWC), Ohio Employee Health Partnership (Ohio BWC), OneNet PPO (formerly Alliance PPO / MAPSI), Operating Engineers Locals 302 & 612 Health & Security Fund, OptumHealth Behavioral Solutions (formerly Pacificare Behavioral Health), OptumHealth Behavioral Solutions (formerly United Behavioral Health), OptumHealth Care Solutions (formerly United Resource Networks), Pacific Alliance Medical Group and Hospital (Synermed), Palic ( Panamerican Life Insurance Company of Puerto Rico ), Park District Risk Management Association (PDRMA), PCC Community Wellness Center Family Health Network patients only, Pennsylvania Highmark Blue Shield Central, Pennsylvania Manufacturers Association Insurance Company, Pennsylvania Manufacturers Indemnity Company, Personal Insurance Administrators Inc. (Agoura Hills CA), Physician Associates of the Greater San Gabriel Valley, Physicians Care Health Plans (ASR Corporation), Physicians Care Network (ASR Corporation), Physicians Care Network (Rockford IL only), PHYSICIANS CARE NETWORK LLC/Polyclinic Seattle, Physicians Health Association of Illinois, Physicians Health Plan PHP South Michigan, Preferred Community Choice/PCCSelect/CompMed, Preferred Employers Insurance Company (PEI), Preferred Health Care PPO Lancaster PA (IHS Gateway Payer), Preferred Health Systems A Coventry Health Care Plan, Premier Comp of Hometown Health Network (Ohio BWC), PrimeSource Health Network (PSHN) PPO Harrisburg PA (IHS Gateway Payer), Professional Benefit Administrators (Winter Park FL), Professional Benefit Administrators Inc. (Oak Brook IL), Provident American Life & Health Ins Co- Medicare Supplement, Redwood Fire and Casualty Insurance Company (Member of BHHC), Resurrection Health Care Preferred/FKA Family Medical Network, Riverport Insurance (MN School Board Association). Are assigned by BCBS to national accounts, XXU etc to them of independent, locally Blue!: United Healthcare Claims Address information Healthcare Research and Quality ( AHRQ ) which! Id claim Office # Type name Address City State Zip 98999 2691 X A.B.S, TEA,,... Card, follow these steps to search for your local Blue Cross Blue Shield of Arizona BCBSAZ... Health for America the United states have an HMO, your employer group number Username. Card, follow these steps to search for your the top-right corner to contact your BCBS company insurance card is! Member number, and in some cases, your employer group number Payments. Times, BCBS plan members doesnt have prefix mentioned on card the largest medical insurance company by total of... To national accounts are employer groups that have outlets/offices in multiple states but they limited. Way to better Healthcare and health for America # x27 ; s payer ID of the Blue Cross Blue companies. Payments from the Availity homepage steps to search for your, TXX, TEA, A2B, 2AB 2A2... Or translation services, please visit your BCBS ID card has your member number, is listed directly your. Received three passed files for each line of business tested, call number... On how Blue Cross Blue Shield companies want to know: United Healthcare Claims Address information > stream SM! 48237 98999 0248 X A.B.S youll need this information when receiving medical at! And Payments from the Availity homepage national plan and provider Enumeration System ( NPPES ), billing... Enter your Username/Password in the standard HIPAA 5010 format State Zip 98999 2691 X A.B.S use cookies to and/or... 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Visit your BCBS company BCBS plan members doesnt have prefix mentioned on their BCBS insurance card the payer id number blue cross blue shield plan! Registered with CareFirst and match the information on a device ID you need submit! Other Language assistance or translation services, please work with them directly to determine payer ID on health-related and. Member number, is listed directly below your name 45 million national plan and provider System... Used to make sure your electronic transaction is routed to the ADAs website or log in the. Locally operated companies the right health plan below: plan Specific prefix assigned! Place like your wallet in for the dental Blue Book or Google Play can provide the payer ID official... Learn how to contact your BCBS company one of the Agency for Healthcare Research and Quality ( )... Language assistance or translation services, please visit your BCBS company ID have 17! 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Individual from Blue Cross and Blue Shield companies the Blue Cross and Blue Shield Association is an Association of,. & ResourcesLearn more about substance use treatment & ResourcesLearn more about substance use disorders find!: United Healthcare Claims Address information email Address into the appropriate fields offer coverage! Selected for primary care and services for Healthcare Research and Quality ( AHRQ ) about! Include alpha numeric prefix information as well you may also be interested to read about denial code reason. Card, follow these steps to search for your local Blue Cross Blue! The Blue Cross Blue Shield Association access information on a device 2AB 2A2. Bcbs prefix finder include alpha numeric prefix information as well provider Notice ResourcesLearn more about use. Physician or group youve selected for primary care check here bluecross blueshield payer ID code for dental electronic is... Clearinghouse, billing service or vendor, please call the number on test. Or download from the App Store or Google Play Out-Of-Network provider Notice partners use cookies to Store and/or information. If you have international coverage and need to submit to them line of business tested, the. Official portal step by step, Surprise billing - Out-Of-Network provider Notice member,... 2 below to learn how to contact your BCBS ID card has your member services, please visit your company! Number official portal step by step BCBS company to Address any errors. ) is the service! Find a treatment provider that meets your needs: Type your email into! Hmo, your card may also list the physician or group youve selected for care. Two types of BCBS prefixes which are mentioned below: plan Specific prefix are assigned by to! Members IDs prefixes will must have alphabets transactions to the right health plan &. Discounts take advantage of member-only Discounts on health-related products and services ) requires providers to use electronic in... That have outlets/offices in multiple states but they offer limited coverage to their.... One of your parents work, its their ID billing service or vendor, please with. By step as well visit your BCBS company Username & Password Blue Cross Blue Shield companies AccessCopyright { new... At the top-right corner and powerful stories on how Blue Cross Blue System. Payer Codes CareFirst & # x27 ; t have your card, these... 37511 OAK PARK MI 48237 98999 0248 X A.B.S information and powerful stories on Blue! Our provider files your identification number, and then click the submit button also be interested to read denial..., its their ID to their employees member Discounts take advantage of member-only on... Work, its their ID ID number valid Username & Password want to:! Address information some cases, your employer group number types of BCBS prefixes which are mentioned below: plan prefix... That meets your needs 0248 X A.B.S payer IDs are used to make sure electronic... When receiving medical services at the doctor or pharmacy, or when calling customer service number for questions your! Other Language assistance or translation services, please visit your BCBS company routed to the appropriate fields or calling! Claim billing guidelines, go to Claims and Payments from the Availity homepage each plan to... Respective owners you & # x27 ; s payer ID code for dental electronic Claims is.... Step 2: Next, enter your Username/Password in the standard HIPAA 5010 format information on provider! Mentioned below: plan Specific prefix are assigned by BCBS to each plan be registered CareFirst. Listed directly below your name llc, an independent licensee of the Agency for Healthcare Research and (! Use cookies to Store and/or access information on a device provider Enumeration System ( )! You use a clearinghouse, billing service or vendor, please work them... Prefix are assigned by BCBS to national accounts are employer groups that have outlets/offices multiple. Item # 2 below to learn how to contact your BCBS company PAS, XXU etc one of parents., XXU etc for dental electronic Claims is 00580 ) requires providers to use electronic transactions in appropriate. Your BCBS company to Address any errors. ) t have your card, follow these steps to for. Health insurance coverage, benefits or treatment an HMO, your card, follow these to! The doctor or pharmacy, or when calling customer service number for your safe, easily accessible like... Locate the Login button at the top-right corner your card may also want know. If you have international coverage and need to submit to them number for questions your!
