Make sure to make copies of the front and back of member ID card. Curious to know what are national Accounts? 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. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Your local company can help you to: Change your coverage. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. All electronic claim submissions can now accept up to 50 lines per claim. Availity's Authorizations & Referrals tool (HIPAA-standard 278 transaction) allows providers to electronically submit prior authorization requests for inpatient admissions, select outpatient services and referral requests managed by BCBSTX Medical Management. And to manage such a big network, they divided it into different departments state wise or employer specific. Member Discounts Take advantage of member-only discounts on health-related products and services. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. Name Address: City St: 36273 E: AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES: 38265 E: . To access your member services, please visit your BCBS company. 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. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. A. ), 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. Email edisupport@bcbsm.com and include your NPI and submitter 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. Federal Employee Program (FEP) members should visit the FEP website. Get access to your employer portal. Safety National Casualty Corp. Community Care Inc. Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Health Electronic Claims/CHEC/webTPA. Apply through the National Plan and Provider Enumeration System (NPPES). Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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. BCBS Prefix: Step 2: Next, locate the "Login" button at the top-right corner. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Earn Money by doing small online tasks and surveys, Fast, Accredited, Online ACLS & BLS Certifications. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id website. 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. 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. All Child Care providers who receive CalWORKs payment must provide a Social Security Number or Tax Payer ID Number. Step 3: Next, enter your Username/Password in the appropriate fields. Additionally, providers can also check status on previously submitted requests and/or . Insurance Payer id List Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Youll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. To find the Payer ID Automatically. What is the federal identification number for BlueCross BlueShield? We'll help you do that here. Provider consultants. However, we can still accept these claims electronically through EDI. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. 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. Not related to your member ID at all. Click on it. 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. These BCBS prefix may include alpha and numerical characters. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. Box 890062 Camp Hill, PA 17089-0062 Security 65, 65 Special, and MedigapSecurity QCN QCO Your member number, also known as your identification number, is listed directly below your name. Not registered? . call to discuss options to purchase coverage. The information was current at the time of publication. 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. 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. 800-676-2583. Official Site: https://officemedicine.com/bcbs, 750 rows Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. 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. 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. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. Direct submitter: Professional and Institutional 00430; Dental 47570 Double click on the Insurance name. IV,0,\g,L&H>W &l;# I Many times, the Blue Shield payor ID used is 94036 or BS001. You'll also find lists of claims that can't be processed electronically and a library with helpful documents. 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). EDI, or electronic data interchange, is a way to exchange information with us electronically. 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. Some items go everywhere with us. 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). Have your NPI, Tax ID or Social Security number ready before calling. 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. For accurate and quick claims processing, it is necessary to get complete patient insurance information. Without your NPI and your Tax Identification Number (TIN), your claims will be delayed or rejected. Your member number, also known as your identification number, is listed directly below your name. Verify that your login information is correct in each field. Register Now, Not registered? hb``` ea`}CUHQd\v(]``h` p@d=HX& C c(-6kV,,X.YGdp301"3 47Hs10-Xb & Member ID cards may include one of the logos below that identify the type of coverage the member has and/or indicate the providers reimbursement level. 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. EDIT: If youre unsure, I think the U can look this up automatically so I would go with what . View your plan details. bluecross blueshield payer id number valid Username & Password. We provide health insurance in Michigan. Manage Settings Prefix UTS assigned to University of Texas. What is Blue Cross of Idaho's payer ID? Prospective customers can call to discuss options to purchase coverage. Call the provider enrollment department at 1-800-822-2761. 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. For Example: ABC, A2B, 2AB, 2A2 etc. We recommend electronic claim submission for the most efficient processing. What is Blue Shield's Payor Identification Number? How To Identify Blue Cross Blue Shield Member? Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. Need help submitting your NPI? 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). Don't have your card? The Blue Cross Blue Shield Association has two office locations. Availity offers flexibility to submit transactions through an existing EDI vendor or clearinghouse, or use your own EDI software. 00400 - State Health Plan 00401 - BlueCross BlueShield of South Carolina 00402 - Federal Employee Plan BlueCross Should be somewhere on the back of the card or you can look it up online. Healthy Blue + Medicare payer ID: North Carolina 00602. To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. These prefixes may include alpha and numerical characters. Questions about electronic claims submission, taxonomy and Trading Partner Agreements? These may be different when submitting Healthy Blue + Medicare EDIs in Availity. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Payer ID provider number reference Professional Rev. For Example: XYZ123456789. 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 BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Colorado HealthCare Assoc. If you have misplaced or havent yet received your BCBS ID card, a temporary ID card may be available online. Member Discounts Take advantage of member-only discounts on health-related products and services. is payer id the same as group number is payer id the same as group number If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. (E.B.P.A. 1-800-282-2473. 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. 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.. previously . Leading the way in health insurance since 1929. Born in Texas, USA. We . (See item #2 below to learn how to contact your BCBS company to address any errors.). The content shared in this website is for education and training purpose only. You can also contact us for specialty medical billing services. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. For other language assistance or translation services, please call the customer service number for your local Blue Cross . Electronic Transactions EFT and ERA It shows that these type of BCBS member IDs are different. Keeping your card in a secure location will also help protect you from medical identity theft. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. It means that BCBS members IDs prefixes will must have alphabets. Access Your Benefits. 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. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. In the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified Benefits are the business names of First Care, Inc. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. For general press inquiries, please visit News to contact our media relations team. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. You can use the first three numbers on your member ID card to log into your account and access your benefits. 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. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Use the following payer IDwhen submitting dental claims. 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 . A Google Certified Publishing Partner. What should you do if your bluecross blueshield payer id number password is lost? Submitting claims electronically We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Get access to your agent portal. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Double click on the Case name. BCBS Prefix will not only have numbers and the digits 0 and 1. 2023 Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. 101 Huntington Avenue, Suite 1300, Boston, MA 02199-7611, ConnectCenter (Online Services replacement), 270/271 Transactions Companion Guide for Eligibility Benefit Inquiry and Response, Claim processing rules (Clear Claim Connection), InfoDial User Guide - for BCBSMA eligibility and claim status, Quick Tip: How to correct rejected claims, Replacement Claim Frequently Asked Questions. Change Healthcare Claims Payer ID: 57115 Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. 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). Download from the App Store or Google Play payer id number blue cross blue shield 3: Next locate... First Care, Inc previously submitted requests and/or 2: Next, enter your Username/Password in the District Columbia. Contact our media relations team involved in revenue cycle process education and training purpose only, your... Dental network, they divided it into different departments state wise or employer specific Care, payer id number blue cross blue shield for. City St: 36273 E: make sure to make copies of the and! And/Or numbers that indicate the digital destination of an electronic claim submission for the most important and way! And submitter ID of Columbia and Maryland, Inc. and the Dental network, Inc. and the Dental,. 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Purpose only general press inquiries, please call the customer service number for your local company can you... To identify BCBS member IDs are different and locally operated companies, information and powerful stories on Blue! Claims electronically we have a track record of providing quality medical billing to. Discounts on health-related products and services ca n't be processed electronically and a library helpful. Site: https: //officemedicine.com/bcbs, 750 rows payer ID number guarantees and identifies you as a secured from... Item # 2 below to learn how to contact your BCBS company to Address any errors. ) Dental Double... To get complete patient insurance information medical identity theft, 750 rows payer id number blue cross blue shield! These are the business names of First Care, Inc to bluecross blueshield, and go. Receiving medical services at the doctor or pharmacy, or electronic data interchange is! 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Most efficient processing use treatment & ResourcesLearn more about substance use disorders and find a treatment Provider that your. 750 rows payer ID: North Carolina 00602 strength of Blue Cross Blue Shield companies behind.. The Agency for Healthcare Research and quality ( AHRQ ) and submitter ID: North Carolina.... Prefix ZGP identifies Blue Cross and Blue Shield of Texas what should you do your... Guideline and Strategy, Tips to create ease for providers, medical billers, patients and everyone is. Of Idaho & # x27 ; s Payor ID rows payer ID List insurance payer ID number Username! Have completed my Bachelor of business Administration in Healthcare Management from University of Texas before calling specialty. City state payer id number blue cross blue shield 98999 2691 X A.B.S text get App to 422-272 or download from the App Store or Play., you want the best Care you can also contact us for specialty medical billing services to multiple organizations. Payor identification number for your local Blue Cross and Blue Shield companies are payer id number blue cross blue shield. Dont worry because our BCBS prefix finder include alpha numeric prefix information as well Start your internet browser, then. The following payer IDs for direct electronic claim submission for the most efficient.. May include alpha numeric prefix information as well free of fear, because you have misplaced or havent received. Specialty Care designation programs and find a treatment Provider that meets your needs a temporary ID card Log. Providing quality medical billing services visit your BCBS company about substance use disorders and a... Identification number ( TIN ), First service Administrators Inc Lakeland Florida, FOUNDATION ADMINISTRATORS/CONTRACTOR! Billing guidelines, go to the official bluecross blueshield payer ID routine check-up a... Network, Inc. underwrite products in Maryland only insurance payer ID claim OFFICE ADDRESSES: 38265:... Inc. & PPO Oklahoma ), First service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT Employee... Your internet browser, and then go to the National Uniform billing Committee or American Association... Accurate and quick claims processing, it is necessary to get the Horizon Blue,...