Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. Care Management Programs. When your BCBS ID card arrives in the mail, take a moment to look for these five things: Check your new card to ensure details like the spelling of your name and the type of plan you selected are correct. Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. Blue Cross Blue Shield providers in Michigan, go paperless with claims, enrollments, and more through our network's EDI, or electronic data interchange. BCBS Prefix will not only have numbers and the digits 0 and 1. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Box 64033 Your clearinghouse contact can provide the payer ID you need to submit to them. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. BANKERS CLAIM SER. (Read more) 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. Questions? Step 3: Next, enter your Username/Password in the appropriate fields. Member ID Number: identifies you, the . Double click on the Insurance name. 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). To access your member services, please visit your BCBS company. Not registered? Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). 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. View your plan details. 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. 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 . Keep it in a safe, easily accessible place like your wallet. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id number website. HealthSpring HMO/HealthSpring Medicare+Choice, HIP Health Insurance Plan of Greater New York, HMSO-Highline Medical Service Organization, Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ), Hotel Employees & Restaurant Employees Health Trust, Humana Insurance Company Choice Care Network, IBM Business Transformation Outsourcing Insurance Services Corporate, Independent Physicians @ Mercy Chicago IL MG#155, Indiana Department of Health Childrens Health Claims, Indiana Teamsters Health Benefits Fund (Indianapolis IN), Insurance Management Services (Amarillo TX), Integra Administrative Group (Seaford DE), Integrated Care Network (ICN) by Emerald Health, International Brotherhood of Boilermakers, International Brotherhood of Boilermakers Employee Health Care Plan(IBBEHC), International Educational Exchange Services Inc. (IEES), InterWest Health (Acceptius Gateway payer), J12 MEDICARE PART A LEGACY WPS (DC DE MD NJ PA), Kaiser Foundation Health Plan of Colorado, Kaiser Foundation Health Plan of Northern CA Region, Kaiser Foundation Health Plan of Southern CA Region. Direct submitter: Professional and Institutional 00430; Dental 47570 Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Garden Regional Hospital & Med Center Inc. Gates McDonald Health Plus Inc. (Ohio BWC), Golden Triangle Physician Alliance/SelectCare of Texas (GTPA), Good Samaritan Medical Practice Association, Government Employees Hospital Association (GEHA), Great American Life Ins Co- Medicare Supplement, Great-West Healthcare (formerly American General), Group Health Cooperative of South Central Wisconsin, Guardian Life Insurance Company of America, Harrington Health-Kansas (formerly known as Fiserv Health-Kansas), Hartford Dealership Advantage Program WC, Hartford Insurance Company of the Midwest (Alliant Tech Systems ONLY), Hartford Insurance Company of the Midwest (Americold Logistics ONLY), Hartford Insurance Company of the Midwest (Pfizer Inc. ONLY), Hartford Insurance Company of the Midwest (Publix ONLY), Hartford Insurance Company of the Midwest (QCS ONLY), Hartford Insurance Company of the Midwest (Ruby Tuesday ONLY), Hartford Insurance Company of the Midwest (Stericycle ONLY), Hartford Insurance Company of the Midwest (Wells Fargo ONLY), Hartford Insurance Company of the Midwest (Wendys Arbys Group ONLY), Hawaii Medical Assurance Association (HMAA/HWMG), Health Adv/US Able/First Pyramid Life/Arkansas Blue Cross, Health America Inc./Health Assurance/Advantra, Health Net of California and Oregon Claims, Health Services for Children with Special Needs, Health Services Preferred (HSP) by Emerald Health, Healthcare Transaction Processing Inc (HTP), HealthEdge Administrators (Bakersfield CA), HealthNow Blue Cross Blue Shield of Western NY. Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Note: Only registered Availity users can access Patient ID Finder. 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. Double click on the appropriate Insurance policy listed. 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. Lets dig into it! All Rights Reserved. . Blue Cross Blue Shield of Arizona (BCBSAZ) requires providers to use electronic transactions in the standard HIPAA 5010 format. Don't have your card? Your local company can help you to: Change your coverage. Availity offers flexibility to submit transactions through an existing EDI vendor or clearinghouse, or use your own EDI software. All Rights Reserved. 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. We and our partners use cookies to Store and/or access information on a device. 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). CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. P.O. AAPC: What it is and why it matters in the Healthcare (2023). 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. Federal Employee Program (FEP) members should visit the FEP website. Change Healthcare Claims Payer ID: 57115 The most accurate way to find your local BCBS company is with the Identification Number from your member ID card. For any other EDI transaction companion documents, please visit our Provider Training Academy page. Estimate the cost of a medical procedure. Your member number, also known as your identification number, is listed directly below your name. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Insurance Payer id List Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Get access to your employer portal. To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. To send claims via the Availity EDI Gateway, log in to the Availity site. Apply through the National Plan and Provider Enumeration System (NPPES). We provide health insurance in Michigan. Get access to your agent portal.Register Now. 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.). (If you use Search, it will take you to the patient's chart and you can go to step 3). Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. A. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Choose the patient with whom you would like to work with or you can enter the patient's name or chart ID in the . For ADA dental claim billing guidelines, go to the ADA's website or log in for the Dental Blue Book. Access Your Benefits. EDI, or electronic data interchange, is a way to exchange information with us electronically. When it comes to healthcare services, that item is your Blue Cross Blue Shield (BCBS) ID card. Availity EDI Connection Services Startup Guide. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Use Availity to register and manage ERA account changes with these easy steps: Note: If you use a clearinghouse or vendor, please work with them on ERA registration and receiving your ERAs. Payer ID provider number reference Facility Use this guide as a reference tool when submitting facility claims. Reduce overhead and administrative costs by eliminating paper claim submissions. However, we can still accept these claims electronically through EDI. What If BCBS Member ID doesnt have Prefix mentioned on Card? Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Call the provider enrollment department at 1-800-822-2761. You'll need to get set up and follow some guidelines to send and receive information using EDI. If you don't have your card, follow these steps to search for your . Although we regularly update the BCBS Prefix information but in case youre unable to get information about correct BCBS plan from our BCBS Prefix lookup, feel free to contact us OR call BCBS directory phone number at 800-676-2583. So, to answer this query, we have mentioned below few important points to consider. Your National Provider Identifier (NPI) must be used to identify your practice when submitting claims. 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 . If you are looking for bluecross blueshield payer id number? You'll also find lists of claims that can't be processed electronically and a library with helpful documents. 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.. Keeping your card in a secure location will also help protect you from medical identity theft. Save my name, email, and website in this browser for the next time I comment. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Replace your member ID card. Prefix UTS assigned to University of Texas. Look for and double click on the encounter that needs correcting. 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). Box 890062 Camp Hill, PA 17089-0062 Security 65, 65 Special, and MedigapSecurity QCN QCO * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. 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. For Example: XYZ123456789. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. The identifier defining a payer entity. CareFirst's payer ID code for dental electronic claims is 00580. previously . 800-676-2583. Payer ID provider number reference Professional Rev. (E.B.P.A. . Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Contact Us BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. GROUP (or RxGroup): 788257. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. 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. Prospective customers can call to discuss options to purchase coverage. Your billing and rendering NPI must be registered with CareFirst and match the information on our provider files. 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. It means that BCBS members IDs prefixes will must have alphabets. Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer Listing Keywords: Click on it. Questions about electronic claims submission, taxonomy and Trading Partner Agreements? Your card contains key information about your health insurance coverage that is required when you need care or pick up a prescription at the pharmacy. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If the coverage is through one of your parents work, its their ID. 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. File or check on claim. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Your Blue Cross and Blue Shield Service Benefit Plan member ID card is your key to using your medical plan benefits. BCBS Alpha Numeric Prefix from L2A to L9Z (Updated 2023), BCBS Provider Phone Number for Claims and Eligibility Verification, PR 27 Denial Code Description and Solution, How to Improve Your Coding Accuracy? January 2022 . 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. BCBS is one of the largest medical insurance company by total members of more than 45 million. NaviNet submissions: Call the eBusiness Desk at 1-888-777-5075, Monday - Friday, 7 a.m. to 6 p.m. Professional providers using a clearinghouse: Call your vendor. Save my name, email, and website in this browser for the next time I comment. Many times, the Blue Shield payor ID used is 94036 or BS001. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Contact us to learn how we can improve your revenue cycle. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross . To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. We'll help you do that here. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). The purpose of articles is to provide information and education only. Learn more about timely filing limits and CO 29 Denial Code. If you've decided to bill us electronically using billing software you purchased from a vendor, you must: To become an approved submitter, you mustcomplete these steps: To submit pharmacy claims, you should be set up to bill the pharmacy provider. Traditional Blue Cross Blue Shield Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. hbbd```b``f+@$S%X`RDHD0!=L Normally, account specific prefix associates to the employer group name. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. Leading the way in health insurance since 1929. Now, with more than 15 years of experience as a medical biller and revenue cycle manager, I am on a mission to serve the medical billing industry with my vast knowledge and years of expertise. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. Register Now, Learn more about registering for our web tools. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Get access to your online account.Register Now, Not registered? Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Corrected claims, secondary claims or BlueCard claims cannot be submitted through NaviNet at this time. Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. You should take it with you to all your appointments. CPT is registered trademark of American Medical Association. IV,0,\g,L&H>W &l;# I
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. For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites.