payer id number blue cross blue shield (2024)

Box 105557. Were making changes that offer providers a new option for submitting Blue Cross, Medicare Plus BlueSM, Federal Employee Program, Blue Care Network, BCN AdvantageSM and Blue Cross Complete claims. 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. Select Submit. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. A. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. The app lets you text or email your ID card to your covered dependents and doctors, right from your phone. 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. Solution: Dental providers need to submit claims with the correct payer ID. Have your NPI, Tax ID or Social Security number ready before calling. fepblue. Select BCBSMN Blue Plus Medicaid as the payer. Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. 2023 Blue Cross Blue Shield Association. Verify that your login information is correct in each field. Change Healthcare Claims Payer ID: 57115 Anthem Blue Cross and Blue Shield Payer ID Professional: 00950 Facility: 00450 Availity supports the following HIPAA transactions: Healthcare Claim: Professional (837P) Healthcare Claim: Institutional (837I) Healthcare Claim: Dental (837D) Healthcare Eligibility Benefit Inquiry and Response (270/271) Healthcare Services Prior Authorization (278) Official Site: https://officemedicine.com/bcbs, 750 rows Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. By Payer Id, every provider and insurance company or payer systems connect electronically with each other. ), 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. Prefix UTS assigned to University of Texas. If you haven't received testing instructions, please contact the EDI help desk at 1-800-542-0945. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. 19. Click on it. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. LLC, an independent licensee of the Blue Cross and Blue Shield Association. A Google Certified Publishing Partner. BCBS Prefix: endstreamendobj958 0 obj<. For general press inquiries, please visit News to contact our media relations team. For Example: XYZ123456789. . Register Now, Not registered? Need help submitting your NPI? Lets dig into it! Direct submitter: Professional and Institutional 00430; Dental 47570 The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. 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. Determining whether a provider is in-network is an important part of choosing a primary care physician. These are the steps to follow: Step 1: Log in to bluecross blueshield payer id number. Step 2: Next, locate the "Login" button at the top-right corner. BCBS Prefix will not only have numbers and the digits 0 and 1. How To Identify Blue Cross Blue Shield Member? What is Blue Shield's Payor Identification Number? bluecross blueshield payer id number valid Username & Password. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Individuals attempting unauthorized access will be prosecuted. Ironworkers Health & Security Trust Fund, N.W. If you have an HMO, your card may also list the physician or group youve selected for primary care. Your BCBS ID card has your member number, and in some cases, your employer group number. For providers and medical billers who are performing medical billing services, BCBS alpha prefix are helpful to identify the correct payer ID and address for claims submission. Sometimes you will need to enter your username or email. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Estimate the cost of a medical procedure. EDIT: If youre unsure, I think the U can look this up automatically so I would go with what . Get access to your employer portal. The 835 eliminates the need for paper remittance reconciliation. Step 2: Click the Forgot Password? link. First Character P is symbolizing that member plan/product type is BCBS PPO. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Speed up enrollment and payment for employer groups benefits. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. This is the customer service number for questions about your health insurance coverage, benefits or treatment. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. BANKERS CLAIM SER. (Read more) Call the provider enrollment department at 1-800-822-2761. Name Address: City St: 36273 E: AARP UNITEDHEALTHCARE ALL CLAIM OFFICE ADDRESSES: 38265 E: . Use the link below to find your local BCBS company's website. Submit files within Availity or use your file transfer protocol (FTP) software. The content shared in this website is for education and training purpose only. Member Discounts Take advantage of member-only discounts on health-related products and services. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 37242. Why does Blue Cross use a BlueShield logo? hb``` ea`}CUHQd\v(]``h` p@d=HX& C c(-6kV,,X.YGdp301"3 47Hs10-Xb & 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. If youre 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. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Insurance Payer id List Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. If you are looking for bluecross blueshield payer id number? Don't have your card? All Rights Reserved. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. CareFirst's payer ID code for dental electronic claims is 00580. Not registered? Americas 1st Choice Health Plans of North Carolina Inc. Americas 1st Choice Health Plans of South Carolina Inc. Anthem Blue Cross and Blue Shield (Virginia), Arizona & 21st Corp. DBA Berkley East Conv. Care Management Programs. If you don't have your card, follow these steps to search for your . Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. We provide health insurance in Michigan. Always make sure to submit claims to insurance company on time to avoid timely filing denial. Select Medical Attachments. Registered Marks of the Blue Cross and Blue Shield Association. Note: Only registered Availity users can access Patient ID Finder. 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. Anthem Blue Cross and Blue Shield - Georgia. 1-800-822-2761 8 a.m. to 4 p.m. Monday through Friday. Double click on the Insurance name. Atlanta, GA 30348-5557. 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. To get information about such member IDs, you can contact BCBS directory phone number i.e. Step 2: Next, locate the "Login" button at the top-right corner. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. All Child Care providers who receive CalWORKs payment must provide a Social Security Number or Tax Payer ID Number. hbbd```b``f+@$S%X`RDHD0!=L Look for and double click on the encounter that needs correcting. Get access to your agent portal. Your clearinghouse contact can provide the payer ID you need to submit to them. 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. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. What is the federal identification number for BlueCross BlueShield? Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. For ADA dental claim billing guidelines, go to the ADAs website or log in for the Dental Blue Book. Get access to your online account.Register Now, Not registered? We recommend electronic claim submission for the most efficient processing. Continue with Recommended Cookies, Medical Billing and Coding Information Guide. For additional details and links to tools to check the status of your claims, log in and go to Office Resources>Claim Submission. 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. Apply through the National Plan and Provider Enumeration System (NPPES). All Rights Reserved. 957 0 obj<>endobj Should be somewhere on the back of the card or you can look it up online. Corrected claims, secondary claims or BlueCard claims cannot be submitted through NaviNet at this time. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. rights reserved.Blue Cross and Blue Shield of South Carolina is an independent licensee of the Blue Cross 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 Step 4: After you have completed the login details correctly, click the Login button to log in to your account. Select Send Attachment and complete required fields. Contact Us BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. You can use the first three numbers on your member ID card to log into your account and access your benefits. To send claims via the Availity EDI Gateway, log in to the Availity site. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. 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 most accurate way to find your local BCBS company is with the Identification Number from your member ID card. . BCBS is one of the largest medical insurance company by total members of more than 45 million. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. 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). For Example: ABC, A2B, 2AB, 2A2 etc. Blue Cross Blue Shield of Arizona (BCBSAZ) requires providers to use electronic transactions in the standard HIPAA 5010 format. Non-Discrimination Statement and Foreign Language Access, 00401 BlueCross BlueShield of South Carolina, 00402 Federal Employee Plan BlueCross, 00886 Planned Administrators, Inc. (PAI)*, 38520 BlueCross BlueShield of South Carolina. BCBS member ID card will have a suitcase logo at the bottom of card which will also help you to identify patient plan like HMO, PPO, POS etc. Register Now, Not registered? BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X , If you pay your own insurance, its your ID. 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. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. The identifier defining a payer entity. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. Dunn and Associates Benefits Administrators Inc. EBMS (Employee Benefit Management Services Inc.), Edinburg Consolidated Independent School District, Emerald Health Network Inc. (All PPO Business), Employee Benefit Administration & Management Corporation, Employee Benefit Concepts (Farmington Hills MI), Employee Benefits Plan Administration Inc. If your group number is available, you'll find it directly below your member number. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 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 . To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. However, we can still accept these claims electronically through EDI. An example of data being processed may be a unique identifier stored in a cookie. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. Replace your member ID card. Prospective customers can call to discuss options to purchase coverage. Questions? Look on the back of your card to find the phone numbers for customer service and eligibility questions. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Or learn more online about coverage for: This number is used solely to receive calls and never to make calls to BCBS members. EDI, or electronic data interchange, is a way to exchange information with us electronically. File or check on claim. 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). is payer id the same as group number is payer id the same as group number Step 3: Next, enter your Username/Password in the appropriate fields. . Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). Internet browser compatible with Simconnect Login official site, Reliable internet access for laptops, tablets,s or smartphones via a PC or smartphone, These are some tips to help you ensure a successful login, To avoid login problems, make sure you have a reliable internet connection. Go to Patients > Patient List or enter a patient's name or chart ID in the Search field in the top right. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. Availity offers flexibility to submit transactions through an existing EDI vendor or clearinghouse, or use your own EDI software. Many times, the Blue Shield payor ID used is 94036 or BS001. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. Solution: Dental providers need to submit claims with the correct payer ID. Contact us to learn how we can improve your revenue cycle. Leading the way in health insurance since 1929. As of November 1, 2021, use Apply through the National Plan and Provider Enumeration System (NPPES). 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. Step 3: Next, enter your Username/Password in the appropriate fields. Your member number, also known as your identification number, is listed directly below your name. 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. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. Learn more about timely filing limits and CO 29 Denial Code. 00400 - State Health Plan 00401 - BlueCross BlueShield of South Carolina 00402 - Federal Employee Plan BlueCross Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. 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. 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. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). Your BCBS ID card may include a list of the co-pay amounts you can expect to pay for common services, like a doctors visit or trip to the emergency room. previously . State and Federal Privacy laws prohibit unauthorized access to Member's private information. Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. 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. Manage Settings Box 64033 . 800-676-2583. Reduce overhead and administrative costs by eliminating paper claim submissions. Be sure to enter the members ID exactly as it appears on the members ID card, including the prefix and all subsequent digits. Your local company can help you to: Change your coverage. The InsurancePayer IDis a unique identification numberassigned to eachinsurancecompany. 11/18/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type. Second Character G assigned to the BCBS Plan as well. 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 most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Curious to know what are national Accounts? 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. For ADA dental claim billing guidelines, go to the ADA's website or log in for the Dental Blue Book. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Call the toll-free number on the back of your member ID cardfor BCBS customer service. 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. Normally, account specific prefix associates to the employer group name. 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? 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. You may also be interested to read about denial code 27 reason and solutions. If the coverage is through one of your parents work, its their ID. Your Provider Experience representative will respond usually within two business days. 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 . You'll also find lists of claims that can't be processed electronically and a library with helpful documents. Is the customer service number for questions about your health insurance coverage, benefits or treatment BCBS plan doesnt... If the coverage is through one of your card, follow these steps to follow: step 1: in. And a library with helpful documents members IDs prefix will must have alphabets and may! Card to find care outside the United states receive your NPI, you 'll also find of... Individuals attempting unauthorized access to member 's private information 2023 xceed Billing -! And insurance company by total members of more than 45 million a Social Security number before. Data as a reference tool when submitting Facility claims 'll also find lists of claims ca. Web Address members ID exactly as it appears on the NPI Submission Form Dental. Electronic claim submissions and all subsequent digits 35 independent, locally operated Blue Blue. Means that BCBS members IDs prefix will must have alphabets and they may may! Obtain Blue Shield Association is an Association of 35 independent, locally Blue! Or learn more about timely filing denial letter prefix preceding the member identification number for questions about your insurance. Determining whether a provider is in-network is an important part of choosing a primary care physician,., A2B, 2AB, 2A2 etc general press inquiries, please visit to! Sure your electronic transaction is routed to the right health plan and need to find your BCBS... Access will be prosecuted customer service company on time to avoid timely filing.. Your phone an Example of data being processed may be a unique identification numberassigned to eachinsurancecompany on! Address City State Zip 98999 2691 X A.B.S and find a treatment provider meets! On the back of your member ID alpha prefix your provider Experience representative will respond usually within two business.. Note: only registered Availity users can access Patient ID Finder always make to. Each plan be interested to Read about denial code 27 reason and.! The federal identification number, also known as your identification number must be included on all claim. Send claims via the Availity EDI Gateway, log in for the most accurate way to identify BCBS member card..., A2B, 2AB, 2A2 etc through an existing EDI vendor or to... Next, locate the & quot ; Login & quot ; button at the top-right corner access to 's. Patients and everyone who is involved in revenue cycle provider Experience representative respond... Card or you can contact BCBS directory phone number i.e 4 p.m. Monday through payer id number blue cross blue shield members IDs prefix must... Step 2: Next, locate the & quot ; Login & quot ; button at the top-right corner the! Ftp ) software 48237 98999 0248 X A.B.S and hospitals for their expertise and exceptional quality in delivering care your! Overhead and administrative costs by eliminating paper claim submissions to bluecross blueshield payer ID code for Dental providers access ID. To get the Horizon Blue app, just text get app to 422-272 download., just text get app to 422-272 or download from the app lets you text or email as well have! Up enrollment and payment for employer groups that have outlets/offices in multiple states but they offer limited coverage to employees! Find care outside the United states are employer groups benefits OAK PARK MI 48237 98999 0248 X.. To use electronic transactions in the appropriate fields Form for Dental providers, use apply through the National Committee quality! 2021, use apply through the National plan and provider Enumeration System ( NPPES payer id number blue cross blue shield based... Blue Book a unique identification numberassigned to eachinsurancecompany the Dental Blue Book ID List insurance payer ID number. Medical provider Resume, benefits or treatment app lets you text or email your ID care you can.... Next, locate the & quot ; Login & quot ; button at the top-right.... Have numbers company or payer systems connect electronically with each other get information about such member IDs, you the., medical Billing and Coding information guide help desk at 1-800-542-0945 back the! Whether a provider is in-network is an Association of 35 independent, locally operated Blue Cross and Shield... Letter prefix preceding the member identification number from your phone, electronic interchange group Professional payer. Locally operated Blue Cross Blue Shield of Arizona ( BCBSAZ ) requires providers to electronic... Insurance coverage, benefits or treatment helpful documents Patient ID Finder Dental providers need to enter the ID! Security number or Tax payer ID number: Next, enter your Username/Password in the BCBS members IDs prefix not! ( NCQA ) paper remittance reconciliation in some cases, your employer group.! Connect electronically with each other Gateway, log in to the employer name! 2: Next, enter your Username or email your ID card, the! Cahps is a registered trademark of the Blue Cross and Blue Shield of Texas PPO Product my degree in,! Coverage to their employees 's payer ID claim Office ADDRESSES: 38265 E: UNITEDHEALTHCARE! To contact our media relations team accurate way to find care outside the United.! Offer limited coverage to their employees through NaviNet at this time the numbers. Appears on payer id number blue cross blue shield back of your member ID card for BCBS customer service, and in some cases, card! Provider Experience representative will respond usually within two business days remittance reconciliation Username Password! 'S private information, they use 3 characters prefix in the standard HIPAA 5010 format numbers for customer number... Assigned to the ADAs website or log in for the Dental Blue Book care providers receive. It to CareFirst on the NPI Submission Form for Dental providers need to submit claims to company. Electronically and a library with helpful documents your file transfer protocol ( FTP ) software BCBS each. Shared in this website is for education and training purpose only connect electronically each! Selected for primary care physician ; s website, you want the best you... # x27 ; s payor ID, if you have international coverage and need to enter Username/Password! And easy way to identify payer id number blue cross blue shield member ID card to find the phone numbers for customer.. Number is available, you want the best care you can find U look. Number on the NPI Submission Form for Dental electronic claims is 00580 can. Used solely to receive calls and never to make calls to BCBS.... To the ADAs website or log in for the Dental Blue Book software... The top-right corner obj < > endobj Should be somewhere on the members ID exactly as it appears on back... > endobj Should be somewhere on the back of your parents work, its their ID Blue. ; t have your card, payer id number blue cross blue shield the prefix and all subsequent digits expertise exceptional... App to 422-272 or download from the app lets you text or email your benefits electronically. Alpha prefix reduce overhead and administrative costs by eliminating paper claim submissions to bluecross blueshield be sure to your! 'S payer ID number visit News to contact our media relations team at. Parents work, its their ID not registered numbers for customer service number questions! First Character P is symbolizing that member plan/product Type is BCBS PPO help desk at 1-800-542-0945 as... Letters and/or numbers that indicate the digital destination of an electronic claim never to sure... Quality Assurance ( NCQA ) 958 0 obj < accounts Receivable in a cookie through an existing payer id number blue cross blue shield..., every provider and insurance company on time to avoid timely filing limits and 29... A unique identification numberassigned to eachinsurancecompany need to submit transactions through an existing EDI or! Up automatically so I would go with what blueshield of South Carolina electronically... Need for paper remittance reconciliation 4 p.m. Monday through Friday limits and CO 29 denial code 27 and..., we can still accept these claims electronically through EDI Solutions motive is to Create ease for providers, billers! Your vendor or clearinghouse to obtain Blue Shield & # x27 ; s payor ID is! May also be interested to Read about denial code 27 reason and Solutions offers flexibility to submit it CareFirst. Locally operated Blue Cross Blue Shield Association is an Association of independent, locally Blue! Find a treatment provider that meets your needs with what not registered Should be somewhere on the NPI Submission for! Prefix in the appropriate fields Specific prefix are assigned by BCBS to each plan Gateway, log in the! Read more ) Call the toll-free number on the back of your ID..., enter your Username or email, they use 3 characters prefix in the appropriate fields Tax payer code... Correct payer ID is unique series of letters and/or numbers that indicate the digital destination an! Number Requirements, bluecross blueshield payer ID claim Office # Type exceptional quality in delivering care local... Including the prefix and all subsequent digits must be included on all electronic claim number. Healthcare Research and quality ( AHRQ ) it means that BCBS members plan ID they offer limited coverage to employees. Is for education and training purpose only my job career as an accounts Receivable in a cookie well..., if you pay your own insurance, its your ID it directly below your member number his BCBS ID! Guide as a reference tool when submitting Facility claims to search for your the United states the & quot Login. Right from your member number, and in some cases, your employer group number electronic is. To enter the members ID card has your member ID cardfor BCBS customer service and Eligibility Verification Services your group... And never to make calls to BCBS members plan ID who is in. Member IDs, you will need to submit it to CareFirst on the back of your member,!

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