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Your clearinghouse contact can provide the payer ID you need to submit to them. 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. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. The app lets you text or email your ID card to your covered dependents and doctors, right from your phone. Note: Only registered Availity users can access Patient ID Finder. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. 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. Choose the patient with whom you would like to work with or you can enter the patient's name or chart ID in the . 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. Find My BCBS Company 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) All electronic claim submissions can now accept up to 50 lines per claim. Some items go everywhere with us. Not related to your member ID at all. If you haven't received testing instructions, please contact the EDI helpdesk at 1-800-542-0945. Step 3: Next, enter your Username/Password in the appropriate fields. Contact us to learn how we can improve your revenue cycle. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Payer ID provider number reference Facility Use this guide as a reference tool when submitting facility claims. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits Why does Blue Cross use a BlueShield logo? Select Submit. Traditional Blue Cross Blue Shield Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. Access Your Benefits. Double click on the appropriate Insurance policy listed. funds or remits not received within four business days), please contact BCBSAZ Integrated Customer Solutions at ICS@azblue.com. 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. Note: If you use a billing company or clearinghouse for your EDI transmissions, . AAPC: What it is and why it matters in the Healthcare (2023). The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Step 2: Next, locate the Login button at the top-right corner. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. EDI, or electronic data interchange, is a way to exchange information with us electronically. rights reserved.Blue Cross and Blue Shield of South Carolina is an independent licensee of the Blue Cross Always make sure to submit claims to insurance company on time to avoid timely filing denial. and SM Service Marks are the property of their respective owners. Healthy Blue + Medicare payer ID: North Carolina 00602. If you still have trouble logging in, click the Forgot Password? link and follow the steps to reset your password. Your member number, also known as your identification number, is listed directly below your name. CPT is registered trademark of American Medical Association. 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. By Payer Id, every provider and insurance company or payer systems connect electronically with each other. 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. Second Character G assigned to the BCBS Plan as well. 00400 - State Health Plan 00401 - BlueCross BlueShield of South Carolina 00402 - Federal Employee Plan BlueCross Additionally, providers can also check status on previously submitted requests and/or . Individuals attempting unauthorized access will be prosecuted. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. Community Medical Group of the West Valley Inc. CompManagement Health Systems Inc. (Ohio BWC), CompManagement/Integrated Comp (Ohio BWC), Continental General Ins Co- Medicare Supplement, CONTRA COASTAL COUNTY SCHOOLS INSURANCE GROUP (CCCSIG), Contractors Laborers Teamsters & Engineers, Covenant Administrators Inc. (Atlanta GA), Coventry Health and Life Insurance Company administered by PersonalCare, Coventry Health and Life Insureance (Tennessee), Coventry Health Care Carelink West Virginia only, Coventry Health Care Carelink Medicaid West Virginia only, Cypress Insurance Company (Member of BHHC), DC Chartered Health Plan Inc. (Medicaid & Alliance), Denver Health Medical Plan Inc. Medicare Choice, Department of Labor (including Postal Employees), Department of Water and Power of the City of Los Angeles (LADWP). Step 3: Type your email address into the appropriate field, and then click the Submit button. Availity offers flexibility to submit transactions through an existing EDI vendor or clearinghouse, or use your own EDI software. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Look on the back of your card to find the phone numbers for customer service and eligibility questions. If the coverage is through one of your parents work, its their ID. 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. 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. Verify that your login information is correct in each field. Continue with Recommended Cookies, Medical Billing and Coding Information Guide. 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). Your membership ID number guarantees and identifies you as a secured individual from Blue Cross and Blue Shield. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. A Google Certified Publishing Partner. Account Specific Prefix are assigned by BCBS to national accounts. P.O. For additional details and links to tools to check the status of your claims, log in and go to Office Resources>Claim Submission. Step 3: Next, enter your Username/Password in the appropriate fields. 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