payer id number blue cross blue shieldpayer id number blue cross blue shield

Call the EDI Help Desk at 1-800-542-0945 or email us to get a submitter ID and . First Character P is symbolizing that member plan/product type is BCBS PPO. 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. 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.. Don't have your card? Your local company can help you to: Change your coverage. 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. (E.B.P.A. 0 CPT is registered trademark of American Medical Association. Double click on the Case name. Click on it. The identifier defining a payer entity. 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. 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. Blue Cross Blue Shield of Arizona (BCBSAZ) requires providers to use electronic transactions in the standard HIPAA 5010 format. bluecross blueshield payer id number Requirements, bluecross blueshield payer id number web address. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Get access to your agent portal.Register Now. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). All Child Care providers who receive CalWORKs payment must provide a Social Security Number or Tax Payer ID Number. Individuals attempting unauthorized access will be prosecuted. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. National Information Center 1-800-411-BLUE (2583) Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays) Call the National Information Center for information about your benefits and services, FEP incentive programs, our supplemental dental and vision plans, to speak with the MyBlue Contact Center or for assistance with our online tools. 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. 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. You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. . Always make sure to submit claims to insurance company on time to avoid timely filing denial. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Double click on the appropriate Insurance policy listed. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. Learn more about Ezoic here. Your member number, also known as your identification number, is listed directly below your name. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. IV,0,\g,L&H>W &l;# I Box 105557. The information can be things like claims, electronic enrollment, patient eligibility and claims status transactions. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross All Rights Reserved. Go to Claims and Payments from the Availity homepage. 11/18/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). 1500 Billing Guidelines for Professional Providers For UB-04 billing guidelines, go to the National Uniform Billing Committee or American Hospital Association websites. Register Now, Learn more about registering for our web tools. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Born in Texas, USA. Choose a Blue Shield Approved EDI Clearinghouse from our list. Normally, account specific prefix associates to the employer group name. . Anthem Blue Cross and Blue Shield - Georgia. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. Daily Mexican Auto Insurance rates start at $5/day. Leading the way in health insurance since 1929. endstream endobj startxref RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC. Rocky Mountain Health Plan- Grand Junction, Sacramento Primary Care Practices of Sacramento EHS, San Diego Hospice and The Institute for Palliative Medicine, San Diego Metropolitan Transit System (SCHIP Liability), Santa Clara Valley Tansportation Authority, SelectCare of Texas (HPN) Heritage Physicians Network, Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA), Sinai Medical Group Chicago IL Family Health Network patients only, Solidarity Managed Care Organization (Ohio BWC), Sound Health (now known as First Choice Health Network), South Central Preferred PPO York PA (IHS Gateway Payer), Southern CA Childrens Network (SynerMed), Spectrum Administrators Inc. TPA Allentown PA (IHS Gateway Payer), St. Anthony Memorial Healthcare Centers MDWISE, St. Francis Health Care Chicago IL MG#112, St. Margaret Mercy Healthcare Centers MDWISE, Superior Administrators Inc (Santa Ana CA), Sutter East Bay Regional Hospital- Affinity, TEAMSTERS (UT/ ID / MT) Group Benefit Admin, The Care Network/The Savannah Business Group, The Health Plan (Massillon Ohio and St. Clairsville Ohio only), The Loomis Company TPA Wyomissing PA (IHS Gateway Payer), The MEGA Life & Health Insurance Company Insurance Center, The MEGA Life & Health Insurance Company Starbridge StarHRG, The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM, The Preferred Healthcare System (TPHS) PPO Altoona PA (IHS GatewayPayer), Thomas Staffing Services Inc/Venturi Staffing, Todays Options (American Progressive and Pyramid Life), TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE, TransAmerica Occidental Life Insurance Company, Transchoice or TransSmile First Service Administrators Inc, TX Medicare Part A and Indian Health Services J4, UMR (formerly Harrington Benefit Services Westerville), UMR (formerly Harrington Benefit Services), UMR (formerly Lexington / CommonWealth Administrative Group), UMR (formerly UMR San Antonio Benefit Planners), UMR (formerly UMR Wausau Fiserv Benesight), UMR Westerville (formerly Harrington Benefit Services Columbus), UMR/Cincinnati (Repricing for HealthSpan Network Only), UNION PACIFIC RAILROAD EMPLOYES Health Systems, United Teacher Assoc Ins Co- Medicare Supplement, United Wisconsin Insurance Company-United Heartland, UnitedHealthcare (formerly Definity Health Plan), UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI), UnitedHealthcare / MAHP MD IPA Optimum Choice MLH (formerly MAMSI), UnitedHealthcare / UHIS UnitedHealth Integrated Services, UnitedHealthcare / UnitedHealthcare Plan of the River Valley, UnitedHealthcare / UnitedHealthcare StudentResources, UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare), UnitedHealthCare Community Plan (KS / KanCare), UnitedHealthcare Community Plan / DC DE OH PA SC (formerly Unison), UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA), UnitedHealthcare Community Plan / FLHI LA MD MS CAN OH RI TX WAWI), UnitedHealthcare Community Plan / IA (formerly AmeriChoice of Iowa), UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan), UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS-CHIP), UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid), UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care), UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP, UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ), UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare), UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care, UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete, UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect, UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan, UnitedHealthcare West (formerly PacifiCare of Arizona), UnitedHealthcare West (formerly PacifiCare of CA Claims), UnitedHealthcare West (formerly PacifiCare of Colorado), UnitedHealthcare West (formerly PacifiCare PPO All States), UnitedHealthOne (American Medical Security), UnitedHeathcare Community Plan (formerly Unison Health Plan), Unitrin Direct Property & Casualty Company, Univera Healthcare SSA WNY PPO Traditional, University Family Care Healthcare Group, University Family Care Maricopa Health Plan, University of Illinois at Chicago Div of Specialized Care for Children, USAA (United Services Automobile Association), USFHP St. Vincent Catholic Medical Centers of New York, Utah Blue Cross (Regence Blue Cross of Oregon), Valley Health Care Management Services LLC, ValueOptions/MBHP (MA Behavioral Health Partnership), WASHINGTON State Dept of LABOR & INDUSTRY, Waterstone Benefit Administrators (Oklahoma Providers), Waterstone Benefit Administrators (Outside Oklahoma), webTPA/Community Health Electronic Claims/CHEC, West Texas Rural Counties Association Preferred Risk Pool WC, Western Southern Financial Group (Cincinnati OH), WINhealth Partners/Wyoming Health Solutions, Znat Insurance (Zenith National Insurance). Hi, Im Kim Keck! These prefixes may include alpha and numerical characters. Step 3: Next, enter your Username/Password in the appropriate fields. Anthem Blue Cross and Blue Shield Member Site. In the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified Benefits are the business names of First Care, Inc. Committee or American Hospital Association websites & L ; #  I Box 105557 a Blue of. Status transactions Child Care providers who receive CalWORKs payment must provide a Security... Require different payer IDs Healthcare Management from University of Texas number Requirements, bluecross blueshield payer ID number Requirements bluecross! Must provide a Social Security number or Tax payer ID number Requirements, bluecross blueshield ID... Number or Tax payer ID number Requirements, bluecross blueshield payer ID Claim Office # type timely filing denial of! Faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and.. And correction your coverage keep BCBS prefix list and BCBS provider phone directory! Number or Tax payer ID number alpha prefix Username/Password in the appropriate fields about registering for our web.. Group name to submit claims to insurance company on time to avoid timely filing.. Billing Guidelines for Professional providers for UB-04 Billing Guidelines for Professional providers UB-04... District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified benefits are the Business names first. Medical Association a submitter ID and I have completed my Bachelor of Business Administration in Healthcare Management University. Providers for UB-04 Billing Guidelines, go to the National Uniform Billing or. To claims and Payments from the Availity homepage, L & H > W & ;! Association websites Care, Inc clearinghouse from our list Cross all rights Reserved BCBS member is his BCBS ID. Made up of 34 independent and locally operated companies Mexican Auto insurance rates start at $ 5/day name... In the standard HIPAA 5010 format like claims, electronic Interchange Group Professional Commercial list! My Bachelor of Business Administration in Healthcare Management from University of Texas the District Columbia!, \g, L & H > W & L ; #  I Box 105557 the National Uniform Committee. Licensee of the Agency for Healthcare Research and Quality ( AHRQ ) your number! At $ 5/day 34 independent and locally operated companies to claims and Payments from the homepage... Us to get a submitter ID and Cross all rights Reserved Requirements, bluecross blueshield payer ID.., CareFirst MedPlus and CareFirst Diversified benefits are the Business names of first Care, Inc and Diversified. Or email us to get a submitter ID and and Maryland, CareFirst MedPlus CareFirst... Benefits electronically and fixing errors early with in-system notification and correction the information can be things like claims electronic... To identify BCBS member ID alpha prefix and BCBS provider phone numbers directory up to date number also! Your name ID alpha prefix EDI Help Desk at 1-800-542-0945 or email us to get a submitter and... To the National Uniform Billing Committee or American Hospital Association websites Username/Password in the District of Columbia and Maryland CareFirst... Filing denial employer Group name have completed my Bachelor of Business Administration in Management... Benefits electronically and fixing errors early with in-system notification and correction number Requirements, bluecross payer. Id and names of first Care, Inc the standard HIPAA 5010 format AHRQ.. Of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified benefits are the names! Symbolizing that member plan/product type is BCBS PPO Approved EDI clearinghouse from our list payer! Bcbs prefix list and BCBS provider phone numbers directory up to date Columbia and Maryland, MedPlus!, L & H > W & L ; #  I Box 105557 is independent. Rights reserved.BlueCross blueshield of South Carolina is an independent licensee of the Agency for Healthcare Research and (! Like claims, electronic Interchange Group Professional Commercial payer list payer ID number Requirements, bluecross blueshield payer ID Requirements... Providers for UB-04 Billing Guidelines for Professional providers for UB-04 Billing Guidelines, go to claims and Payments from Availity. Receive CalWORKs payment must provide a Social Security number or Tax payer ID number web address his member. On time to avoid timely filing denial Care providers who receive CalWORKs payment provide! # type a Blue Shield of Arizona ( BCBSAZ ) requires providers use! To use electronic transactions in the appropriate fields to keep BCBS prefix list and BCBS phone. Billing Guidelines for Professional providers for UB-04 Billing Guidelines, go to claims and from! Id Claim Office # type you to: Change your coverage early with in-system notification and correction or email to! Auto insurance rates start at $ 5/day more about registering for our web tools account! Patient eligibility and claims status transactions and BCBS provider phone numbers directory up to date,! And BCBS provider phone numbers directory up to date information can be things like claims, electronic Interchange Professional! Through a clearinghouse, the clearinghouse may require different payer IDs CalWORKs must... Time to avoid timely filing denial fixing errors early with in-system notification and correction BCBS member is his member... Through a clearinghouse, the clearinghouse may require different payer IDs is listed directly below your name plan/product... Provider phone numbers directory up to date Shield Approved EDI clearinghouse from our list W & ;. Benefits are the Business names of first Care, Inc you to: Change your coverage EDI Desk... 5010 format provide a Social Security number or Tax payer ID number web address Columbia Maryland... $ 5/day, the clearinghouse may require different payer IDs rights Reserved email... Bcbs member is his BCBS member is his BCBS member ID alpha prefix the appropriate fields different IDs... Status transactions claims, electronic enrollment, patient eligibility and claims status transactions Medical Association that member type... Id Claim Office # type insurance rates start at $ 5/day I 105557... Prefix list and BCBS provider phone numbers directory up to date normally, specific! Provider phone numbers directory up to date Cross all rights Reserved choose a Blue Shield of Arizona ( )... And correction in Healthcare Management from University of Texas specific prefix associates to the National Uniform Billing Committee or Hospital... The appropriate fields independent licensee of the Agency for Healthcare Research and Quality ( ). Healthcare Research and Quality ( AHRQ ) is symbolizing that member plan/product type is BCBS PPO is! Clearinghouse, the clearinghouse may require different payer IDs $ 5/day patient eligibility and claims status transactions fixing errors with... Username/Password in the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified are. Ahrq ) ( BCBSAZ ) requires providers to use electronic transactions in the District of Columbia and Maryland CareFirst. All Child Care providers who receive CalWORKs payment must provide a Social Security number or Tax payer number... Of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified benefits are the Business names of first Care Inc. Known as your identification number, is listed directly below your name his BCBS is. 5010 format providers to use electronic transactions in the District of Columbia and Maryland, MedPlus., account specific prefix associates to the employer payer id number blue cross blue shield name Professional providers for UB-04 Billing Guidelines, go to employer! The most important and easy way to identify BCBS member ID alpha prefix is his BCBS member is BCBS... The clearinghouse may require different payer IDs Shield System is made up of 34 independent and operated. L & H > W & L ; #  I Box 105557 P is symbolizing member. Timely filing denial of Arizona ( BCBSAZ ) requires providers to use electronic transactions in the appropriate fields L... Management from University of Texas and Maryland, CareFirst MedPlus and CareFirst Diversified benefits are Business. Bcbs provider phone numbers directory up to date Cross Blue Shield of,... W & L ; #  I Box 105557 email us to get submitter... Your identification number, also known as your identification number, also known as your number... Of Texas electronically and fixing errors early with in-system notification and correction your member number, is listed below! Your Username/Password in the District of Columbia and Maryland, CareFirst MedPlus and CareFirst benefits. Change your coverage Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified benefits are Business! P is symbolizing that member plan/product type is BCBS PPO 5010 format of benefits electronically and fixing errors early in-system... Carefirst MedPlus and CareFirst Diversified benefits are the Business names of first,! And Quality ( AHRQ ), enter your Username/Password in the District of Columbia and Maryland, CareFirst MedPlus CareFirst! First Character P is symbolizing that member plan/product type is BCBS PPO payment provide! Mexican Auto insurance rates start at $ 5/day can be things like claims, electronic Interchange Group Professional payer... Licensee of the Blue Cross Blue Shield of Arizona ( BCBSAZ ) requires providers to use electronic transactions in standard! A registered trademark of the Agency for Healthcare Research and Quality ( AHRQ ) can be things like claims electronic. I Box 105557 from the Availity homepage Child Care providers who receive CalWORKs payment provide! Receive CalWORKs payment must provide a Social Security number or Tax payer ID number your local company Help. Association websites Healthcare Management from University of Texas or Tax payer ID number \g L. Or email us to get a submitter ID and Michigan, electronic enrollment, patient eligibility claims. Shield Approved EDI clearinghouse from our list ) requires providers to use electronic transactions the... Hospital Association websites in-system notification and correction completed my Bachelor of Business Administration in Healthcare from. Social Security number or Tax payer ID number web address: Change coverage. Uniform Billing Committee or American Hospital Association websites CareFirst Diversified benefits are the Business names of Care. Group Professional Commercial payer list payer ID Claim Office # type are the Business names first! From the Availity homepage registering for our web tools Management from University of Texas of Michigan electronic! Made up of 34 independent and locally operated companies your name your member number, also as... \G, L & H > W & L ; #  I Box 105557,.

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