payer id number blue cross blue shield

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. 2023 Blue Cross Blue Shield Association. Your billing and rendering NPI must be registered with CareFirst and match the information on our provider files. Always make sure to submit claims to insurance company on time to avoid timely filing denial. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Colorado HealthCare Assoc. To access your member services, please visit your BCBS company. Select BCBSMN Blue Plus Medicaid as the payer. LLC, an independent licensee of the Blue Cross and Blue Shield Association. 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. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. Step 3: Next, enter your Username/Password in the appropriate fields. We and our partners use cookies to Store and/or access information on a device. 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. 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. 2023 Blue Cross Blue Shield Association. BANKERS CLAIM SER. (Read more) Save my name, email, and website in this browser for the next time I comment. What edits are enforced on EDI claims? Get access to your online account. Call the provider enrollment department at 1-800-822-2761. 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. If you receive health insurance via your employer, your insurance card will most likely have a group plan number. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. Electronic Transactions EFT and ERA Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. First Character P is symbolizing that member plan/product type is BCBS PPO. Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. You may also be interested to read about denial code 27 reason and solutions. card with "MA PPO" in a suitcaseand a prefix not defined . Your BCBS ID card has your member number, and in some cases, your employer group number. Daily Mexican Auto Insurance rates start at $5/day. Reduce overhead and administrative costs by eliminating paper claim submissions. Email edisupport@bcbsm.com and include your NPI and submitter ID. 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. 1. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits fepblue. Questions about electronic claims submission, taxonomy and Trading Partner Agreements? 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. Prospective customers can call to discuss options to purchase coverage. Box 64033 Prefix UTS assigned to University of Texas. For any other EDI transaction companion documents, please visit our Provider Training Academy page. The Insurance Payer ID is a unique identification number assigned to each insurance company. rights reserved.Blue Cross and Blue Shield of South Carolina is an independent licensee of the Blue Cross 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. 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. We look forward to working with you to provide quality services to our members. To get information about such member IDs, you can contact BCBS directory phone number i.e. Click on it. Box 105557. call to discuss options to purchase coverage. Hospital, Arizona Foundation for Medical Care (AFMC), Arkansas Best Corporation Choice Benefits, Asian Human Services Family Family Health Network patients only, Assurance Company of America (Commercial Only), Assurant Health (IM & GROUP FULLY-INSURED), Assurant Health (Repricing for HealthSpan Network Only), Assurant Health Self-Funded (Ft. Mill SC), Assurant Health/ASA (Assurant Health members with ASA PPO Network), AultComp Managed Care Organization (Ohio BWC), Auto Club Property- Casualty Insurance Company, Benefit Coordinators Corporation (Pittsburgh PA), Benefit Plan Administrators Co. (Eau Claire WI), Berkshire Health Partners PPO Wyomissing PA (IHS Gateway Payer), Blue Care Network/Blue Cross Blue Shield of Michigan, Blue Cross Blue Shield NC BlueMedicare HMO/PPO, Blue Cross Blue Shield of Missouri (Blue Choice), Blue Cross Blue Shield of Missouri (Blue Cross). *PAI and Blue Solutions Administrators are separate companies that provide third party administration services on behalf of BlueCross. Sometimes you will need to enter your username or email. To send claims via the Availity EDI Gateway, log in to the Availity site. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Anthem Blue Cross and Blue Shield (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. For navigational assistance, refer to the Patient ID Finder User Guide . Here are some options for submitting claims electronically: Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. The 835 eliminates the need for paper remittance reconciliation. Use the link below to find your local BCBS company's website. 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 Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan. EDI, or electronic data interchange, is a way to exchange information with us electronically. 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. Blue Cross Blue Shield providers in Michigan, go paperless with claims, enrollments, and more through our network's EDI, or electronic data interchange. If you haven't received testing instructions, please contact the EDI help desk at 1-800-542-0945. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. For Example: ABC, A2B, 2AB, 2A2 etc. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. What should you do if your bluecross blueshield payer id number password is lost? 800-676-2583. The identifier defining a payer entity. Step 2: Click the Forgot Password? link. Care Management Programs. Hi, Im Kim Keck! 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.). Review your balance. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. . 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. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. Payer ID provider number reference Professional Rev. (If you use Search, it will take you to the patient's chart and you can go to step 3). 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). 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