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. Insurance Payer id List Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Your Provider Experience representative will respond usually within two business days. After you've received three passed files for each line of business tested, call the number on the test instruction letter to begin subsystem testing. Step 5: Follow these instructions to reset your password quickly! For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. Register Now, Not registered? Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Your clearinghouse contact can provide the payer ID you need to submit to them. Step 4: bluecross blueshield payer id number will send you an email with additional instructions on how to reset your password. If you are looking for bluecross blueshield payer id number? Look on the back of your card to find the phone numbers for customer service and eligibility questions. Verify that your login information is correct in each field. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). This may help them route the claim to us. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. The Insurance Payer ID is a unique identification number assigned to each insurance company. BANKERS CLAIM SER. (Read more) Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. A Google Certified Publishing Partner. The three letter prefix preceding the member identification number must be included on all electronic claim submissions. Double click on the Case name. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. and Blue Shield Association. 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 . Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. 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. 00720 if youve got MN BCBS. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. 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). So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Estimate the cost of a medical procedure. Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. The content shared in this website is for education and training purpose only. View your plan details. 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). Get access to your agent portal. People Also Searches bluecross blueshield payer id number, Bluecross blueshield fitness centers 24 hours, Bluecross blueshield fitness center discounts. You may also want to know: United Healthcare Claims Address Information. Ironworkers Health & Security Trust Fund, N.W. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Double click on the appropriate Insurance policy listed. Solution: Dental providers need to submit claims with the correct payer ID. 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. 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. When it comes to healthcare services, that item is your Blue Cross Blue Shield (BCBS) ID card. You can use the first three numbers on your member ID card to log into your account and access your benefits. So, to answer this query, we have mentioned below few important points to consider. If you still have trouble logging in, click the Forgot Password? link and follow the steps to reset your password. Without your NPI and your Tax Identification Number (TIN), your claims will be delayed or rejected. . Direct submitter: Professional and Institutional 00430; Dental 47570 It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. The identifier defining a payer entity. Note- All information updated from reliable and authorized source of information and USA gov authorized web portals and other source of information likeCMS,AAPC, AHA, etc. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Call the toll-free number on the back of your member ID cardfor BCBS customer service. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id number website. If you haven't received testing instructions, please contact the EDI helpdesk at 1-800-542-0945. Apply through the National Plan and Provider Enumeration System (NPPES). If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. The information can be things like claims, electronic enrollment, patient eligibility and claims status transactions. 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. funds or remits not received within four business days), please contact BCBSAZ Integrated Customer Solutions at ICS@azblue.com. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 0 I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Get access to your agent portal.Register Now. . Read more about the transition to the Availity provider portal. Get access to your employer portal. Not related to your member ID at all. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits What edits are enforced on EDI claims? 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. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. BCBS Prefix: Select Submit. 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. Member ID Number: identifies you, the . rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Hi, Im Kim Keck! Payer Codes CareFirst's payer ID code for dental electronic claims is 00580. Leading the way in health insurance since 1929. 2023 Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. 101 Huntington Avenue, Suite 1300, Boston, MA 02199-7611, ConnectCenter (Online Services replacement), 270/271 Transactions Companion Guide for Eligibility Benefit Inquiry and Response, Claim processing rules (Clear Claim Connection), InfoDial User Guide - for BCBSMA eligibility and claim status, Quick Tip: How to correct rejected claims, Replacement Claim Frequently Asked Questions. 2. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. 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 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. For a full list of contact information, please refer to the provider manual: Various logos may be displayed on member ID cards for Blue Cross Blue Shield (BCBS) Plans in the United States and International Licensees licensed through BCBSA. It means that BCBS members IDs prefixes will must have alphabets. Registered Marks of the Blue Cross and Blue Shield Association. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. %PDF-1.6 % Use the following payer IDwhen submitting dental claims. An example of data being processed may be a unique identifier stored in a cookie. 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. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. 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. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. And exceptional quality in delivering care for quality Assurance ( NCQA ) information is correct in each field rights.! Information is correct in each field log payer id number blue cross blue shield your account and access your.. 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