Congestive Heart Failure. Type forms in black ink (handwritten forms cannot be read by OCR equipment). Find the correct address listed under the type of service received (see explanation). AGU Carefirst BCBS Maryland AID Anthem BCBS of Ohio Before implement anything please do your own research. HMO products include BlueChoice HMO, Direct Connection HMO, Child Health Plus, BlueChoice HMO/POS and Direct POS. 0000018886 00000 n They require completion and mailing of an Incident Questionnaire for possible accident investigation or a Workers Compensation injury (claims in subrogation). ABA BCBS of IL To pay this claim, we needed to review information from the provider. You have to avoid this idea when you have geared up for successfully using the health insurance plan. Secondary submission: When submitting secondary claims to us, submit the primary processing information with the submission of the secondary claim. CZR Wellmark BCBS Iowa/South Dakota If Workers' Compensation denies payment of such claims, Premera will pay according to the subscriber's contract benefits after receiving a copy of a valid denial. There is no charge to healthcare providers who submit electronic claims directly to us. CYW Anthem BCBS of Ohio A Level I Appeal is used for both billing and non-billing issues. The ID cards also may have: ), Tel:800-562-1011Fax: 877-239-3390 (Claims and Customer Service)Fax: 877-202-3149 (Member Appeals only)Fax: 866-948-8823 (FEP Care Management - prior auth/pre-service requests), Premera Blue Cross - FEPPO Box 33932Seattle, WA 98133, Retail Pharmacy Program Examples of ID numbers: As a provider servicing out-of-area members, you may find the following tips helpful: ** Ask the member for the most current ID card at every visit. ** Do not change the sequence of the characters following the alpha prefix. Paid to refers to the payee code (where the check was sent/issued) and is listed only in the claim total or subtotal line (e.g., G = Provider Group). 0000008433 00000 n CZP Anthem BCBS of Ohio VOG NY MA PPO MediBlue PPO Plus 1-866-395-5175 H3342, Premera Blue Cross & The Regence Group Common Alpha Plan Prefixes Last updated: 09/01/2016, Premera Blue Cross & Premera Blue Cross/NASCO Prefixes. Where can I find an Explanation of Payment (EOP)? 2023 Regence BlueShield. BCBS Prefix List 2021 - Alpha. 0000055309 00000 n The member or provider can submit the completed IQ using one of the following methods: The member may contact Customer Service (the number is on the back of the ID card) to update IQ information over the phone. AAT Anthem Blue Cross of California Regence BlueShield. Because your primary doctor and your specialists may all work for different clinics, you may need to do more of your own care coordination. The Level I Appeal must be submitted within 365-days following the action that prompted the dispute. CZZ Highmark BCBS Washington Help Center: Important contact information for Premera Blue Cross, and Regence BlueShield. Check out the changes and updates to our plan in 2023. BJF NCJ YLB YLG YLX BJT RFB YLC YLK YLY EHP SWH YLD YLN YLZ MES YLA YLE YLW, Network Name Old Alpha Prefix New Alpha Prefix, YDQ Retail ON Exchange 0000125980 00000 n Make sure you have your Member ID card handy when you call us. AEJ Horizon BCBS of New Jersey Attach a completed Corrected Claim - Standard Cover Sheet.. AAU Blue Shield of California View the instructions for verifying your information and notifying us of changes. If you already have a computer system, notify your software vendor of your desire to convert to electronic claims. AGV BCBS of MA It doesn't replace your tax ID number (TIN) or Drug Enforcement Administration (DEA) number. Use find (Ctrl + F) and enter the prefix to find the BCBS state. They include a request of medical records for review. 0000009519 00000 n AFS Blue Shield of California Invalid claims are reported back to the provider with rejection details. Refund total overpayment amounts within 60 days of initial notice to avoid having outstanding refund amounts offset against future payments. AHD BCBS of South Carolina DJC Anthem BCBS of Ohio Media Contact: Lou Riepl Regence BlueCross BlueShield of Utah Regence BlueShield of . Mailing address: Blue Cross of Idaho. ACS BCBS of IL ** A correct member ID number includes the alpha prefix (first three positions) and all subsequent characters, up to 17 positions total. The 2015 member identification prefixes for individual Medicare Advantage plans are listed below. A detailed description of the disputed issue, All evidence offered by you in support of your position including medical records, A description of the resolution you are requesting. the claims for which interest payments have been applied during that period. Note: Some members will remain in Blue Cross of Northeastern Pennsylvania health plans until their coverage renews to Highmark health plans later this year. (Note: Claims received with an ICD-9 code will be rejected with a notice to re-bill using ICD-10.) All Blue Plans replaced Social Security numbers on member ID cards with an alternate, unique identifier. Mail this claim to: Regence BlueShieldPO Box 1106Lewiston, Idaho 83501 Or Fax claim to: (888) 606-6582 FORM PD020-WA Page 2 of 3 (Eff. Availity is an independent provider of health information network services that does not provide Blue Cross Blue Shield products or services. Prefix Tool. accrue interest on the 31st day from receipt of the information. ** The empty suitcase logo Refer to your contract for further claims submission information. 1fcZi=s6Z@n7;W^ugC:CGLi@0^pQY4#o0 y>_ Tricare Phone Number and Claim Address; Molina Healthcare Phone Number claims address of Medicare and Medicaid. Regence BlueShield Attn: UMP ClaimsP.O. CZO Anthem BCBS of Ohio January 19, 2022 by tamble. CYY Premera Blue Cross of Washington CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). Briefly, these rules are as follows: Some group contracts are not subject to state regulations may have unique COB rules that could change the order of liability. If member returns the call and the information is obtained, claims will be processed. Please reach out and we would do the investigation and remove the article. By continuing to use this website, you consent to these cookies. Enter the three digit alphanumeric prefix located on the member's ID card, and the tool provides the correct insurance carrier for you. Tel: 877-668-4651. This includes Regence Blue-Cross Blue-Shield: ZBU: Illinois: Blue-Cross Blue-Shield of Illinois: ZBV: Wisconsin: Anthem Blue-Cross Blue-Shield of Wisconsin: ZBW: South Dakota/Iowa: | ** PPOB in a suitcase logo, for PPO members with access to the BlueCard PPO Basic network Prefix Product Area Billing Address Phone #, AAX CA BC CA, POB 60007 , Los Angeles , CA , 90060 800-765-2588, ABW VA BC VA, Trigon POB 27401, Richmond , VA , 23279 800-445-7490, ACN PA BC PA, Highmark BC PO Box 1210 , Pittsburgh , PA , 15230 800-682-3386, ACT NY BCBS Empire, POB 11800 , Albany , NY , 12211-0800 800-992-2583 Regence health plans operate in Oregon, Idaho, Utah and select counties in Washington, each an independent licensee of the Blue Cross and Blue Shield Association dedicated to making health care better, simpler and more affordable. Lastly mail the completed claim form to the address provided. DJF Anthem BCBS of Virginia 0000004716 00000 n If you have questions, please contact your local Blue Cross and Blue Shield company. We can't process this claim because we haven't received your response to our request for information. REGENCE BLUE CROSS BLUE SHIELD OF OREGON - 12 Reviews - 100 SW Market Str, Portland, Oregon - Health & Medical - Phone Number - Yelp Regence Blue Cross Blue Shield of Oregon 12 reviews Unclaimed Health & Medical Write a review Add photo Photos & videos Add photo You Might Also Consider Sponsored TLC Laser Eye Centers 29 Please treat these members the same as domestic Blue Plan members. Management - prior auth/pre-service requests), Members: Log in or register - MyBlue Customer eService, Retail Pharmacy Program PO Box 52057 Phoenix, AZ 85072, Retail Pharmacy Program PO Box 52080 Phoenix, AZ 85072, Phone:800-552-0733Fax: 801-333-6523 (Mark claims: Attn New Claims)Email: Log in or register - MyBlue Customer eService, Regence BlueShield - FEPPO Box 857Lewiston, ID 83501, Regence BlueShield - FEPPO Box 1388Lewiston, ID 83501Customer Service. ABL BCBS of IL 0000007198 00000 n Most BCBS-branded ID cards display a three-character alpha prefix in the first three positions of the members ID number. AEV Keystone Health Plan East (IBC) Pay or deny 95 percent of a provider's monthly clean claims within 30 days of receipt; and. (Field not populated for CMS-1500 claims. Open 24 hours a day, 7 days a week. As members renew or enroll their individual or group contracts for health care coverage in 2016, they will be presented with a new Highmark branded ID card. AEF BCBS of IL PO Box 3876. AFC BCBS of IL Retirees and PEBB Continuation Coverage members:Phone: 1 (800) 200-1004TRS: 711Business hours: Monday through Friday 8 a.m. to 4:30 p.m. (Pacific). Diabetes. Heres everything you need to know about it. DJM BCBS of Texas On the other hand, the third character in the prefix is used to find out the product type you have enrolled in. 0000008298 00000 n All our content are education purpose only. We notify you in writing if the Level II appeal is not timely and your appeal rights will be exhausted. You will need special software to send insurance claims electronically. ** Verify with the member that the ID number on the card is not his/her Social Security Number. . ACQ BCBS of Georgia ACX BCBS of IL Before discussing member claim information, the Customer Service representative must verify the identity of the caller. These ID cards also will contain three-character alpha prefixes. 0000018650 00000 n How do I determine if a diagnosis or procedure code needs preauthorization? We accept electronic claims through Availity using payer ID RGA01. News. Call Customer Service and choose the Pharmacy option. Blue Cross Blue Shield Federal Phone Number. Caused by another party (e.g., slip and fall, medical malpractice, etc. Coding toolkit View our clinical edits and model claims editing. Postal Prescription Services Online: Your PPS account Phone: 1 (800) 552-6694 TRS: 711 Fax (for providers only): 1 (800) 723-9023 An interest check is issued only for months in which the accumulated interest is equal to or greater than the minimum threshold of $25.
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