Bcbs provider phone number for claim status

Bcbs provider phone number for claim status. e. com Blue Cross and Blue Shield of Oklahoma 1400 S. Medi-Cal Managed Care and Major Risk Medical Insurance Program Provider Manual Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711) Or you can submit a claim for the services you received. Box 660044 Dallas, TX 75266-0044: Claim review submission address. Learn about submitting BlueCard claims. To become a network provider under the Aetna EPO program, contact the Provider Relations Department at Aetna Healthcare in Blue Bell, PA. You can also verify the descriptions for any claim denials. On the secure website, look for Health Claims Status under the Benefits tab. Federal Employee Program claims Blue Cross Blue Shield of Michigan P. Claim Status. Note: You can set Claim Status as your default selection for future searches by clicking on. Medicare Supplement. S. Health care providers and administrators, get access to verify eligibility and benefits, submit claims, and more. It allows you to search for claims by a Member ID or specific Claim Number. Out-of-state providers: For claim questions, contact your local, in-state Blue plan. MedSupp Provider Support: 888-890-4423 ACA. Contact Information for Blue Cross and Blue Shield of Illinois. . Claims Submission BlueCard Claims Payments and Remittance Advices My Insurance Manager State Health Plan Fee Schedules ©1996-2024 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association. The incident is preventing some providers and pharmacies who use Change Healthcare to verify insurance coverage, benefits, enrollment, and may cause some All claims should be submitted electronically. For government programs claims, if you don’t have online access through a vendor, you may call provider customer service to check claim status or make an adjustment: Blue Cross Community Health Plans SM (BCCHP) – 877-860-2837. Access the provider portal Become a provider CPT codes, descriptions and data copyright ©2023 American Medical Association. It allows you to search for claims by Member ID or specific Claim Number . A claims processor will check the claim for completeness, accuracy, and whether the service is covered by your plan. The Claim Status tool is found in the Claims & Payment menu via the Availity Provider Portal. With My Health Toolkit, checking on your claims is easy. Phone: (800) 535-9481. Email a Provider Experience associate. Brian Fetterly (315) 731-9671 brian. Availity 800-282-4548: Eligibility and Benefits For Blue Shield providers. Blue Cross Medicare Advantage SM – 877 . What is a claim status? Contact Blue Cross Provider Services at (651) 662-5200 or 1-800-262-0820. Omaha Headquarters 1919 Aksarben Drive Omaha, NE 68106 (Wheelchair accessible) P. Verify your patients’ eligibility and benefits. ; Login; Log in for full access to: Time-sensitive news, fee schedules, eTools for administrative transactions, and more. Not Registered? Get access to your member portal. See full list on bcbstx. corp. For Blue Shield providers. Then select Chat with Payer and complete the pre-chat form to start your chat. See claims phone numbers and mailing addresses. You can search for claims by Member ID or specific Claim Number. If you visit an in-network doctor, hospital or other health care provider, you don’t need to submit a claim to Blue Cross. Use Payer ID 22099 if you use a vendor or clearing house. Connect to My BCBS in your local region. Box 7168 San Francisco, CA 94120-7168. Box 660044 Dallas, TX 75266-0044 Request for claim review form and instructions: Availity ® Contact Us Tulsa Office Blue Cross and Blue Shield of Oklahoma 1400 S Boston Tulsa, OK 74119-3613 918-551-3500 Oklahoma City Office Blue Cross and Blue Shield of Oklahoma 3817 NW Expressway Suite 300 Oklahoma City, OK 73112 918-551-3500 Claims Mailing Address Blue Cross and Blue Shield of Oklahoma PO Box 3283 Tulsa, OK 74102-3283 This guide was developed by Blue Cross and Blue Shield of Louisiana (BCBSLA) to be used in conjunction with ASC X12N 276/277 Health Care Claim Status Request and Response (005010X212) implementation guide. Box 310166 Detroit, MI 48231-0166. If your claim did not process the way you anticipated, it is important that you do not submit a duplicate claim for the same patient Use these numbers for claims and other inquiries for Blue Cross Community Health Plans SM (BCCHP SM), Blue Cross Community MMAI (Medicare-Medicaid Plan) SM and Blue Cross Medicare Advantage SM (HMO and PPO). When you visit a non-participating provider throughout the U. Phone: (800) 468-9935 View our guidelines for claims submission and helpful coding resources. Not Registered? Get access to your provider portal. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. By checking claim status, you can verify if your claim has been received, pended or finalized. Non-participating provider claim form; Outside the U. Our provider self-service tool helps you get the most out of partnering with us. Contact Us Tulsa Office Blue Cross and Blue Shield of Oklahoma 1400 S Boston Tulsa, OK 74119-3613 918-551-3500 Oklahoma City Office Blue Cross and Blue Shield of Oklahoma 3817 NW Expressway Suite 300 Oklahoma City, OK 73112 918-551-3500 Claims Mailing Address Blue Cross and Blue Shield of Oklahoma PO Box 3283 Tulsa, OK 74102-3283 HCFA 1500 – Professional (837P) UB 92 and UB 04 – Institutional (837I) Claims Status Inquiry/Response (276/277) But if you need to contact us, below are the telephone numbers exclusively for providers. Not for Distribution For help with eligibility verification, claims, and general provider questions, please call the appropriate Customer Care Center phone number below. Note that Anthem is also available 24 hours a day, 7 days a week to accept claims, prior authorization requests and more via the Availity* Portal. The InterQual ® guidelines are used by our utilization management team to help assess whether a given medical condition and known or represented circumstances of a case support medical service(s) as the most appropriate treatment, or whether the medical condition/circumstances presented could be appropriately addressed with an alternative treatment. Box 982805 El Paso, TX 79998-2805. Phone: (800) 468-9935 Customer service. Claims. For commercial claims, call our Interactive Voice Response automated phone system at 800-972-8088. Note that Anthem is also available 24/7 to accept claims, prior authorization requests, and more via the Availity Portal. Blue Shield of California Provider Services: Phone: (800) 541-6652, 24 hours a day, seven days a week. , other than Horizon) plan, we will electronically route them to the out-of-state Blue Cross Blue Shield Plan that will process the claim according to each member's contract. Submit prior authorization requests. Life Iowa health care providers find Wellmark contact information regarding claims, benefits, contracting, credentialing, case management, patient referrals and more. Blue Cross Community MMAI (Medicare-Medicaid Plan) SM – 877-723-7702. com . Nurse on call 24 hours a day 1-800-521-6007: Mental Health/Substance Abuse Magellan Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. You have the following options: - Last 30, 60 or 90 days - Year to Date - Custom Range Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. obtain claim status, view provider claim summaries and more. Primary claims, including claims using a legacy provider ID (TIN+suffix), behavioral health claims and claims requiring a medical record, can be submitted through Availity Essentials™. availity. Mar 25, 2021 · Once we receive claims that are appropriately submitted to us for services rendered in a New Jersey location to a patient enrolled through another Blue Cross Blue Shield (i. Explore our new Claims and Eligibility page for everything you need to know about claims. Claim status results provide more detailed information than the HIPAA-standard claim status 276/277 transaction, including the following details: Claim status What it is, how to check claim status, and help with rejected claims 1 . If the transactions do not meet the specifications outlined in this guide, then BCBSLA may not be able to process those transactions. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. 800-835-8699: Availity ® Register with Availity to verify eligibility and benefits, submit prior authorization requests, obtain claim status, view provider claim summaries and more. After submitting a claim, you can check the status online via Availity Claim Status Tool or your preferred web vendor. Claims Tools. Learn more about Claim Status. Once you select Claim Status, a drop down will appear allowing you to enter a Date Range. UB-04 claims Blue Cross Blue Shield of Michigan P. BlueCard ® (Out-of-Area) Plans. Claims Mailing Address. Call customer service and web support at 800-607-0546 between 8 a. For Initial Paper Medicare Claims: Blue Cross Medicare Advantage C/O Claims Department PO Box 3686 Scranton, PA 18505 Payer ID: 66006 If you don’t have Availity access, you may obtain basic claim status online by completing a claim status request (276 transaction) via your preferred web vendor. BCCHP – 877-860-2837. If you saw an out-of-network provider, you'll need to submit a medical claim form. Home; Contacts & Sites; Provider Directory Review your directory information every 90 days. Additionally, you can verify the descriptions for any claim denials. Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with an Anthem associate from within InterQual ® Coverage Policy Guidelines. to 6:30 p. View claim status. We do not provide claim status on the phone, regardless of provider participation status. Box 312599 Detroit, MI 48231-2599. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. For Blue Shield Promise providers. COVERAGE AREA - CNY: Cayuga, Cortland, Jefferson, Lewis, Onondaga, Oswego, St. com Apr 23, 2020 · 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 Go to Availity Portal and select Anthem from the payer spaces drop-down. You can to search for claims by a Member ID or specific Claim Number. , you may be responsible for filing your claims. To request a provider application, check application status, add a new location or update provider information, please use one of the following methods: May 4, 2023 · Blue Cross ® Blue Shield ® of Arizona (AZ Blue) Plans. 20. Claim Status; Claim Review Process; Interactive Voice Response (IVR) System How do I submit a claim? If your provider or pharmacy is in your plan's network, they'll submit the claim for you. Medicare Advantage – 877-774-8592. For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide. Professional (including COB claims) Claims Division Blue Cross Blue Shield of Michigan P. , visit bcbs. Box 660044 Dallas, TX 75266-0044 Request for claim review form and instructions: Availity ® Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. – Fri. Fax: (888) 697-8122. Access the provider portal Become a provider Contact Information Call Center 601-932-1122 or 1-800-257-5825 EDI Services 601-664-4357 or 1-800-826-4068 Utilization Management 601-664-4597 or 1-800-841-9659 To become an in-network provider under BCBS Blue Card™ PPO program, contact the Provider Relations Department at your local Blue Cross and Blue Shield. Claim status inquiries contact Availity or other electronic connectivity. 1-888-234-5374 — Community Blue Medicare HMO Provider For additional details and links to tools to check the status of your claims, log in and go to Office Resources>Claim Submission. Claim Payment and Remittance. Get the answers you need on demand, online, 24/7. Enhanced claim status responses include the following details (if applicable): You can find claims contact information, pharmacy claims instructions, guidelines for claims submission and more in Anthem’s provider manuals. What if I can’t locate the remittance on Availity Essentials Providers can proactively send medical records and other required documents to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) before claims are processed to help avoid denials or delays. Blue Shield of California Pharmacy Services P. availity. See helpful answers to our most frequently asked questions and quickly navigate our tools and website resources. Box 312500 Detroit, MI 48231-2500. 18 HMSA PROVIDER CLAIM INQUIRIES HMSA Customer Relations (PPO, HMO, Akamai Advantage) 948-6330 (Oahu) 1 (800) 790-4672 (toll-free Neighbor Islands) BlueCard Teleservice Check claims. Claim status results provide more detailed information than the HIPAA-standard claim status 276/277 transaction, including the following details: Go to the provider directory at www. Register Now The Claim Status tool is found in the Claims & Payment menu via the Availity Provider Portal. If this was for emergency care, call us first at 800-352-2583 to see if a claim was filed. You can use Availity to submit and check the status of all your claims and much more at www. Learn more. HIGHMARK 1-800-547-3627. Find your local BCBS company to log in. Box 982800 El Paso, TX 79998-2800 Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. ” Submitting claims to Blue Cross. Boston Tulsa, OK 74119-3613 (918) 560-3500. Other Blue Cross and Blue Shield Plans Outside Alabama: 1-800-676-2583; Provider Enrollment/Credentialing. Get a copy of your 1099 tax form for BlueCross, BlueChoice ®, TRICARE, Companion Life and others. and providers outside the U. June 2024. com or call 1-800-810-BLUE (2583). Office Locations Omaha Headquarters. Box 655924 Dallas, TX 75265-5924. Provider Customer Service. For Commercial Claims: Blue Cross and Blue Shield of Oklahoma P. Log in to find contact information specific to your area and plan. Node:bclrprvappp1001. Blue Advantage ® /Part D Provider Inquiry: 1-877-878-8668; Other. bcbs. Get paid faster. Medicare Advantage Plans Type of Request: Fax Number : Inpatient requests: 800-416-9195: Outpatient requests 888-236-6321: Medical injectable drugs 833-581-1861 Under ‘I would like to see’, select ‘Claim Status’. Blue Cross Complete Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. Claim status results provide more detailed information than the HIPAA-standard claim status 276/277 transaction. Claims contacts. ; Locate the appropriate claim. 1-866-588-6967 — Freedom Blue SM PPO Provider Service Center. ACA Provider Support: 866-859-3822 (TTY:711) Mail: Blue Cross and Blue Shield of Kansas City PO Box 419169 Kansas City, MO 64141 Get answers to questions, access real-time patient information, check claims status, enter and view authorizations, and more. Sign up for EFT and quickly receive payment. On the home page, look for Find a Doctor or Hospital. org:8080 That’s why Anthem Blue Cross and Blue Shield (Anthem) uses Availity,* a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. bcbsal. fetterly@excellus. Box 211778 Kansas City, MO 64121-1778 Contact Center *Availity Transaction ID or Provider NPI required: Claims Payment; Eligibility and Benefits; Authorizations and Referrals; Contract Inquiries (Provider Contracting, Provider Practice Changes) Availity Issues; Dental Inquiries; Customer Service Phone: 800-727-2227 (then say one of the choices) Get answers to questions, access real-time patient information, check claims status, enter and view authorizations, and more. Register with or log into Availity here. Send adjustments and appeals to: Blue Cross and Blue Shield of Minnesota Document Processing Center P. Blue Cross Blue Shield of Texas is committed to giving health care providers the support and assistance they need. Register Now. Send claims to: Blue Cross and Blue Shield of Minnesota Document Processing Center P. ©2024 Blue Cross and Blue Shield of North Carolina. File claims electronically. claim form; To locate a provider outside of Florida or the U. If the service is covered by your plan, Anthem pays the claims – sometimes the entire cost or a portion is paid depending on your benefits. Check out the changes and updates to our plan in 2024. View your electronic remittance advice (835 Take your health insurance wherever you go. , Monday through Friday, Pacific Time. O. Claims can be submitted through your preferred clearinghouse as long as you are a BCBSNE-credentialed provider. Claims and clinical appeals address: PO Box 21702 Eagan, MN 55121 For government programs claims, if you don’t have online access through a vendor, you may call the below customer service phone number to check claim status or make an adjustment: Medicaid claims – call 800-693-0663 Florida Combined Life Insurance Company P. We provide health insurance in Michigan. com Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO) Prior Authorizations Lists for Designated Groups; Recommended Clinical Review Option; Prior Authorization Exemptions (Texas House Bill 3459) Claims Filing Tips. View the status of the claim. If you don’t have online access or need to make an adjustment, you may call provider customer service numbers for assistance: Commercial claims – 800-447 Contact Name Phone/E-mail/URL; Provider Service Unit. Within these webpages you will find needed forms, policies, news, and information for joining our network. If a provider must file a paper claim, mail claim to Blue Cross and Blue Shield of Texas P. Status of a provider enrolling in our system When to use a change form instead of an enrollment form Call 1-800-924-7141 or email Contracts_Reqs_GM@bcbst. Learn about the tools you have to submit claims and receive payments. Federal Employee Program ® (FEP ®) Plans. Enhanced claim status responses include the following details (if applicable): Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. Providers Work with Us. Capital Blue Cross has been closely monitoring the cyber incident affecting Change Healthcare, one of the nation's major processors of prescription drug claims and electronic claim processing. The implementation of ICD-10 results in more accurate coding, which improves the ability to measure health care services, enhance the ability to monitor public health, improve data reporting, and reduce the need for supporting documentation when submitting claims. Page 1 06. Blue Shield of California Promise Health Plan Provider Services: Phone: (800) 468-9935, Monday through Friday, 6 a. Blueprint Portal allows you to manage claims and coverage information, access or request ID cards, find care and cost information and much more. Contact Us . Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. Comments or Questions for Us? If you have comments or questions, we want to help you. com. Get educational support for BlueCross and BlueChoice ® HealthPlan plans, not related to claims status. Find powerful provider tools and resources The preferred way to submit claims is through the Electronic Data Interchange (EDI). , 8 a. 1-866-675-8635 — Freedom Blue PFFS Provider Service Center. You will only be able to see how much your plan paid and how much you owe once the claim status is “Finalized. The Claim Status tool is found in the Claims & Payment menu in Availity Essentials. Reminder: Don’t Submit Duplicate Claims. Claim adjustments call 800-451-0287*. Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 1-800-451-0287 *. and 6 p. may obtain basic claim status online by completing a 276/277 transaction through your preferred web vendor. If you are a Blue Cross & Blue Shield of Mississippi member and need information about a claim or your benefits, please visit our secure myBlue portal by logging in from our home page. Lawrence, Tompkins What's New for 2024. If you don’t have Availity access, you may obtain basic claim status online by completing a claim status request (276 transaction) via your preferred web vendor. – 5 p. Blue Cross and Blue Shield of Vermont is committed to the health of our Vermont community – we strive to build a trusted network of health care providers that can provide our members the personal care needed. Claim Status and Adjudication. Contact your provider advocate. Provider Demographic Updates For help with eligibility verification, claims, and general provider questions, please call the appropriate Anthem Blue Cross and Blue Shield (Anthem) phone number below. Learn More Learn how to submit claims electronically, search our Claims Fee Schedule for Blue Shield allowances, find resources on provider appeals and adjustments, and learn more about submitting claims, rules for payment and claim status. Blue Cross and Blue Shield of Texas P. Apr 17, 2024 · To view the status of a claim you submitted, follow these steps: Select Claims, then View Claims. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. If you don’t have Availity access, you may obtain basic claim status online by completing a claim status request (276 transaction) via your preferred web vendor. Access your benefits, replace a card and find information about your coverage. Start Using Availity Availity is BCBSWY’s secure Provider Portal to help you manage the care of your patients online with less paperwork, fewer faxes and reduced phone time. By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. To obtain benefits, eligibility, or adjust a claim. Box 3248 Omaha, NE 68180 402-390-1820 Provider Services (direct all inquiries or issues directly to Independence Administrators) 1-888-356-7899: Independence Blue Cross and Highmark Blue Shield Caring Foundation Hotline: 1-800-464-5437: Keystone First Hours: Mon. After submitting a claim, you can check the status online to verify if your claim has been received, pended or finalized. If you’ve recently had medical care, you may wonder about the status of your health insurance claim. If you need to submit your own claim, look for File a Health Claim under the Claims Contact Customer Support by phone or Live Chat. ICD-10. Convenient self-service prompts available. Checking via Telephone. m. MMAI – 877-723-7702. ocko znrty sfuh wlp vpjw htxaud uchphnw fdaoez yrskz dyvqscw