If you receive a call that appears to originate from this number, the call is likely fraudulent or malicious and you should not answer it, or hang up immediately after receiving it if you do answer the call initially. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. Traditional Blue Cross Blue Shield Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. Step 3: Type your email address into the appropriate field, and then click the Submit button. 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.). Apply through the National Plan and Provider Enumeration System (NPPES). Federal Employee Program (FEP) members should visit the FEP website. EDI Support Line: 1-800-590-5745. 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. For Example: ABC, A2B, 2AB, 2A2 etc. For additional details and links to tools to check the status of your claims, log in and go to Office Resources>Claim Submission. Registered Marks of the Blue Cross and Blue Shield Association. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Use the link below tofind your local BCBS company's website. You can also call the NPI helpline at 1-800-465-3203. Contact us to learn how we can improve your revenue cycle. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. These may be different when submitting Healthy Blue + Medicare EDIs in Availity. Your card contains key information about your health insurance coverage that is required when you need care or pick up a prescription at the pharmacy. Americas 1st Choice Health Plans of North Carolina Inc. Americas 1st Choice Health Plans of South Carolina Inc. Anthem Blue Cross and Blue Shield (Virginia), Arizona & 21st Corp. DBA Berkley East Conv. What is the federal identification number for BlueCross BlueShield? It shows that these type of BCBS member IDs are different. %PDF-1.6 % 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. Your local company can help you to: Change your coverage. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. 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). Healthy Blue + Medicare payer ID: North Carolina 00602. The identifier defining a payer entity. For Example: XYZ123456789. A Payer ID routes electronic data transactions to the appropriate payer. The purpose of articles is to provide information and education only. And to manage such a big network, they divided it into different departments state wise or employer specific. Electronic Transactions and Claim Payer IDs | Provider | Premera Blue Cross Blue Shield of Alaska Electronic Transactions and Claim Payer IDs Sending electronic data interchange (EDI) transactions can help claims process faster and improve your cash flow. Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. Get access to your employer portal. 12X26 ; Claims . The consent submitted will only be used for data processing originating from this website. doctors visit or trip to the emergency room. bluecross blueshield payer id number valid Username & Password. Your BCBS ID card has your member number, and in some cases, your employer group number. Why does Blue Cross use a BlueShield logo? An example of data being processed may be a unique identifier stored in a cookie. Provider consultants. (If you use Search, it will take you to the patient's chart and you can go to step 3). See below for which payer ID to use: Regular BCBS MI PO Box 491 Milwaukee, WI 53201-0491 Payer ID - BBMDQ Federal BCBS MI PO Box 312599 For other language assistance or translation services, please call the customer service number for your local Blue Cross . Second Character G assigned to the BCBS Plan as well. . Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer Listing Keywords: The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. 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. Questions? Get access to your agent portal.Register Now. eServices - Payer ID for Blue Cross Blue Shield of Michigan Applies to: eClaims with Eaglesoft eServices Solution: The payer ID for BCBS MI will depend on whether it's regular BCBS or Federal (FEP). File or check on claim. Step 3: Next, enter your Username/Password in the appropriate fields. Member Discounts Take advantage of member-only discounts on health-related products and services. Replace your member ID card. 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. Blue Shield Association. *PAI and Blue Solutions Administrators are separate companies that provide third party administration services on behalf of BlueCross. Determining whether a provider is in-network is an important part of choosing a primary care physician. 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. hb``` ea`}CUHQd\v(]``h` p@d=HX& C c(-6kV,,X.YGdp301"3 47Hs10-Xb & 37242. The Blue Cross Blue Shield Association has two office locations. What If BCBS Member ID doesnt have Prefix mentioned on Card? Double click on the Insurance Company name. The most accurate way to find your local BCBS company is with the Identification Number from your member ID card. is payer id the same as group number is payer id the same as group number If you have an HMO, your card may also list the physician or group youve selected for primary care. Step 1: Start your internet browser, and then go to the official bluecross blueshield payer id website. 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. Your BCBS ID card has important contact information to help you reach your BCBS company. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Curious to know what are national Accounts? 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. All Rights Reserved. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Now, with more than 15 years of experience as a medical biller and revenue cycle manager, I am on a mission to serve the medical billing industry with my vast knowledge and years of expertise. Member ID Number: identifies you, the . Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Registered Marks, TM Trademarks. Atlanta, GA 30348-5557. Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. These prefixes may include alpha and numerical characters. Review your balance. Anthem Blue Cross and Blue Shield - Georgia. The Insurance Payer ID is a unique identification number assigned to each insurance company. We look forward to working with you to provide quality services to our members. Choose a Blue Shield Approved EDI Clearinghouse from our list. Start by reading our Trading Partner Agreement and Authorization: Online claim submission (portal) Frequently asked questions(PDF) and select the option that most closely describes you. call to discuss options to purchase coverage. Corrected claims, secondary claims or BlueCard claims cannot be submitted through NaviNet at this time. Account Specific Prefix are assigned by BCBS to national accounts. 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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