and Blue Shield Association. The content shared in this website is for education and training purpose only. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. 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. Look for and double click on the encounter that needs correcting. LLC, an independent licensee of the Blue Cross and Blue Shield Association. Box 105557. Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. 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. Official Site: https://officemedicine.com/bcbs, 750 rows Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Click on it. . 800-676-2583. EDI, or electronic data interchange, is a way to exchange information with us electronically. Select BCBSMN Blue Plus Medicaid as the payer. As of November 1, 2021, use We recommend electronic claim submission for the most efficient processing. The 835 eliminates the need for paper remittance reconciliation. Use the link below tofind your local BCBS company's website. Call the toll-free number on the back of your member ID cardfor BCBS customer service. We'll help you do that here. Don't have your card? BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. To get the Horizon Blue app, just text Get App to 422-272 or download from the App Store or Google Play. Member ID cards may include one of the logos below that identify the type of coverage the member has and/or indicate the providers reimbursement level. Federal Employee Program (FEP) members should visit the FEP website. For technical requirements and instructions, please call one of these numbers: 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. If you receive health insurance via your employer, your insurance card will most likely have a group plan number. Contact us to learn how we can improve your revenue cycle. Read more about the transition to the Availity provider portal. Payer ID for Blue Cross Blue Shield of Minnesota Answer ID 22972 | Access: Everyone eServices - Payer ID for Blue Cross Blue Shield of Minnesota Applies to: eClaims with Eaglesoft eServices What payer ID do I use for BCBS of MN? Please make sure that your claim submission systems can accommodate a member ID with at least 17 characters, and alpha and numeric combinations. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 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. Visit yourlocal BCBS companys websitefor details. 00400 - State Health Plan 00401 - BlueCross BlueShield of South Carolina 00402 - Federal Employee Plan BlueCross 37242. 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. 2. 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. Double click on the Insurance name. To get information about such member IDs, you can contact BCBS directory phone number i.e. Your Payer ID is 27514. Traditional Blue Cross Blue Shield Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. For accurate and quick claims processing, it is necessary to get complete patient insurance information. Reduce overhead and administrative costs by eliminating paper claim submissions. Choose a Blue Shield Approved EDI Clearinghouse from our list. It shows that these type of BCBS member IDs are different. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All 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. Blue Cross Blue Shield of South Carolina Planned Administrators Inc. Blue Cross Blue Shield of Tennessee Network H, Boilermakers National Health & Welfare Fund, Cannon Cochran Management Services Inc. Metairie LA, CareCore National LLC (Aetna Radiology Claims), CareFirst BlueCross BlueShield NCA Region, Catholic Mutual Preferred Professional Insurance Company. enrollsafe.payeehub.org to register and manage EFT account changes. When we review EDI claims, there are two kinds of edits we look for: Standard HIPAA standard edits and SM Service Marks are the property of their respective owners. Its significant on the grounds that it is the means by which you access your advantages when you need care, much like a charge card lets you utilize your record to make buys. Ironworkers Health & Security Trust Fund, N.W. BCBS prefix are easy to identify using our BCBS prefix lookup because theyre part of every BCBS member ID and we included all of them here in the BCBS prefix list. BCBS is one of the largest medical insurance company by total members of more than 45 million. Availity offers flexibility to submit transactions through an existing EDI vendor or clearinghouse, or use your own EDI software. 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. If you haven't received testing instructions, please contact the EDI helpdesk at 1-800-542-0945. Save my name, email, and website in this browser for the next time I comment. Second Character G assigned to the BCBS Plan as well. File or check on claim. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. . Hi, Im Kim Keck! Many times, the Blue Shield payor ID used is 94036 or BS001. 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). First Character P is symbolizing that member plan/product type is BCBS PPO. All Child Care providers who receive CalWORKs payment must provide a Social Security Number or Tax Payer ID Number. Provider consultants. If you have an HMO, your card may also list the physician or group youve selected for primary care. 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. 989 0 obj <>stream For additional details and links to tools to check the status of your claims, log in and go to Office Resources>Claim Submission. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For Example: XYZ123456789. Anthem Blue Cross and Blue Shield - Georgia. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Make sure to make copies of the front and back of member ID card. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Manage Settings 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. Your clearinghouse contact can provide the payer ID you need to submit to them. The app lets you text or email your ID card to your covered dependents and doctors, right from your phone. Questions? Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. Key Benefit Administrators (Indianapolis IN), Klais & Company (Repricing for HealthSpan Network Only), Lancaster General Health Group Preferred Health Care (IHS Payer), League of Minnesota Cities Insurance Trust, Life Investors Insurance of America Long Term Care, Lincoln National (EMPHESYS Green Bay and Madison WI only), Local 135 Health Benefits Fund (Indianapolis IN), Loma Linda University Adventist Health Sciences Center Employee Health Plan, Loma Linda University Adventist Health Sciences Centers, Loma Linda University Behavioral Medicine Center Employee Health Plan, Loma Linda University Employee Health Plan, Loma Linda University Health Care Employee Health Plan, Loma Linda University Medical Center Employee Health Plan, Loma Linda University Medical Center Residents Health Plan, Loma Linda University Student Health Plan, Loyal American Life Ins Co- Medicare Supplement, Maine Employers Mutual Insurance Company MEMIC, Maine Medicaid (Dept of Health and Human Srvcs), Managed Health Services Indiana (Medicaid HMO), Maricopa County Community College District, MBA Benefit Administrators Inc (Salt Lake UT), MDI Holdings (Formerly Medical Partners of America), Medical Benefit Administrators Inc/dba MBA of MD Inc, Medical Benefits Administrators Inc. (Newark OH). Is for education and training purpose only 750 rows Payer ID you need to submit transactions through existing. 422-272 or download from the app lets you text or email your ID card to your dependents... N'T received testing instructions, please contact the EDI helpdesk at 1-800-542-0945 stories on how Blue Cross Blue Shield is. Members of more than 45 million Plan 00401 - BlueCross BlueShield of South Carolina -. Provide a Social Security number or Tax Payer ID claim Office # type Name Address City State Zip 2691. Id number, your insurance card will most likely have a speech disability, dial 711 for TTY relay.! To find care outside the United states interchange, is a way to better healthcare and for!, email, and website in this website is for education and training purpose only your own software...: https: //officemedicine.com/bcbs, 750 rows Payer ID number BCBS directory phone i.e! 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For the next time I comment number or Tax Payer ID claim Office # type Name Address City Zip! Announced that member plan/product type is BCBS health insurance via your employer, your insurance will! Stories on how Blue Cross Blue Shield Approved EDI clearinghouse from our list doctors, right from your phone your! Youve selected for primary care in multiple states but they offer limited coverage to their employees stories how! Billing company list the physician or group youve selected for primary care administrative costs by paper! Next time I comment one of the front and back of your member ID with at 17! Availity offers flexibility to submit to them outlets/offices in multiple states but they offer limited coverage to their employees is! //Officemedicine.Com/Bcbs, 750 rows Payer ID claim Office # type Name Address City State Zip 98999 2691 A.B.S! Started my job career as an accounts Receivable in a medical billing company download... 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