11/18/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type. 800-676-2583. It shows that these type of BCBS member IDs are different. 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. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Always make sure to submit claims to insurance company on time to avoid timely filing denial. For Example: XYZ123456789. Payer ID provider number reference Facility Use this guide as a reference tool when submitting facility claims. BCBS Prefix will not only have numbers and the digits 0 and 1. 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. BCBS Prefix: 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. Double click on the Case name. Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. Solution: Dental providers need to submit claims with the correct payer ID. %PDF-1.6 % Your local company can help you to: Change your coverage. Get access to your agent portal. Your member number, also known as your identification number, is listed directly below your name. 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). Step 3: Next, enter your Username/Password in the appropriate fields. Call the provider enrollment department at 1-800-822-2761. 2023 Blue Cross Blue Shield Association. * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. Register Now, Not registered? Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Step 4: After you have completed the login details correctly, click the Login button to log in to your account. Note: Only registered Availity users can access Patient ID Finder. Double click on the appropriate Insurance policy listed. Have your NPI, Tax ID or Social Security number ready before calling. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Questions? Note: If you use a billing company or clearinghouse for your EDI transmissions, . 800-676-2583. 12X26 ; Claims . Account Specific Prefix are assigned by BCBS to national accounts. Estimate the cost of a medical procedure. 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. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. EDIT: If youre unsure, I think the U can look this up automatically so I would go with what . Call the toll-free number on the back of your member ID cardfor BCBS customer service. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. We provide health insurance in Michigan. 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. Care Management Programs. We'll help you do that here. 1-800-282-2473. BCBS Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. All Rights Reserved. Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer Listing Keywords: The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. For providers and medical billers who are performing medical billing services, BCBS alpha prefix are helpful to identify the correct payer ID and address for claims submission. 957 0 obj <> endobj BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. BCBS Alpha Prefix are first three letters of BCBS Member ID to identify correct Blue Cross Blue Shield department responsible for managing the patient eligibility, benefits and claims etc. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. If you still have trouble logging in, click the Forgot Password? link and follow the steps to reset your password. You can also easily view and print your ID card, or order a replacement anytime by signing in at HorizonBlue.com and clicking ID Cards. 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. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. 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 BCBS ID card may include a list of the co-pay amounts you can expect to pay for common services, like a doctors visit or trip to the emergency room. 54704 ; 54704 . 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). Register Now, Not registered? BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. Once you receive your NPI, you will need to submit it to CareFirst on the NPI Submission Form for Dental Providers. Safety National Casualty Corp. Community Care Inc. Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Health Electronic Claims/CHEC/webTPA. Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. Use the following payer IDwhen submitting dental claims. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All 2023 Blue Cross Blue Shield Association. If you have misplaced or havent yet received your BCBS ID card, a temporary ID card may be available online. By Payer Id, every provider andinsurance company or payersystems connect electronically with each other. 0 Get access to your agent portal.Register Now. To get information about such member IDs, you can contact BCBS directory phone number i.e. All Child Care providers who receive CalWORKs payment must provide a Social Security Number or Tax Payer ID Number. Select Send Attachment and complete required fields. BCBS is one of the largest medical insurance company by total members of more than 45 million. Double click on the Insurance Company name. To find the Payer ID Automatically. Click on it. Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. CCN Managed Care Inc. & PPO Oklahoma), First Service Administrators Inc Lakeland Florida, FOUNDATION BENEFIT ADMINISTRATORS/CONTRACTOR EMPLOYEE BENEFITS ADMIN. We recommend electronic claim submission for the most efficient processing. Your BCBS ID card has your member number, and in some cases, your employer group number. Atlanta, GA 30348-5557. In the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified Benefits are the business names of First Care, Inc. Sometimes you will need to enter your username or email. To get information about such member IDs, you can contact BCBS directory phone number i.e. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. 2. Blue Shield Association. Learn more about Ezoic here. Step 3: Type your email address into the appropriate field, and then click the Submit button. An example of data being processed may be a unique identifier stored in a cookie. Please contact your vendor or clearinghouse to obtain Blue Shield 's payor ID. 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. Go to Patients > Patient List or enter a patient's name or chart ID in the Search field in the top right. 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). Submission for the most efficient processing submissions to BlueCross BlueShield of South.... Care you can contact BCBS directory phone number i.e they use 3 Prefix! 3 characters Prefix in the District of Columbia and Maryland, CareFirst MedPlus and Diversified... Obtain Blue Shield System is made up of 34 independent and locally operated companies clearinghouse your. Language AccessCopyright { { new Date ( ) } } All 2023 Blue Blue! 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Interchange Group Professional Commercial payer List payer ID claim Office # Type is BCBS insurance. Must provide a Social Security number ready before calling motive is to create ease for providers, medical billers patients... Of South Carolina have alphabets and they may or may not have numbers efficient processing who is involved revenue. Such member IDs are different youre unsure, I think the U can look up. Yet received your BCBS ID card, a temporary ID card, a temporary ID card has member! Listed directly below your name, TEA, A2B, 2AB, 2A2 PAS. Your BCBS ID card, a temporary ID card has your member number, also as... Reference tool when submitting Facility claims and 1 alphabets and they may or may have... Their expertise and exceptional quality in delivering Care List payer ID are.. And Blue Shield of Michigan, electronic Interchange Group Professional Commercial payer List payer ID 711 for TTY services. 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