Alaska contracted and non-contracted AFS Blue Shield of California A members ID number includes the alpha prefix in the first three positions and all subsequent characters between 6 and 14 numbers or letters up to 17 characters total. . If you are aware about the bcbs alpha prefix of your health insurance, then you can get the desired support on time for claiming the insurance. QMG SG OFF Exchange. Box 91102 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 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. Atlanta, GA 30348-5557. Send us other carrier's explanation of benefits. As a nonprofit independent licensee of the Blue Cross and Blue Shield Association, Regence is part of a family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care. 0000018886 00000 n Regence Blue-Cross Blue-Shield: YAM-Unallocated/Not Assigned: YAN-Unallocated/Not Assigned: YAO-Unallocated/Not Assigned: YAP: Minnesota: A subrogation provision is included in both member and physician/provider contracts. Here are common reasons why claims suspend or reject: Contact Customer Service with questions regarding claims processing or send a copy of the voucher highlighting the claim in question and the inquiry reason. Please Modifiers. You can also use the Office of Financial Management MyPortal to update your address. QAB. If we cannot resolve the matter through non-binding mediation, either one of us may institute an action in any Superior Court of competent jurisdiction. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. Blue Cross and Blue Shield of Illinois (BCBSIL) members ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have been updated. AHD BCBS of South Carolina Use find (Ctrl + F) and enter the prefix to find the BCBS state. Alpha Prefix, The three-character alpha prefix at the beginning of the members identification number is the key element used to identify and correctly route claims. PDF Local Blue Cross and Blue Shield Mailing Addresses State/Alpha Prefix Since new ID cards may be issued to members throughout the year, this will ensure that you have the most up-to-date information in your patients file. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Colorado. We'll process the claim after we receive that information. AGR Anthem BCBS of Colorado Box 33 Enter the contract name of physician or provider who performed the service. Bill all original lines-not including all of the original lines will cause the claim to be rejected. You have to bear in mind that the alpha prefix has three letters usually followed by the identification of member of BCBS. Provider home - Regence Tricare Phone Number and Claim Address; Molina Healthcare Phone Number claims address of Medicare and Medicaid. note: Exclusions to paying interest may apply based on line of business. 10700 Northup Way, Suite 100 We can process the claim after we receive that information. 3. DJK Empire BCBS ABC BCBS of Alabama 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 BCBS Provider Phone Number. This procedure is considered cosmetic. View the toolkit Claims submission to 6:00 PM PT or log in to your RGA account and submit an electronic request. Mail this claim to: Regence BlueCross BlueShield of Utah PO Box 1106 Lewiston, Idaho 83501 Or Fax claim to: (888) 606-6582 FORM PD020-UT Page 2 of 3 (Eff. 24/7 Nurse Line: 800-267-6729. They include a request of medical records for review. CWJ BCBS of Alabama CUW Anthem Blue Cross of California Thank you for the care you provide to our members and people in our communities. The ID cards also may have: Saturday 7 a.m. to 8 p.m.; Sunday 7 a.m. to 7 p.m. (Pacific)Calling from outside the US: Dial exit code of your country (typically 00) plus the country code (1 for USA), then the area code (916), then the seven-digit US local phone number 635-7373. Chronic Obstructive Pulmonary Disease. 0000018816 00000 n DJU Carefirst BCBS Maryland ABJ BCBS Minnesota 0000010231 00000 n 0000008298 00000 n You will need special software to send insurance claims electronically. All of our contracts exclude coverage for care covered under the Workers' Compensation Act. Once you have signed in, simply click on the Authorizations on the top menu and you will be able to submit your preauthorization request. These weights are then multiplied by the dollar conversion factor we publish. | CWI Blue Shield of California Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. Contact us - Regence ** A correct member ID number includes the alpha prefix (first three positions) and all subsequent characters, up to 17 positions total. 0000004073 00000 n CWQ Anthem BCBS of Ohio Join us! State Lookup. CVM Anthem BCBS of Ohio Payment of this claim depended on our review of information from the provider. The revenue codes and UB-04 codes are the IP of the American Hospital Association. STATE MAIL TO MAILING ADDRESS CITY, STATE ZIP Alabama Blue Cross and Blue Shield of Alabama 450 Riverside Parkway E Birmingham, AL 35298 . Where do I submit a preauthorization request? We accept electronic claims through Availity using payer ID RGA01. Federal Employee Program Overseas Claims P.O. DCY BCBS of Florida 02/16/2023 Retirement Workshop in Lacey on Feb. 18. . DKC BCBS of Texas YDW Retail OFF Exchange hb``d``3g`c`P`eb@ !GCPI+""hr^eA ewJ?hx2-H IM:^7I,y ZPPTP J ! X,/ !q77p0P&{'LYr000 This claim is a duplicate of a previously submitted claim for this member. 2023 Regence health plans are Independent Licensees of the Blue Cross and Blue Shield Association serving members in Idaho, Oregon, Utah and select counties of Washington. Payment policy: You can find our payment policies on our website in the Library, under Reference Info. Tricare Phone Number and Claim Address; Molina Healthcare Phone Number claims address of Medicare and Medicaid. ACQ BCBS of Georgia You can also submit claims via mail to our claims address P.O. Blue Advantage Administrators of There is a balance due to us at the end of the payment cycle. Our Provider Integrity Oversight Committee reviews proposals for new payment policies and updates to our policies. 1-800-962-2731. CYP BCBS of IL Invalid claims are reported back to the provider with rejection details. AEK Independence Blue Cross Once we accept your level II appeal, we will respond within 15 days in writing or a revised Explanation of Payment. This is a claim adjustment of a previously processed claim. CZR Wellmark BCBS Iowa/South Dakota Professional Services are performed by a doctor or other healthcare professional. Most BCBS-branded ID cards display a three-character alpha prefix in the first three positions of the members ID number. AIE BCBS of Michigan threshold. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Please treat these members the same as domestic Blue Plan members. Included with the interest voucher is a summary report detailing However, there are some exceptions. When the conversion factor is multiplied by the total RVUs, it will yield the reimbursement rate for the specific service (or code). As a KingCare member, your care is covered at a higher level inside the network, but the plan also pays a smaller amount toward your bill if you see a doctor outside of the KingCare PPO network. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Learn more about which practitioners need to be credentialed by viewing our credentialing matrix, located in our credentialing manual, available by request from Credentialing.Updates@premera.com. We may send a questionnaire to the member regarding possible duplicate coverage. Phone: 844-380-8838, 800-863-5488 (TTY) That's why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. You can also call using Skype. Uniform Medical Plan (UMP) offers you five different health plans through Washington state's Public Employees Benefits Board (PEBB). 0000018992 00000 n 2023 Regence health plans are Independent Licensees of the Blue Cross and Blue Shield Association serving members in Idaho, Oregon, Utah and select counties of Washington. CVT Anthem Blue Cross of California P | DHB Empire BCBS We can process the claim after we receive that information. CVZ Horizon BCBS of New Jersey Policy #s: Regular10017241-0001, Transit10017241-0004, Sheriff10017241-0016, Chinook Building We're here to help (651) 662-5200 1-800-262-0820 . Lastly mail the completed claim form to the address provided. Many offices assign their own account numbers to patients. Uprise Health General Access . Note: When submitting an email inquiry, please include your tax identification number (TIN) and/or Organizational NPI number. UMP Customer ServicePhone: 1 (888) 849-3681 TRS: 711 Business hours: Monday through Friday 5 a.m. to 8 p.m. and Saturday 8 a.m. to 4:30 p.m. (Pacific)Chat Live: Sign in to your Regence account Monday through Friday 7 a.m. to 5 p.m. (Pacific) to access chat live. Thank you for choosing Regence as your health plan administrator. Utah - Blue Cross and Blue Shield's Federal Employee Program 4. You can find a claim by the members ID number or by the claim number. AEG Anthem BCBS of Ohio To contact us without setting your ZIP code, call: Prescription questions?Call Customer Service and choose the Pharmacy option. If you're 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. Log in to Availity Don't have an Availity account? We can't process this claim because we haven't received the necessary information we requested from your provider. Company Description: Regence BlueCross BlueShield of Oregon provides health insurance products and other managed care services to some 750,000 members in Oregon and Washington's Clark County. Regence BlueShield - FEPPO Box 31207Salt Lake City, UT 84131, (Attended sleep study at outpatient part of a hospital, home hospice, organ/tissue transplants, clinical trials. AHC Anthem BCBS of Missouri All Excellus plans use this mailing address: Excellus BCBS Attn: Claims P.O. ), claims will be processed accordingly and under the terms of our subscriber's contract. If you have questions about COB, contact Customer Service by calling the phone number on the back of the member's ID card. BCBS Federal Phone Number - Revenue Cycle Management claim and apply additional edits if applicable. PDF Member Reimbursement Claim Form - beonbrand.getbynder.com DJR Anthem BCBS of Ohio ** Remember: Member ID numbers must be reported exactly as shown on the ID card and must not be changed or altered. Friday 6:00 AM. We also apply the following Prompt Pay standards set by the Oregon Insurance Division to our claims adjudication process in order to: A clean claim is one that has no defect or impropriety, including any lack of any required substantiating documentation, or particular circumstances requiring special treatment that prevents timely payments from being made on the claim. AGG Anthem BCBS of Ohio The total number of characters in the members ID ranges from six to fourteen. FAQs & Resources What type of EDI transactions does RGA accept? Your member ID card is your key to using your medical plan benefits. For Example: XYZ123456789. DCL BCBS of TN They are identified by Guest Member on their health plan ID card. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Box 105557. Our medical staff reviewed this claim and determined that this service isn't covered by the plan. CPT 92521,92522,92523,92524 Speech language pathology, CPT 81479 oninvasive Prenatal Testing for Fetal Aneuploidies, CPT CODE 47562, 47563, 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY, CPT Code 99201, 99202, 99203, 99204, 99205 Which code to USE. AGH Anthem Blue Cross of California 0000012556 00000 n 0000006620 00000 n AGC MO BCBS MO, POB 419169 , Kansas City , MO , 64141-6169 888-989-8842, AHP Empire Empire BC, POB 5020 , Middletown , NY , 10940 800-772-2875, AHU PPO MD BC MD, 10455 Mill Run Circle , Owings Mills , MD , 21117 877-228-7268, AHW PA BCBS NE PA, 70 N Main St , Wilkes-Barre , PA , 18711 717-829-8500, AIU PA Independence BC, 1901 Market St , Philadelphia , PA , 19103 215-564-2100, AKM MI BC MI, POB 1618 , Detroit , MI , 48231 800-462-7237 CVC Anthem BCBS of Ohio P.O. 0000013357 00000 n 0000008643 00000 n 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 ARH IN BCBS of Indiana, POB 68416, Accordia NW , Indianapolis , IN , 46268 317-488-6000, ARR OH BC OH Anthem, 4361 Irwin Simpson Rd , Mason , OH , 45040 513-872-8100, ASA Indemnity CNY PO Box 4809 , Syracuse , NY , 13221 315-448-3735, ASH WNY BCBS WNY, Auto Natl Accts, POB 757 , Buffalo , NY , 14240-0757 800-462-7237, AST TN BCBS Of Tennessee, 801 Pine St , Chattanooga , TN , 37402 423-755-5600, ATT Empire Empire BC, POB 5020 , Middletown , NY , 10940 800-772-2875, AWR PA PA BS Highmark, POB 535045 , Pittsburgh , PA , 15253-5045 800-294-2217, AZO IL BC IL, POB 1364 , Chicago , IL , 60690-1364 800-637-6917, BAN WV BC Washington DC/Carefirst, 550 12th St SW , Washington , DC , 20065 800-642-2411, BBH PPO GA BCBS GA, POB 9907 , Columbus , GA , 31908 800-628-3988, BDC MI BC MI, POB 1618 , Detroit , MI , 48231 800-462-7237 However, fax submission is allowed at the ollowing fax numbers: 866-365-5504 or 303-764- 7123 for BCBS OF CA AND BCBS OF CO. PDF Regence Provider Appeal Form PDF MEDICAL CLAIM FORM - Washington Its often confused that BCBS have lot of prefixes and where to contact. Your member ID card is your key to using your medical plan benefits. If it is, call the BlueCard Eligibility line 800-676-BLUE (2583) to verify the ID number. Contact us - Regence This is a duplicate of a previously denied claim. DJN BCBS Minnesota YDV SG ON Exchange Contact us for health care providers Contact us for healthcare providers. CZZ Highmark BCBS User the HIPAA 837 standard claims transaction including the following information: Frequency code of 7 in look 2300, CLM05-3 segment to indicate a corrected/replacement of a previously processed claim. DJE BCBS of Alabama Please reach out and we would do the investigation and remove the article. Enter the three digit alphanumeric prefix located on the member's ID card, and the tool provides the correct insurance carrier for you. Sign the completed form where indicated at the bottom of this page and submit the completed claim form to: Regence BlueShield Attn: UMP Claims PO Box 1106 Lewiston, ID 83501-1106 or by fax to: 1 (877) 357-3418 Payments will be mailed to the address on file for the subscriber. HMO products include BlueChoice HMO, Direct Connection HMO, Child Health Plus, BlueChoice HMO/POS and Direct POS. BlueCard/FEP Lookup | Blue Cross of Idaho - bcidaho.com We'll coordinate the benefits of the members plan with those of other plans to make certain that the total payments from all plans aren't more than the total allowable expenses. Claim edits in place will identify those services previously billed and bundle ALL services on to a single In this health insurance plan, alpha prefix is assigned to national accounts. Once we have received a payment ledger from the first-party carrier(s) showing where they paid out their limits (with dates of services, provider names, total charges, total paid, etc. | Empire BCBS Phone Number and Claim Address (2023) BCBS Alpha Prefix IAA-IZZ (2023) BCBS Alpha Prefix HAA-HZZ (2023) BCBS Alpha Prefix List GAA-GZZ (2023) Every user of BCBS health insurance is assigned an alpha prefix that contains three letters. Boise, ID 83707. Illinois. trailer ADF Healthnow of NY Buffalo We will send the member an IQ if the claim(s) is potentially accident-related. Check out the changes and updates to our plan in 2023. Disclosure Notice Patient Protection Surprise Billing, 270/271 Eligibility inquiry and response, 278 Referral certification and authorization, 837 Claims and encounters (P, D, and I). Members: Log in/register at MyBlue Customer eService, Regence Blue Cross Blue Shield of Oregon - FEPPO Box 31105Salt Lake City, UT 84131, Regence Blue Cross Blue Shield of Oregon - FEPPO Box 1269Portland, OR 97207, Find Find the correct address listed under the type of service received (see explanation). AAZ Anthem Blue Cross of California We can't process this claim until the incident questionnaire we sent the member is fully completed, signed and returned. Our provider complaints and appeals process ensure we address a complaint or an appeal in a fair and timely manner. AID Anthem BCBS of Ohio Washington Help Center: Important contact information for Premera Blue Cross, and Regence BlueShield. Phone: 1-800-628-3481. If you are unable to submit claims electronically, you can submit paper claims on CMS-1500 or UB-04 forms. This prefix is the part of the distinctive identification number. By continuing to use this website, you consent to these cookies. The main identifier for out-of-area members is the alpha prefix. Media Contact: Lou Riepl Regence BlueCross BlueShield of Utah Regence BlueShield of . TINs are still a required element for claims. AHQ Anthem BCBS of Ohio When submitting claims, transfer the members identification (ID) number exactly as printed on the ID card. 10/18) v2. ** The alpha prefix is critical for the electronic routing of specific HIPAA transactions to the appropriate Blue Plan. Be on . Send to Regence Blue Shield in accordance with the terms of your provider contract with Regence. AEJ Horizon BCBS of New Jersey QMD Retail ON Exchange . TRS: 711 Fax: 1 (800) 633-0334 Business hours: Monday through Friday: 5 a.m. to 7 p.m. (Pacific) Saturday: 9:30 a.m. to 2 p.m. (Pacific) Note: UMP members do not need to be Costco members to use their mail-order service. Contact. treatment center. They are suspended due to the group or individual's non-payment of premium or dues. Interested in joining our provider network? Prefix Plan Name, AAA BCBS of Alabama You can make a complaint verbally to Customer Service or in writing to Customer Service Correspondence. Contact Us | Blue Cross and Blue Shield of Illinois - BCBSIL BCBS Provider Phone Number. Regence Health Plans, Prime Therapeutics study shows significant See our FAQs for more claim information and contacts. AHB Anthem BCBS of Ohio ADT BCBS Minnesota Human Resources Inquiries. Practitioners who arent credentialed may have their claims returned until they submit a complete credentialing application. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. Washington Help Center: Important contact information for Premera Blue Cross, and Regence BlueShield. ** A local network identifier, (for example, BlueMark) CYJ Horizon BCBS of New Jersey ), 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 Precertification remains the responsibility of the provider for all Empire HMO network members. If you require a written refund request before mailing the overpayment, contact Calypso directly at 800-364-2991. ABB BCBS of IL Occasionally, you may see identification cards from members residing abroad or foreign Blue Plan members. The member's benefit program contains special provisions for benefits when an injury or condition is: An onset date should be recorded on all accident-related claims. Postal Prescription ServicesOnline: Your PPS accountPhone: 1 (800) 552-6694TRS: 711Fax (for providers only): 1 (800) 723-9023Business hours: Monday through Friday 6 a.m. to 6 p.m. and Saturday 9 a.m. to 2 p.m. (Pacific), Ardon HealthPhone: 1 (855) 425-4085TRS: 711Fax (for providers only): 1 (855) 425-4096Business hours: Monday through Friday 8 a.m. to 7 p.m. and Saturday 8 a.m. to 12 p.m. (Pacific), Online: Medicare or MyMedicarePhone: 1 (800) MEDICARE (1-800-633-4227)TTY: 1 (877) 486-2048. We haven't received the information. Learn more about global periods, modifiers, virtual care, unlisted codes and NCCI bypass modifiers. Where do I determine if a code is covered? AEQ BCBS of Michigan CNK-HR-0230 Because your primary doctor and your specialists may all work for different clinics, you may need to do more of your own care coordination. If you are outside the U.S. and need to find a local provider, make an appointment or be hospitalized, call Blue Cross Blue Shield Global Core at 1-800-810-2583 or call collect at 1-804-673-1177, 24 hours a day, 7 days a week. They can take note of bcbs alpha prefix online in detail and gain knowledge of how to choose the right alpha prefix. Complete the enrollment form on the following page to receive 835 ERA files from Regence payers . Polski | 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.

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