DKD Wellmark BCBS Iowa/South Dakota, HPS Gordmans Inc. (formerly 1/2 Price Stores), How to Identify Members 3.1.1 Member ID Cards. PO Box 3876. %PDF-1.4 % What do I do if a member has an identification card without an alpha prefix ? DAC BCBS of Tennessee CWI Blue Shield of California AHI BCBS of Rhode Island If it is, call the BlueCard Eligibility line 800-676-BLUE (2583) to verify the ID number. Phoenix, AZ 85072, Phone:800-562-1011 Our medical staff reviewed this claim and determined that this admission doesn't meet the criteria for medical necessity. Use search function and put your comment any alpha prefix not found here. Any suggestions. 1 (888) 675-6570 Prescription questions? ABF Healthnow of NY Buffalo Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. 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. If Workers' Compensation denies payment of such claims, Premera will pay according to the subscriber's contract benefits after receiving a copy of a valid denial. Call Customer Service and choose the Pharmacy option. Mail a completed Overpayment Notification form (found in our online library under Forms) and mark the box requesting a voucher deduction to recover the overpayment on future claim payments. ABV Anthem BCBS of Ohio AIA BCBS of Texas DJR Anthem BCBS of Ohio Workers' Compensation will pay when the member's employer is liable to pay medical bills resulting from illness or injury arising out of, or in, the scope of employment. Get immediate member information by phone or fax . 0000008433 00000 n Occasionally, you may see identification cards from members residing abroad or foreign Blue Plan members. We abide by the following COB standards to determine which insurance plan pays first (primary carrier) and which pays second (secondary carrier). Pay or deny 95 percent of a provider's monthly volume of all claims within 60 days of receipt. Blue Cross and Blue Shield of Illinois P.O. Kreyl Ayisyen | Please refer to your electronic billing manual for specific formatting for electronic claims. 0000055046 00000 n If you get the plan specific alpha prefix, then the first two characters in this prefix are used to identify your plan. For more information about RBRVS methodology visit the CMS website. You have five UMP medical plan options: UMP Classic. 0000018886 00000 n ABZ Carefirst BCBS Maryland Interested in joining our provider network? Tennessee. Regence BlueCross BlueShield of Utah is an independent licensee of the Blue Cross and Blue Shield Association. You can also submit claims via mail to our claims address P.O. Eastern WA and Alaska providers submit to Premera. Open 24 hours a day, 7 days a week. 0000011774 00000 n KingCareSMuses a preferred provider organization (PPO) for its network. CZV BCBS of Alabama ADA Anthem Blue Cross of California AGF Anthem BCBS of Ohio You can reach Customer Service by calling 877-342-5258, option 2, or by calling the Customer Service phone number on the back of the member's ID card. AEA BCBS of Texas ABN Anthem BCBS of Virginia They can take note of bcbs alpha prefix online in detail and gain knowledge of how to choose the right alpha prefix. ADT BCBS Minnesota On the other hand, the third character in the prefix is used to find out the product type you have enrolled in. To ensure accurate claim processing, it is critical to capture all ID card data. KingCare - King County | We send the member a questionnaire requesting information to determine if benefits are available. 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)
