highmark bcbs medicare claims address
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Highmark bcbs medicare claims address

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The deductible will vary according to the BCBS plan, patients enrolled in PPO plan may have no applicable deductibles to certain preventive medicine services.

Empire BCBS phone number and claim address updated from different authorized resources and try to keep correct and latest updates. Empire Blue Cross Blue Shield is one of the biggest private insurance companies in United States of America and while working denials and AR-follow up it is very difficult to get the correct Empire BCBS phone number or contact details for information on exact claim status.

The main purpose is creating this list is to provide easy and accessible information at one place. We tried our best to keep all information correct and latest updated for Empire BCBS phone number on this list. If any discrepancy found please let us know from the contact us page and we will try to keep it correct. Table of Contents. When members of Blue Plans arrive at your office or facility, be sure to ask them for their current Blue Plan membership identification card.

The main identifier for out-of-area members is the alpha prefix. Examples of ID numbers:. Do not add or omit any characters from the member ID numbers. Alpha Prefix.

The alpha prefix identifies the Blue Plan or National Account to which the member belongs. To ensure accurate claim processing, it is critical to capture all ID card data. If the information is not captured correctly, you may experience a delay with the claim processing. Please make copies of the front and back of the ID card, and pass this key information to your billing staff. When members from Blue Plans arrive at your office or facility, be sure to ask them for their current Blue Plan membership identification card.

The ID cards may also have:. What do I do if a member has an identification card without an alpha prefix? The Identification cards will include:. Occasionally, you may see identification cards from members residing abroad or foreign Blue Plan members.

These ID cards also will contain three-character alpha prefixes. Please treat these members the same as domestic Blue Plan members. Member identification prefixes were updated as part of that transition. The member identification prefixes for individual Medicare Advantage plans are listed below.

Eastern WA and Alaska providers submit to Premera. As members renew or enroll their individual or group contracts for health care coverage in , they will be presented with a new Highmark branded ID card.

Note: Some members will remain in Blue Cross of Northeastern Pennsylvania health plans until their coverage renews to Highmark health plans later this year. Claims filing information and provider service phone numbers are available in the December, January and February Provider Bulletins. Below is a list of the old and new alpha prefix codes. I'm just looking for the alpha prefix reference list for OHIO but all I keep getting is other states.

Any suggestions. Download the bcbs pdf document which has been at the bottom of the post and you could find prefix for OHIO too. All the contents and articles are based on our search and taken from various resources and our knowledge in Medical billing. All the information are educational purpose only and we are not guarantee of accuracy of information.

Before implement anything please do your own research. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. We will response ASAP. BCBS alpha prefixes list and claim submission address — Updated list.

Healthcare Admistrators -Regence Blue. Blue Advantage Administrators of. HBJ Arkansas. Identifying Members and ID Cards 1. How do I identify members? Some members may carry outdated identification cards that may not have an alpha prefix. Please request a current ID card from the member. Nikki on August 23, at am. Nice to know, this should be useful as a reference… Medicare Missouri. Unknown on March 14, at pm.

Medical Billing on March 15, at am. Di Fraticelli on April 11, at pm. Is the PDF list updated often? Do you still update the PDF list? Unknown on August 29, at pm. Is there any way that I can download the contact with prefix.

Search for:. Medical Billing Update.

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Highmark Blue Cross Blue Shield \

Jun 9,  · To qualify for Medicare, you must be. — A U.S. resident or a legal resident living in the U.S. for at least 5 consecutive years. — Age 65 or older. — People under 65 who have qualifying disabilities like: Permanent kidney failure (end-stage renal disease) requiring dialysis or a kidney transplant. — Amyotrophic lateral sclerosis. WebCall Provider Services at , Monday–Friday, 8 a.m.–5 p.m., with any questions or concerns. Provider Services is here for you and is your first point of contact for Highmark Health Options. When contacting Provider Services, have the following information available: Your name and provider number Patient name and Member ID . WebHighmark Frequently Used Contact Information Authorizations Western Region Only: • Western Region Medicare Advantage HMO claims: • Western Region: , To submit information to credential a provider for one of Highmark Blue Shield’s networks: • In the Western, Central and Eastern PA Regions: fax.