Bcbs of michigan provider phone number for claim status
Bcbs of michigan provider phone number for claim status. Use these links to go directly to a section within this document: • Blue Cross commercial provider resources Click Secure Provider Resources (Blue Cross and BCN). Your contact information What is this Settlement about? This settlement, arising from a class action antitrust lawsuit called In re: Blue Cross Blue Shield Antitrust Litigation MDL 2406, N. For government programs claims, if you do not have online access, you may call provider customer service to check claim status or make an adjustment. Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759-7228 1-800-336-5696 1-512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions. To become a network provider under the Aetna EPO program, contact the Provider Relations Department at Aetna Healthcare in Blue Bell, PA. Just keep in mind you'll need to go through the prompts before you're connected to someone. If you don’t have Availity access, you may obtain basic claim status online by completing a claim status request (276 transaction) via your preferred web vendor. Connect to My BCBS in your local region. Access claims information through NaviNet®: Access NaviNet by visiting the mibluecrosscomplete. Power rated #1 in Michigan for Commercial Health Plan Member Satisfaction. To obtain information pertaining to your network status, contact our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a. Use our directories to see the Medicaid providers in our network. Blue Cross, BCN, Blue Cross Complete - Electronic data interchange through Availity: Quick reference for claims submission Author: Blue Cross/BCN Subject: Blue Cross, BCN, Blue Cross Complete - Electronic data interchange through Availity: Quick reference for claims submission Created Date: 8/22/2023 3:28:43 PM Florida Combined Life Insurance Company P. Blue Cross Medicare Advantage SM — 1-877-774-8592 To become an in-network provider under BCBS Blue Card™ PPO program, contact the Provider Relations Department at your local Blue Cross and Blue Shield. The information can be things like claims, remittance advice, patient eligibility and claims status transactions. Blue Cross commercial provider resources You can find additional information about Blue Cross provider resources in the Blue Pages Directory chapter of the Blue Cross Commercial Provider Manual. 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. D. Provider Resource Guide. Contact Customer Support by phone or Live Chat. Behavioral health : Blue Cross commercial products and Medicare Plus Blue ℠ Prior authorization is required for Blue Cross commercial and Medicare Plus Blue members for the following services, unless otherwise noted : Availity ® Essentials is Blue Cross Blue Shield of Michigan and Blue Care Network’s provider portal. Individuals and Families. Blue Cross Blue Shield of Michigan or your local Blue Cross plan will reimburse you. Claim Status; Claim Review Process; Interactive Voice Response (IVR) System Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. Remittance Viewer. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. 2023 Blue Cross and BCN Local Rules for post-acute care (PDF) 2022. com Health Equity | Customer Service 866-212-4721 | memberservices@healthequity. Box 982800 El Paso, TX 79998-2800 For help with the Blue Cross Blue Shield of Michigan’s app, call the App Support team at 1-888-417-3479 8 a. Prior Authorization Lookup Tool. Or you can submit a claim for the services you received. Explore our provider network. If the service is covered by your plan, Anthem pays the claims – sometimes the entire cost or a portion is paid depending on your benefits. Click the . Revised August 2024 . Box 211778 Kansas City, MO 64121-1778 We would like to show you a description here but the site won’t allow us. Monday through Friday. Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. 2:13-cv-20000-RDP (the “Settlement”), was reached on behalf of individuals and companies that purchased or received health insurance provided or administered by a Blue Cross Blue Shield company. Blue Cross and BCN Local Rules non-behavioral health (PDF) 2022 Blue Cross and BCN Local Rules for post-acute care (PDF) Local rules for BCN behavioral health: 2023 To locate a voucher or remittance advice for a Blue Cross Blue Shield of Michigan commercial, Medicare Plus Blue, Blue Care Network commercial or BCN Advantage claim, follow these steps: 1. Apr 23, 2020 · 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 Blue Cross Blue Shield of Michigan providers, explore your help center: learn web-DENIS, sign up for EDI and web tools, appeal a Medicare claim, and more. Box 312599 Detroit, MI 48231 Credentialing, network enrollment and changes Tier 1 PPO Providers (In-Network): Contact the network(s) you participate with for credentialing and network enrollment and changes. navimedix. 2. Find information regarding claims and appeals, care ©1996-2024 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 1-361-878-1623 Fax: 361-852-0624 Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. BCCHP – 877-860-2837. Blue Cross commercial Medicare Plus BlueSM BCN commercial and BCN AdvantageSM Revised July 2024 1 . Log in to find contact information specific to your area and plan. Use the Find a Doctor search tool to locate in-network SmartHealth providers and locations near you. A claims processor will check the claim for completeness, accuracy, and whether the service is covered by your plan. Learn More For professional providers. You cannot charge a patient if you did not submit the claim to us. By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. Blue Cross Complete of Michigan 4000 Town Center Suite 1300 For government programs claims, if you don’t have online access through a vendor, you may call provider customer service to check claim status or make an adjustment: Blue Cross Community Health Plans SM – 877-860-2837; Blue Cross Community MMAI (Medicare-Medicaid Plan) SM – 877-723-7702; Blue Cross Medicare Advantage SM – 877-774-8592 For Providers. If you are a member or work with Blue Cross Blue Shield of Michigan or Blue Care Network, you can find out how to get in touch with us here. 2 Provider Enrollment and Change Self-Service User Guide Section 1: Getting Started What is Provider Enrollment and Change Self-Service? Provider Enrollment and Change Self-Service is a safe, secure electronic online application within Blue Cross Blue Shield of Michigan’s Provider Secured Services portal that makes it easier for groups to keep Providers can access the Health Benefits provider portal or the Small Benefits provider portal. We provide health insurance in Michigan. Remittance Use these numbers for claims and other inquiries for Blue Cross Community Health Plans SM (BCCHP SM), Blue Cross Community MMAI (Medicare-Medicaid Plan) SM and Blue Cross Medicare Advantage SM (HMO and PPO). Have these things handy for each provider listed on the enrollment form: NPI; Group tax ID number or the last four digits of each provider's Social Security number; The provider's primary address and phone number Find coverage J. Feedback. Filing your claims should be simple. bcbsm. What's New for 2024. Then, contact Michigan Enrolls by September 17 to select a new health plan. Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO) Prior Authorizations Lists for Designated Groups; Recommended Clinical Review Option; Prior Authorization Exemptions (Texas House Bill 3459) Claims Filing Tips. It can also send you a copy of your claim's status. Box 982805 El Paso, TX 79998-2805. If you have questions about your health coverage, please call the customer service number on the back of your BCBSM member ID card. 2024 Blue Cross and BCN Local Rules for post-acute care (PDF) 2023. Out-of-state providers. These contacts include claims, customer service, eligibility verification and pharmacy services. Eastern time. Blue Cross Blue Shield of Michigan and Blue Care Network has contracted with Availity ®, an independent company, to offer provider portal and electronic data interchange services for 837, 835, 270/271, and 276/277 transactions. com . com provider self-service page or log in directly at navinet. 7 • Leave Box 37 on the current American Dental Association claim form blank or, if you are submitting . Blue Cross Blue Shield of Michigan doesn't directly handle credentialing for providers. Lawrence, Tompkins Find your local BCBS company to log in. 3. For assistance with NaviNet, call NaviNet Customer Care at 1-888-482-8057. Documents and forms for noncontracted or non-Michigan providers. O. Note: It can take up to 30 days for a claim to be processed. Explore group, individual, Medicare and more. Access your benefits, replace a card and find information about your coverage. We're always available to answer questions and to help you and your employees get the most out of your Blue Cross Blue Shield health plan benefits. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. com We would like to show you a description here but the site won’t allow us. This document provides contact information for Blue Cross Blue Shield of Michigan and Blue Care Network departments and contracted vendors. Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711). Blue Cross Blue Shield of Michigan P. SM . To reach member customer service, call the 800 number on the back of the member’s identification card. To demonstrate Send claims to: Blue Cross and Blue Shield of Minnesota Document Processing Center P. Provider Demographic Updates Brian Fetterly (315) 731-9671 brian. Get access to your provider portal. Please Select Your State The resources on this page are specific to your state. com*). Amarillo. To access the manual: 1. Agents. in the menu bar and then click . Medicare. Ala. Member Advisory Council; News; Careers; Contact Us; Contact Us. We’re here to make your job easier. Find out if a service needs prior authorization. The Resource Guide (PDF) provides the most commonly used contacts for Blue Cross Complete. If your claim did not process the way you anticipated, it is important that you do not submit a duplicate claim for the same patient ©1996-2024 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association. Enroll today. Navigating health care can be overwhelming. COVERAGE AREA - CNY: Cayuga, Cortland, Jefferson, Lewis, Onondaga, Oswego, St. Check out the changes and updates to our plan in 2024. m. As a provider participating in our network (“provider” or “network provider”), we value your services and are committed to making your experience with CareCentrix positive and successful. 0712 P. ©1996-2024 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association. Jun 3, 2024 · Electronic claims: Call Availity 1-800-282-4548 for assistance. If you don't have a user ID and password for the provider portal, you'll need to enroll as a Blue Cross Blue Shield of Michigan Submit claims within one calendar year of the date of service or we cannot pay for the service. Prior authorization requirements for Michigan and non-Michigan providers for Blue Cross commercial and Medicare Plus Blue SM (PDF) PENNSYLVANIA: • Western Region: o Medical Services: Professional Providers 800-547-3627; Facilities 800-242-0514 o Behavioral Health: 800-258-9808 Blue Cross and Blue Shield of Michigan (BCBSM) Plans | Blue Health Connection Nurse Line 800-775-2583 | Customer Service 866-917-7537 | www. Providers. Click the Forms menu and make the appropriate selection. 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. For Blue Cross commercial and Medicare Plus Blue. Master File No. Whether you need help filing a claim or Comments or Questions for Us? If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. com. Michigan and non-Michigan providers . Advanced Primary Care providers. Federal Employees Health Benefits. Log in to our provider portal (availity. Reminder: Don’t Submit Duplicate Claims. fetterly@excellus. Michigan Help Center: Important contact information for Blue Cross Blue Shield of Michigan. Blue Cross Complete is coming to northern Michigan. For more than 30 years, we’ve been a leader in providing whole-person care to patients with Original Medicare, Medicare Advantage, Medicaid, or group and private health plans. Both Trustmark provider portals contain benefit and claim information. 3 . Through the site, you can: Check member eligibility and benefits; Check claim status; View remittance advice and vouchers; Determine if a prior authorization or referral is required and link to the appropriate application to submit the request We would like to show you a description here but the site won’t allow us. The program doesn't include dental providers. The Plan encourages all providers to submit claims electronically. Send adjustments and appeals to: Blue Cross and Blue Shield of Minnesota Document Processing Center P. to 8 p. Employers. Box 491 Milwaukee, WI 53201-0491 Blue Cross Blue Shield of Michigan Attn: FEP Dept. Click Payer Spaces on the menu bar and then click the BCBSM and BCN logo. Claims and Payments. Click . Blue Cross Blue Shield of Michigan or your local Blue Cross plan will send you the remittance advice. How can I check credentialing status? Call us at 1-800-822-2761. Type a Current Procedural Terminology, or CPT, code or a Healthcare Common Procedure Coding System, or HCPCS, code in the space below to get started. You can use Availity to submit and check the status of all your claims and much more. This program is available for out-of-state providers who receive payments from Blue Cross Blue Shield of Michigan for Medicare crossover claims. MMAI – 877-723-7702. For those interested in electronic claim filing, contact your EDI software vendor or Change Healthcare’s Provider Support Line at 1-800-845-6592 to arrange transmission. Medicare Advantage – 877-774-8592.
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