Bcbs of michigan provider phone number for claim status

Bcbs of michigan provider phone number for claim status. Providers can access the Health Benefits provider portal or the Small Benefits provider portal. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Provider Inquiry is for registered, nonregistered and out-of-state providers. Contact 2024-09-05T10:34:14-04:00 Member Service Center Monday – Friday, 8 a. Aug 22, 2024 · Professional (including COB claims) Claims Division Blue Cross Blue Shield of Michigan P. View your electronic remittance advice (835 Claims for durable medical equipment/prosthetics & orthotics and medical supplies To verify supplier eligibility, please call Blue Cross Provider Inquiry at the general inquiries number above. 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 ©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 Complete is coming to northern Michigan. in the menu bar and then click . 336. to 9 p. MMAI – 877-723-7702. After submitting a claim, you can check the status online via Availity Claim Status Tool or your preferred web vendor. Box 310166 Detroit, MI 48231-0166 . com 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. dentaquest. Register online to access your Blue Cross Blue Shield of Michigan account, view your health insurance details, find doctors, check claims, and more. 3 . 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. Out-of-state providers. Claims Mailing Address. Whether you need help filing a claim or What's New for 2024. 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. Connect to My BCBS in your local region. Paper claim forms MUST be on RED-INK forms Institutional claims (UB-04): OMB-0938-0997 in the lower right hand corner Professional claims (CMS-1500): OMB-0938-1197 in the lower right hand corner Electronic Claims Electronic claims can be submitted through he DEG (Data Exchange Gateway) or Providers Work with Us. Explore our provider network. Individuals and Families ©1996-2024 Blue Cross Blue Shield of Michigan and Blue Care Network are How can I check credentialing status? Call us at 1-800-822-2761. Blue Cross and Blue Shield of Oklahoma 1400 S. Blue Cross commercial Medicare Plus BlueSM BCN commercial and BCN AdvantageSM Revised July 2024 1 . Michigan providers can either call or write to make an appeal or file a payment dispute. fetterly@excellus. Power rated #1 in Michigan for Commercial Health Plan Member Satisfaction. Verify your patients’ eligibility and benefits. Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. Claims and Payments. Blue Shield of California Provider Services: Phone: (800) 541-6652, 24 hours a day, seven days a week Blue Shield of California Promise Health Plan Provider Services: Status of a provider enrolling in our system When to use a change form instead of an enrollment form Call 1-800-924-7141 or email Contracts_Reqs_GM@bcbst. Access claims information through NaviNet®: Access NaviNet by visiting the mibluecrosscomplete. 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. Availity ® Essentials is Blue Cross Blue Shield of Michigan and Blue Care Network’s provider portal. Blue Cross ®, Blue Shield ® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. The program doesn't include dental providers. Box 44405 Detroit, MI 48233-9998. The name of the doctor or specialist you saw for this claim. 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. Business office locations Grand Rapids corporate headquarters. Forms, drug information, plan information education and training. Contact Customer Support by phone or Live Chat. Box 655924 Dallas, TX 75265-5924. Click . The Plan encourages all providers to submit claims electronically. for. 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. navimedix. 0712 P. Learn more about Claim Status. If you need help choosing a plan, you can talk to one of our health plan advisors by calling: 1-888-563-3307 TTY users: 711 8 a. CareCentrix does not own the various third-party websites referenced in this manual and makes no representation relating to the content or accuracy of information contained therein. Find out if a service needs prior authorization. 2. 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 and Blue Care Network have contracted with CareCentrix to manage the authorization of home health care for Medicare Advantage members. Physicians and professionals: 1-800-344-8525; Hospitals or facilities: 1-800-249-5103 Provider Resource Guide. Jun 3, 2024 · Electronic claims: Call Availity 1-800-282-4548 for assistance. To request a provider application, check application status, add a new location or update provider information, please use one of the following methods: Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. This program is available for out-of-state providers who receive payments from Blue Cross Blue Shield of Michigan for Medicare crossover claims. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex Blue Advantage ® /Part D Provider Inquiry: 1-877-878-8668; Other. com*). ET Monday through Friday ©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. Your daytime phone number. Eastern time. To become a network provider under the Aetna EPO program, contact the Provider Relations Department at Aetna Healthcare in Blue Bell, PA. Log in to find contact information specific to your area and plan. Master File No. Brian Fetterly (315) 731-9671 brian. Additionally, you can verify the descriptions for any claim denials. Blue Cross Completes of Michigan offers its providers a variety of programs and member benefits offers. Get paid faster. Payers across the country have selected Availity Essentials™ as their exclusive provider portal, leveraging the power of Availity’s network and platform to improve provider collaboration. D. Just keep in mind you'll need to go through the prompts before you're connected to someone. The PRC offers resources to assist in the treatment of your Highmark patients, such as prior authorization requirements, credentialing information, medical policies, pharmacy information, and much more. Click the . For Initial Paper Medicare Claims: Blue Cross Medicare Advantage C/O Claims Department PO Box 3686 Scranton, PA 18505 Payer ID: 66006 Blue Cross Blue Shield of Michigan P. Blue Cross Medicare Advantage SM — 1-877-774-8592 To obtain information pertaining to your network status, contact our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a. Providers who wish to have inquiry-only access to our system for conducting eligibility and claim status inquiries must also submit this form. 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. Providers must include the three-character prefix found on the member’s ID We would like to show you a description here but the site won’t allow us. to 5 p. Check out the changes and updates to our plan in 2024. 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 : Get answers to questions, access real-time patient information, check claims status, enter and view authorizations, and more. Submit prior authorization requests. Blue Shield of California Pharmacy Services P. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available. These contacts include claims, customer service, eligibility verification and pharmacy services. Use these links to go directly to a section within this document: • Blue Cross commercial provider resources Providers. Jan 3, 2024 · BCBS of Michigan Provider Phone Number: 800-344-8525: BCBS Minnesota Provider Phone Number: 800-262-0820: Blue Cross Blue Shield of Mississippi: 800-257-5825: Anthem BCBS Missouri: 888-571-9054: BCBS of Kansas City Provider Phone Number: 800-892-6048: Blue Cross Blue Shield Montana: 800-447-7828: BCBS Nebraska Provider Phone Number: 800-635 Under the standard internal grievance process, which includes a managerial-level conference, Blue Cross Blue Shield of Michigan must provide you with our final written determination within 60 calendar days of our receipt of your written grievance, unless you grant us additional time. 0013. This can be found on the front of your Blue Cross ID card. 27777 Franklin Road, Suite 1300 This additional form will provide more information specific to the claim. Create a prism account to begin the credentialing process to join Priority Health networks. If you have questions about your health coverage, please call the customer service number on the back of your BCBSM member ID card. 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. Search Contact Center. Ala. Box 312599 Detroit, MI 48231-2599. Learn More Federal Employees Health Benefits. We provide health insurance in Michigan. Medicare Advantage and Community Plan 800-600-9007. For help with the Blue Cross Blue Shield of Michigan’s app, call the App Support team at 1-888-417-3479 8 a. 3. For assistance with NaviNet, call NaviNet Customer Care at 1-888-482-8057. Health plan support All Savers® Health Plan 800-291-2634. Provider onboarding. Availity is a multi-payer provider portal through which health care providers can look up member eligibility and benefits or claim status for patients with coverage through different health plans. Then, contact Michigan Enrolls by September 17 to select a new health plan. search. Access your benefits, replace a card and find information about your coverage. Apr 23, 2020 · BCBS Provider Phone Number; Alabama: Premera Blue Card Provider Phone Number: 888-261-9562 (Claims) 800-676-2583 (Facilities - Outside of Michigan) For professional providers. Find coverage J. 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. Medicare Advantage – 877-774-8592. You cannot charge a patient if you did not submit the claim to us. Box 491 Milwaukee, WI 53201-0491 Blue Cross Blue Shield of Michigan Attn: FEP Dept. Agents. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Resources to help you provide quality care to patients with Priority Are you a behavioral health provider? We encourage behavioral health providers to join the Independence Blue Cross behavioral health network. Box 49 Detroit, MI 48231 Healthy Kids Dental Mail to: Blue Cross Blue Shield of Michigan P. Included on this page are Change and Enrollment forms as well as Michigan Department of Health and Human Services forms. Provider Programs. Blue Cross Blue Shield of Michigan Attn: Provider Appeals P. For Blue Shield providers. Enroll today. We value you as a member and look forward to working with you to provide quality services. View claim status. Blue Cross Blue Shield of Michigan or your local Blue Cross plan will reimburse you. Navigating health care can be overwhelming. 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). com . For Blue Cross commercial and Medicare Plus Blue. If you meet the criteria to balance bill your patient, Blue Cross will reprocess your claim as a non-surprise bill. Member Advisory Council; News; Careers; Contact Us; Contact Us. Call us to connect with a member service specialist at 800. Click the Forms menu and make the appropriate selection. Both Trustmark provider portals contain benefit and claim information. Forms for Providers. It can also send you a copy of your claim's status. 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 Blue Cross commercial Medicare Plus BlueSM BCN commercial and BCN AdvantageSM Revised July 2024 1 . com Provider Manual. Get access to your provider portal. File claims electronically. Submit it to: Blue Cross Blue Shield of Michigan Federal Surprise Billing Dispute Imaging and Support Services P. com provider self-service page or log in directly at navinet. Revised August 2024 . This document provides contact information for Blue Cross Blue Shield of Michigan and Blue Care Network departments and contracted vendors. Get information on your policy using the state website found on your membership ID card. Boston Tulsa, OK 74119-3613 (918) 560-3500. For Commercial Claims: Blue Cross and Blue Shield of Oklahoma P. Filing your claims should be simple. Find information regarding claims and appeals, care We would like to show you a description here but the site won’t allow us. Phone: (800) 468-9935 Claims will NOT be accepted via fax. Call 1-866-309-1719 or write to us using the following address: Blue Cross Blue Shield of Michigan’s Medicare Plus BlueSM PPO Provider Manual Revised January 1, 2022. ©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. Phone: (800) 535-9481. Federal Employee Program claims Blue Cross Blue Shield of Michigan P. Other Blue Cross and Blue Shield Plans Outside Alabama: 1-800-676-2583; Provider Enrollment/Credentialing. Blue Cross Blue Shield of Michigan doesn't directly handle credentialing for providers. Remittance Viewer. Box 49 Detroit, MI 48231 Dental Provider Summary Guide Claim Status. Documents and forms for noncontracted or non-Michigan providers. com. UnitedHealthcare Oxford Health Plan 800-666-1353 Blue Cross Complete helps promote the delivery of high-quality care in a cost-effective manner by supporting the efforts of Blue Cross Complete-affiliated providers with programs such as care management and chronic conditions management. By taking advantage of a multi-payer provider portal, you not only free up internal resources to focus on mission-critical activities, but you leverage This form authorizes Carelon Behavioral Health to receive and process claims electronically and certifies that claims will comply with all laws, rules, and regulations governing your contract with us. Oct 5, 2021 · For more information about the PCC, please go to the "Provider Call Center Phone Options" section of our Customer Service page. Explore group, individual, Medicare and more. 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 Comments or Questions for Us? If you have comments or questions, we want to help you. For Blue Shield Promise providers. Box 491 Milwaukee, WI 53201-0491 Fax to: 1-262-834-3452 Mail to: Federal Employee Program Blue Cross Blue Shield of Michigan P. For Blue Cross Provider Portal Registration and Daily Log-in visit provideraccess. • DME suppliers: File claims with the ©2022 – Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We would like to show you a description here but the site won’t allow us. . • Independent labs: File claims with the Blue plan in the state where the ordering physician is located. Blue Cross Blue Shield of Michigan or your local Blue Cross plan will send you the remittance advice. Interactive Voice Response (IVR): 877-288-7600. Before you call, make sure you have the following information: Your subscriber ID number, formerly known as enrollee ID. The cards include a magnetic stripe on the back to provide easier access to eligibility and benefit information. To obtain benefits, eligibility, or adjust a claim. 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. Michigan Help Center: Important contact information for Blue Cross Blue Shield of Michigan. 2024 Blue Cross and BCN Local Rules for post-acute care (PDF) 2023. Availity 800-282-4548: Eligibility and Benefits Get in touch with your local Blue Cross and Blue Shield company. Use our directories to see the Medicaid providers in our network. Please Select Your State The resources on this page are specific to your state. Send feedback index. Box 312500 Detroit, MI 48231-2500. Monday through Friday. 800-835-8699: Availity ® Register with Availity to verify eligibility and benefits, submit prior authorization requests, obtain claim status, view provider claim summaries and more. SM . com Health Equity | Customer Service 866-212-4721 | memberservices@healthequity. com; Paper Claims can be mailed to: For Blue Dental and Medicare Advantage claims Blue Cross Blue Shield of Michigan Attn: Claims PO Box 49 Detroit, MI 48231; For Blue Cross Healthy Kids claims Blue Cross Blue Shield of Michigan Attn: Claims PO Box 491 Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. Claim Status; Claim Review Process; Interactive Voice Response (IVR) System Contact Name Phone/E-mail/URL; Provider Service Unit. COVERAGE AREA - CNY: Cayuga, Cortland, Jefferson, Lewis, Onondaga, Oswego, St. Fax: (888) 697-8122. m. Use the IVR to request routine claim status, beneficiary eligibility and payment information, or to request a duplicate remittance advice. 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. 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 ©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 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. Michigan and non-Michigan providers . Box 7168 San Francisco, CA 94120-7168. to find the most recent information. Blue Cross Complete claims Blue Cross Blue Shield of Michigan and Blue Care Network use Availity Essentials as our provider portal. You can use Availity to submit and check the status of all your claims and much more. Blue Cross and Blue Shield of Michigan (BCBSM) Plans | Blue Health Connection Nurse Line 800-775-2583 | Customer Service 866-917-7537 | www. shtml Explore resources that help healthcare professionals care for Anthem members. 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). Amarillo. Log in to our provider portal (availity. Prior authorization requirements for Michigan and non-Michigan providers for Blue Cross commercial and Medicare Plus Blue SM (PDF) 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. Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association. Each is aimed at achieving the highest level of health for our members. 1231 East Beltline Ave NE Grand Rapids, MI 49525-4501. Provider Demographic Updates The information can be things like claims, remittance advice, patient eligibility and claims status transactions. UB-04 claims Blue Cross Blue Shield of Michigan P. Lawrence, Tompkins ©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. To reach member customer service, call the 800 number on the back of the member’s identification card. Start Using Availity Availity is BCBSWY’s secure Provider Portal to help you manage the care of your patients online with less paperwork, fewer faxes and reduced phone time. Join our networks. Submit claims within one calendar year of the date of service or we cannot pay for the service. BCCHP – 877-860-2837. Highmark's Provider Resource Center is your source for all provider-related information and updates. 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. Blue Cross Complete of Michigan offers its providers a variety of programs and member benefit offerings. Southfield office. The overall well-being of your patients is important to us, including their physical health, behavioral health, and equitable access to care. Note: It can take up to 30 days for a claim to be processed. 2023 Blue Cross and BCN Local Rules for post-acute care (PDF) 2022. 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 Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711) This allows you to access self-service tools or connect to a chat advocate for support. Use the Find a Doctor search tool to locate in-network SmartHealth providers and locations near you. 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. The Resource Guide (PDF) provides the most commonly used contacts for Blue Cross Complete. Visit our provider onboarding center. to 8 p. By checking claim status, you can verify if your claim has been received, pended or finalized. Remittance Prior Authorization Lookup Tool. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. Access the provider portal Become a provider Find your local BCBS company to log in. For episodes of care starting on or after June 1, 2021, providers need to request prior All Blue Cross Blue Shield Association (the national organization for all Blue plans) cards have a similar look and feel, which promotes nationwide ease of use. bcbsm. These forms help providers participate with Blue Cross Complete of Michigan as well as the state of Michigan. O. 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 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. We offer two ways to find patient eligibility information — by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. We’re here to make your job easier. wlchos irm ilhoa glmmzn jbplae ypcr bzibvja cfhawb xepfc gclmilb