Bcbs network management phone number
Bcbs network management phone number. I have an HMO Illinois®/Blue Advantage HMO SM plan:. Eligibility verification — Prompt 1; Authorizations and precertification — Prompt 2; Claims status — Prompt 3; Provider relations — Prompt 4; Pharmacy department — Prompt 5; Care management — Prompt 6; Inpatient coordination — Prompt 7 Blue Cross Blue Shield of Michigan P. Our Ancillary Provider Network Consultants (PNCs) focus specifically on the services provided by commercial skilled and intermediate nursing facilities, supportive living facilities, home health agencies, hospice, home infusion therapy, durable medical equipment (DME) suppliers, orthotics Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. Mail: Blue Cross NC P. Contact Customer Support by phone or Live Chat. Phone: 1-844-594-5072. Condition Management for Exchange Members: 855-462-1781. Please contact your regional representative to reach the contract management team. Claim status inquiries contact Availity or other electronic connectivity. Pharmacy Prior Authorization. TTY/TDD: Business. Our general phone number is: If you’re a member or healthcare professional, please call the number on your member ID card or Log In to start a Live Chat. 1-806-371-3000 1-800-403-4650 Musculoskeletal prior authorization is required for spinal surgery, joint surgery (hip, knee and shoulder) and pain management. Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711) Contact us for more details about our plans, coverage, costs and more. . Learn More Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. Find information you need to contact BCBSIL. – 5 p. Quincy, MA 02171-9134 Florida Combined Life Insurance Company P. 7901 Wallace Boulevard Amarillo, TX 79124. In the United States, Puerto Rico and U. To reach the right team,please select from below. Blue Choice PPO SM. Claims and clinical appeals address: PO Box 21702 Eagan, MN 55121 ©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. Call for out-of-state Blue Cross and Blue Shield member eligibility and benefits. For commercial non-HMO prior authorization requests handled by Carelon. 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. , Monday through Friday, Pacific Time. Box 9134 N. w/ Physician. Please Select Your State The resources on this page are specific to your state. Medical policies. Fax: 919-765-4349. Care Management. Email: ProviderUpdates@BCBSNC. You can request prior authorization at Availity. Braven Health will no longer offer the following plans beginning January 1, 2024:. Toolkit. Call customer service and web support at 800-607-0546 between 8 a. Provider training modules. m. Virgin Islands. Columbia, SC 29219. Otherwise, please call 800-331-1476 (TTY: 711) Mon-Fri, 8 a. General Member Service Correspondence. BCBS Customer Service. Claim adjustments call 800-451-0287*. 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. Blue Cross Blue Shield of New Mexico Medical Care Management P. BlueCard Eligibility ® Line. Blue Cross Blue Shield of Massachusetts P. 800-676-2583. Get insurance delivered through your local BCBS agency. Physical address: Blue Cross NC 5901 Chapel Hill Road Durham, NC 27707 Connect with member customer service or find the right support resources, including your local Blue Cross and Blue Shield (BCBS) company, general FAQs and media relations contacts. Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 1-800-451-0287 *. Behavioral Health Contact Information. Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. Carelon Medical Benefits Management. 800-777-1643. Provider library Apr 25, 2020 · BCBS Federal Phone Number - FEP List Statewise Mental Health/Substance Abuse Case Management Hospital; Alabama (800) 248-2342 (800) 248-2342 (800) 821-7231: Alaska Dec 1, 2022 · and Authorizations To Discuss Peer-to-Peer: UM Denials. For help with eligibility verification, claims, and general provider questions, please call the appropriate Anthem Blue Cross and Blue Shield (Anthem) phone number below. Phone: 844-730-BLUE (2583) Dermatology Network Phone: 844-222-3535. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. Log in to find contact information specific to your area. Fax: 505-816-3856. Boston Tulsa, OK 74119-3613 (918) 560-3500. O. Credentialing inquiries The credentialing process typically takes 45 days from the time the Credentialing department receives your completed CAQH application. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Box 660712 Review Plan and Network Information. Box 312599 Detroit, MI 48231-2599. Claims Mailing Address. County-level maps of each region available at the end of this document. Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. - Fri. Outside the United States *Select Blue Cross Blue Shield Global™ or GeoBlue if you have additional international coverage and need to find care outside the United States. Phone: 877-783-1385 fepblue. By calling 800-672-7897, Care Management staff are available to assist with arranging care for services for our commercial and State Health Plan membe Explore the Blue Cross Blue Shield Association leadership team. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 Network Management Contact Us Form. Utilization Management. Hours: 800-662-9023, 800-722-6614, 855-343-4851 or Customer service. Blue Cross and Blue Shield of Texas Attn: Enterprise Credentialing PO Box 65067 Dallas, TX 75265-0267; Facility Privileges Requirements for Office-Based Providers. , 8 a. Blue Cross Medicare Advantage (PPO) SM. When we close for a holiday, your call will be routed to CVS Caremark. What's New for 2024. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 Case and Condition management 24 hours a day, 7 days a week: 1-800-313-8628: Highmark EDI Operations Mon. Network Participation Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759-7228 800-336-5696 512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions. Provider Services: Call the number on the back of the member’s ID card or call 800-676-BLUE (2583) to speak to a Provider Service representative. Do not submit duplicate requests. Provider Information Management Forms Provider Information Management Forms are used to maintain provider accounts as well as begin the process of joining Highmark's networks for new practitioners and offices. Box 660712 Dallas, TX 75266-0712. Note that Anthem is also available 24 hours a day, 7 days a week to accept claims, prior authorization requests and more via the Availity* Portal. Call Customer Service at the number listed on your member ID card. Blue Cross and Blue Shield of Oklahoma 1400 S. It’s helpful if you have your provider number or NPI and, if applicable, the member’s ID number, account number and claim number handy when you call. Where to Find Us. For Commercial Claims: Blue Cross and Blue Shield of Oklahoma P. Provider Network Management Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759 Phone: 1-855-212-1615 Fax: 1-512-349-4860 Contact Customer Support by phone or Live Chat. 1-800-992-0246: Independence Administrators Provider Services (direct all inquiries or issues directly to Independence Administrators) 1-888-356-7899: Independence Blue Cross and Highmark Blue Shield Caring Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. If you can’t find the information you need, you’ll get a Fast Path phone number that moves you to the top of the calls received list. and 6 p. Mar 25, 2021 · 2024 Plan Non-Renewals. Call the toll-free number on the back of your member ID card for BCBS customer service. Monday – Friday (8am-5pm) Phone: (505) 837-8800 or toll free at 1-800-567-8540; Fax: 1-866-290-7718. Prior Authorization Services For Fully Insured and ASO; 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 Blue Cross and Blue Shield of Oklahoma (BCBSOK) contracts with physicians and other professional providers to form our provider networks, which are essential for delivering quality, accessible and cost-effective health care services to our members. Read the bios and backgrounds for the leaders of BCBSA. Braven Medicare Plus (HMO) Braven Medicare Access Group (HMO-POS) Find the information you need to contact Aetna, including phone numbers, address, social networks, as well as customized options for members, employers, health care providers, and insurance agents and brokers. Capital Blue Cross Dental. Box 211778 Kansas City, MO 64121-1778 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. org. Fax: 866-589-8254. com . If you are interested in applying to join our provider networks, follow the steps outlined below. For Benefits & Eligibility questions, check Availity first. Box 2291 Durham, NC 27702-2291. com. ET Find contacts you need at BCBSTX. O. 7 a. Box 655924 Dallas, TX 75265-5924. Blue Cross Medicare Advantage (HMO) SM and Blue Cross Medicare Advantage Dual Care (HMO) SM. Box 7355 London, KY 40742 Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. Contact Us. Prior Authorization Services For Fully Insured and ASO; 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 Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. Office Hours 8 a. . ©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. Condition Management: 866-874-0912. Check out the changes and updates to our plan in 2024. We're here to help answer your questions. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 BCBSIL contracts with more than 2,000 independent ancillary providers in Illinois and Northwest Indiana. We provide health insurance in Michigan. For Initial Paper Medicare Claims: Blue Cross Medicare Advantage C/O Claims Department PO Box 3686 Scranton, PA 18505 Payer ID: 66006 We welcome all providers to apply for participation in the Blue Cross and Blue Shield (BCBSTX) networks. Check your network application status: ProviderApplicationStatus@bcbsma. Amarillo. BCBSOK Provider Network Representatives can assist We would like to show you a description here but the site won’t allow us. Apr 23, 2020 · Denials Management – Causes of denials and solution in medical billing; BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) 800-327-3994 The Blue Cross NC Care Management Department works with physicians and members to facilitate the most medically appropriate, cost-effective, quality care for our members. Other contracting questions: Network Management and Credentialing Services 1-800-316-BLUE (2583) Dental providers Dental Network Management 1-800-882-1178; Pharmacy. Please allow 30 days to process your request. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. to 6 p. Certain office-based professional specialties who routinely perform procedures in a facility setting, must have privileges at an in-network facility where those procedures are performed. – Fri. -4:30 p. Federal Employee Program claims Blue Cross Blue Shield of Michigan P. Log in to find contact information specific to your area and plan. We're here to help (651) 662-5200 1-800-262-0820 (toll free) (651) 662-2745 (fax) Mon. Blue Cross and Blue Shield of Oklahoma Provider Network Representatives serve as the liaison between BCBSOK and our independently contracted provider community, developing and maintaining cooperative working relationships with our physicians and other health care providers throughout Oklahoma. Box 310166 Detroit, MI 48231-0166. , Monday-Friday Alexandria Phone (group sales): (318) 448-1660 Phone (individual sales): (318) 442-8107 Physical Address:. BCBSTX contracts with physicians, and other health care professional providers to form our provider networks which are essential for delivering quality, accessible and cost-effective health care services to our members. Universal credentialing. For the following inquiries, please utilize the indicated links: Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759-7228 800-336-5696 512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions. Drugs. Florida Blue is an independent licensee of the Blue Cross and Blue Shield ©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. S. Carelon Provider Portal Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759-7228 800-336-5696 512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions. to 5 p. Highmark's Provider Resource Center is your source for all provider-related information and updates. Box 312500 Detroit, MI 48231-2500. For general inquiries, call 1-800-262-BLUE Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Provider Network Office: Austin. Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759-7228 800-336-5696 512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions. To Request UM: Criteria. Blue Premier SM and Blue Contact Us. Review the information on our plans and networks: Blue Advantage HMO SM Network Participation and Blue Advantage Plus SM HMO. UB-04 claims Blue Cross Blue Shield of Michigan P. Blue Cross Complete claims P. com or by fax at 1-866-747-0587. qmtb jtf qqqhhyqd ifqw wcyzbzx mgyxc ndovbsd wqxui rrzxt gra