Bcbs network management phone number

Bcbs network management phone number. Universal credentialing. 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 BCBSIL contracts with more than 2,000 independent ancillary providers in Illinois and Northwest Indiana. Monday – Friday (8am-5pm) Phone: (505) 837-8800 or toll free at 1-800-567-8540; Fax: 1-866-290-7718. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. 800-676-2583. com. , Monday through Friday. 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. Read the bios and backgrounds for the leaders of BCBSA. When we close for a holiday, your call will be routed to CVS Caremark. NurseHelp 24/7 SM for Blue Shield of California members. Pharmacy Prior Authorization. Make sure your provider, referred doctor or specialist is part of the Tier 1 network or you may pay more out-of-pocket. Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. LifeReferrals 24/7 SM (doesn't apply to Blue Shield 65 Plus) Phone; (800) 985-2405 . Capital Blue Cross Dental. Our provider network covers all 95 counties of the state of Tennessee and beyond. It also means not having to worry if a check is lost, stolen or damaged. to 9 p. to 8 p. 2. For commercial non-HMO prior authorization requests handled by Carelon. 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. Explore resources that help healthcare professionals care for Anthembluecross members. This results in faster payment than paper checks. Box 9134 N. Carelon Medical Benefits Management. We encourage behavioral health providers to join the Independence Blue Cross behavioral health network. Premera Blue Cross HMO. Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. First time CAQH users. 1-806-371-3000 1-800-403-4650 Phone: (800) 541-6652 ; Blue Shield mental health service administrator for HMO and PPO commercial plan members Maternity management . Fax: 919-765-4349. Check your network application status: ProviderApplicationStatus@bcbsma. For Initial Paper Medicare Claims: Blue Cross Medicare Advantage C/O Claims Department PO Box 3686 Scranton, PA 18505 Payer ID: 66006 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. Things to remember before visiting a provider: 1. Columbia, SC 29219. County-level maps of each region available at the end of this document. to 5 p. Anthem provides one convenient number for all provider questions and inquiries, including: Behavioral health; Case management; Claims; Credentialing and recredentialing; Eligibility and benefits; Grievances and appeals; Medical management; Precertification Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. 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. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 Blue Cross and Blue Shield of Oklahoma 1400 S. Note: When submitting an email inquiry, please include your tax identification number (TIN) and/or Organizational NPI number. 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 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. (NIA) to provide medical necessity reviews and prior authorization for advanced imaging, and spine and pain management. Highmark's Provider Resource Center is your source for all provider-related information and updates. , ET, Monday through Friday. Provider Network Office: Austin. Amarillo. Behavioral Health Contact Information. 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. Claim status inquiries contact Availity or other electronic connectivity. Members, set up your HMA account so you can access tools and resources to help you manage your health and your health benefits. Carelon Provider Portal Blue Cross Blue Shield of Michigan P. You can also find other ways to reach us, such as phone numbers, mailing addresses and email addresses. Sometimes you may need to get approval from Blue Cross and Blue Shield of Texas before we will cover certain inpatient, outpatient and home health care services and prescription drugs. Find information you need to contact BCBSIL. m. Box 2291 Durham, NC 27702-2291. Log in to find contact information specific to your area. Box 312500 Detroit, MI 48231-2500. Blue Cross Blue Shield of Massachusetts P. 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. The ASAM Criteria ®, ©2021 American Society of Addiction Medicine Blue Shield of California is contracted with National Imaging Associates, Inc. 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 Utilization Management. Our provider networks and programs work together in delivering benefits and quality health care for your patients. Boston Tulsa, OK 74119-3613 (918) 560-3500. 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 All BCBSOK providers must have a CAQH Provider ID to register and begin the credentialing process. ©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. , ET, 7 days a week. , Monday-Friday Alexandria Phone (group sales): (318) 448-1660 Phone (individual sales): (318) 442-8107 Physical Address: For help with this process, you can go to Network Management then click on "Network Management Contact Information" in the Network Management section. Call Customer Service at 844-722-4661, 8 a. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. 1, 2024 Comal, McLennan, and Rockwall Mar 25, 2021 · Horizon BCBSNJ's Utilization Management Program is a coordinated and comprehensive program designed to achieve medically appropriate and cost-effective delivery of health care services to members within the parameters of the benefits available under each member's benefit contract. We value you as a member and look forward to working with you to provide quality services. Our general phone number is: We welcome all providers to apply for participation in the Blue Cross and Blue Shield (BCBSTX) networks. O. 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 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 Phone: 877-783-1385 fepblue. Phone: (800) 468-9935 Monday through Friday, 8 a. I have an HMO Illinois®/Blue Advantage HMO SM plan:. Musculoskeletal prior authorization is required for spinal surgery, joint surgery (hip, knee and shoulder) and pain management. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. com . com or by fax at 1-866-747-0587. External Provider Relations Representatives: External Provider Relations Representatives host meetings with contracting providers to offer trainings on our provider portal and share payer resource information. Claim adjustments call 800-451-0287*. O. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. From April 1 to September 30, you can call us from 8 a. We are here to help you with any questions or concerns you may have about your network participation, credentialing, contracting or claims. Call Utilization Management at 855-339-8127, 9 a. Get insurance delivered through your local BCBS agency. For Commercial Claims: Blue Cross and Blue Shield of Oklahoma P. 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. Find contacts you need at BCBSTX. Carelon Provider Portal. Jun 11, 2024 · Provider Information Management forms are used to maintain provider accounts as well as begin the process to join Highmark's networks for new practitioners and offices. – Fri. Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. Box 312599 Detroit, MI 48231-2599. Federal Employee Program claims Blue Cross Blue Shield of Michigan P. Population Health Management program for Blue Shield Promise members. PEAR portal. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. To help support our members, we've compiled these resources to find in-network mental health providers currently accepting new patients, access virtual care, and more. Drugs. Please Select Your State The resources on this page are specific to your state. . Group/Practice Providers. 800-777-1643. Other contracting questions: Network Management and Credentialing Services 1-800-316-BLUE (2583) Dental providers Dental Network Management 1-800-882-1178; Pharmacy. We would like to show you a description here but the site won’t allow us. Box 3248 Omaha, NE 68180 402-390-1820 Find an in-network behavioral health professional near you in Texas And the help you need to improve your mental health and overall well being. Phone: (877) 304-0504 General Member Service Correspondence. Box 65067 Dallas, TX 75265-0267; Hospital Privileges Requirements. Condition Management: 866-874-0912. Quincy, MA 02171-9134 Contact Customer Support by phone or Live Chat. Explore resources that help healthcare professionals care for Anthem members. Customer Service Representatives are available 8 a. Medical policies. To help North Carolinians know who is eligible and how to apply, the North Carolina Department of Health and Human Services (NCDHHS) has a website that contains a bilingual toolkit and a sign-up form to stay updated on the most current information about how Contact Us – Use the information shown here to call or email us with questions about the Blue Cross Community Centennial Plan. Email: ProviderUpdates@BCBSNC. Network Participation Utilization Management. Explore the BlueCard Program Need help with Provider Connection? Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. What's New for 2024. Learn More ©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. Florida Blue is an independent licensee of the Blue Cross and Blue Shield Case and Condition management 24 hours a day, 7 days a week: 1-800-313-8628: Highmark EDI Operations Mon. Members who have medical coverage under Independence Blue Cross can contact Customer Service with any questions. Tap into the Provider Engagement, Analytics & Reporting (PEAR) portal, our secure online provider gateway that allows real-time transactions between Independence Blue Cross and your office. Phone: 844-730-BLUE (2583) Dermatology Network Phone: 844-222-3535. Care Management. – 5 p. Electronic Funds Transfer (EFT) allows providers to receive electronic payments directly in their bank account. If you are part of a group practice that is contracted with Optum/OHBS-CA, please consult with your group administrator regarding joining the network. Physical address: Blue Cross NC 5901 Chapel Hill Road Durham, NC 27707 Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 1-800-451-0287 *. Register with or log into Availity here. These terms all refer to the requirements that you may need to meet before treatment may Use the Find a Doctor search tool to locate in-network SmartHealth providers and locations near you. Fax: 505-816-3856. Contact Customer Service. Home - Horizon Blue Cross Blue Shield of New Jersey - NJ Health Insurance Plans Check-in Time: Don't forget to schedule an annual well exam Keep you and your family healthy with preventive care screenings from an in-network doctor or health care professional. 7 a. 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. Call Customer Service at the number listed on your member ID card. If you are not registered with CAQH and are a first-time user, when you apply for network participation, we will add your name to our roster with CAQH. Medicaid Expansion Tools and Resources. , Monday through Sunday. Send feedback Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711) 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. 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. ©1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Omaha Headquarters 1919 Aksarben Drive Omaha, NE 68106 (Wheelchair accessible) P. to 6 p. -4:30 p. From October 1 to March 31, you can call us from 8 a. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Box 660712 Contact Us. Office Hours 8 a. The overall well-being of your patients is important to us, including their physical health, behavioral health, and equitable access to care. Log in to find contact information specific to your area and plan. Your mental health is essential to your overall well-being. For Benefits & Eligibility questions, check Availity first. Mental Health is health. org. Condition Management for Exchange Members: 855-462-1781. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 For help with eligibility verification, claims, and general provider questions, please call the appropriate Anthem Blue Cross and Blue Shield (Anthem) phone number below. Call for out-of-state Blue Cross and Blue Shield member eligibility and benefits. 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 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. 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 If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. Provider library Musculoskeletal prior authorization is required for spinal surgery, joint surgery (hip, knee and shoulder) and pain management. 7901 Wallace Boulevard Amarillo, TX 79124. Blue Cross and Blue Shield of Texas Attn: Enterprise Credentialing P. Blue Cross Complete claims P. Navigation. For help with eligibility verification, claims, and general provider questions, please call the appropriate Customer Care Center phone number below. , 8 a. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to Blue Shield of California. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. , Monday – Friday. UB-04 claims Blue Cross Blue Shield of Michigan P. - Fri. This is called prior authorization, preauthorization or prior approval. Arizona Help Center: Important contact information for Blue Cross and Blue Shield of Arizona. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Jul 12, 2024 · Outpatient services. Mail: Blue Cross NC P. Health care providers and administrators, get access to verify eligibility and benefits, submit claims, and more. Toolkit. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Blue Cross and Blue Shield of Texas launched MyBlue Health, an HMO network, as noted below in the following counties: Jan. Box 310166 Detroit, MI 48231-0166. To reach the right team,please select from below. For help with Blue Premier registration or account management, please contact your account administrator. Such as durable medical equipment, pain management, home health care, orthotics, formula, speech therapy, occupational therapy, and physical therapy Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. Blue Shield offers Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. Claims Mailing Address. As of December 1, 2023, more North Carolinians are able to get health coverage through Medicaid. Premera Blue Cross Medicare Advantage Plan. Anthem Blue Cross and Blue Shield (Anthem) contacts Anthem Provider Services. Call Customer Service at 888-850-8526, 8 a. Most out-of-network services require utilization management review. Box 655924 Dallas, TX 75265-5924. BCBSNM Member Services: If you have questions about the Blue Cross Community Centennial Plan, we can help. Provider training modules. Box 7355 London, KY 40742 If you are a provider in the Austin area and need to contact BCBSTX Network Management, you can use this online form to submit your inquiry. company that provides utilization management services for Blue Cross and Blue Shield of Texas Where to Find Us. , Find information and contacts . Service Number; Arkansas Blue Cross Doctor and Hospital Service: 501-378-2307 or 800-827-4814 (Arkansas policies only) BlueCard® Service: 800-810-BLUE (2583): The BlueLine: 800-676-BLUE (2583) Jul 1, 2024 · What Is a Dual Special Needs Plan? CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP) is a Medicare Advantage plan that provides coverage for people who have both Medicare and Medicaid status. 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. ©2024 – 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're here to help answer your questions. Phone: 1-844-594-5072. 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 Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. The requirements for hospital/clinical admitting privileges are determined by the professional provider's specialty/provider type. You can request prior authorization at Availity. Fax: 866-589-8254. Check out the changes and updates to our plan in 2024. Note that Anthem is also available 24/7 to accept claims, prior authorization requests, and more via the Availity Portal. We provide health insurance in Michigan. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 361-878-1623 Fax: 361-852-0624 We're here to help (651) 662-5200 1-800-262-0820 (toll free) (651) 662-2745 (fax) Mon. Box 660712 Dallas, TX 75266-0712. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. 844-765-5157. m to 9 pm. Please contact your regional representative to reach the contract management team. Contact us for more details about our plans, coverage, costs and more. To ask about what your plan covers, find a provider, change your PCP, and more, just call us. Office Locations Omaha Headquarters. BlueCard Eligibility ® Line. Contact Customer Support by phone or Live Chat. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. Contact Us. Contact Customer Care at 1-800-869-7093 Monday through Friday, 6:00 AM – 6:00 PM PT Everything all in one place with HMA. BCBSOK Provider Network Representatives can assist Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. 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. Provider Support There are several teams available to our network providers to help with network participation, credentialing, educational resources, electronic services and more. If you have any problems logging in to the Blue e network or Blue Premier, please call the eSolutions HelpDesk at 1-888-333-8594 Option 1 or your system administrator. Contact Us National Information Center 1 (800) 411-BLUE TTY users should call: 711. Explore the Blue Cross Blue Shield Association leadership team. 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