regence claims address

The employer group name is usually associated with the alpha prefix of the account specific health insurance type. How do I identify international members? Identifying members Easily identify the kind of coverage our members have. from receipt of the information. AEX BCBS of IL Blue Cross and Blue Shield of Illinois (BCBSIL) members ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have been updated. Box 91102 Need help with a claim? (Note: Claims received with an ICD-9 code will be rejected with a notice to re-bill using ICD-10.) 0000010898 00000 n Atlanta, GA 30348-5557. ACX BCBS of IL You have 365 calendar days to submit a complaint following the action that prompted the complaint. Prompt Pay interest is currently calculated monthly for the previous month's paid claims. 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. Primary submission: Show all insurance information on the claim, and then submit the claim to the primary plan first. Stay up to date on what's happening from Bonners Ferry to Boise. ADM BCBS of IL BCBS Prefix List ZAA to ZZZ - Alpha Lookup by State 2022 | Who do I contact for EDI questions? Electronic claims without a TIN are rejected as incomplete. For complete plan details, seeBenefits Summaries. For Providers | Regence Group Administrators | Healthcare Benefits 1-877-764-8724 Email Us. CWQ Anthem BCBS of Ohio QMG SG OFF Exchange. Use search function and put your comment any alpha prefix not found here. 0000004716 00000 n Availity. This is worthwhile to avoid selecting the alpha prefix randomly. If that dialog box did not appear, click the "(change)" link next to the "ZIP code" label. Lewiston, ID 83501 . Regence The Identification cards will include: ** The three-character alpha prefix at the beginning of the members ID number For Example: XYZ123456789. CWA Carefirst BCBS Washington DC CVK BCBS of Florida Before discussing member claim information, the Customer Service representative must verify the identity of the caller. YDW Retail OFF Exchange 0000004941 00000 n ADY BCBS of South Carolina However, fax submission is allowed at the ollowing fax numbers: 866-365-5504 or 303-764- 7123 for BCBS OF CA AND BCBS OF CO. We may send a questionnaire to the member regarding possible duplicate coverage. We do not request refunds for overpayments less than $25, but you may submit these voluntarily. Pay or deny 95 percent of a provider's monthly clean claims within 30 days of receipt; and. Use our onboarding resource to quickly get started. All Blue Plans replaced Social Security numbers on member ID cards with an alternate, unique identifier. Uniform Medical Plan (UMP) | Washington State Health Care Authority Phone: 844-380-8838, 800-863-5488 (TTY) They can take note of bcbs alpha prefix online in detail and gain knowledge of how to choose the right alpha prefix. BCBS Provider Phone Number. ACD BCBS of Michigan Note that some processing systems may have a limitation regarding the number of characters recognized. In this health insurance plan, alpha prefix is assigned to national accounts. Related . UMP Customer ServicePhone: 1 (888) 849-3681 TRS: 711 Business hours: Monday through Friday 5 a.m. to 8 p.m. and Saturday 8 a.m. to 4:30 p.m. (Pacific)Chat Live: Sign in to your Regence account Monday through Friday 7 a.m. to 5 p.m. (Pacific) to access chat live. We haven't received the information. AAT Anthem Blue Cross of California AGS Anthem Blue Cross of California 3. QMA SG OFF Exchange, PPO YDX Retail ON Exchange Regence BlueCross BlueShield of Oregon | OneHealthPort you will need to contact Regence to update your account to ensure your claim processes correctly and timely. Please refer to your electronic billing manual for specific formatting for electronic claims. If you are aware about the bcbs alpha prefix of your health insurance, then you can get the desired support on time for claiming the insurance. Resource-based relative value scale (RBRVS) Claims adjudication system Claims Editors Payment Policies Payment policies Our Provider Integrity Oversight Committee reviews proposals for new payment policies and updates to our policies. When the conversion factor is multiplied by the total RVUs, it will yield the reimbursement rate for the specific service (or code). Italiano | Contact us - Regence All the information are educational purpose only and we are not guarantee of accuracy of information. Contact Us. CVZ Horizon BCBS of New Jersey Always refer to the online branded versions of our payment policies to ensure the most current and accurate information. Its often confused that BCBS have lot of prefixes and where to contact. Members: Log in/register at MyBlue Customer eService, Regence Blue Cross Blue Shield of Oregon - FEPPO Box 31105Salt Lake City, UT 84131, Regence Blue Cross Blue Shield of Oregon - FEPPO Box 1269Portland, OR 97207, Find In third-party cases, this provision permits the plan to recover the medical bill costs on behalf of the member. Prefixes with * include all characters for the 3rd position unless otherwise . Provider: please send us the member's lab results for this claim. QMD Retail ON Exchange Human Resources Inquiries. CYP BCBS of IL AAZ Anthem Blue Cross of California That way, we can verify your account and start helping you as quickly as possible. ADL Anthem BCBS Kentucky Providers. All Rights Reserved to AMA. AEC BCBS of IL Fax: 801-333-6523 (Mark claims: Attn New Claims) Email: Log in or register - MyBlue Customer eService. . We notify you in writing if the request for mediation is not timely. It identifies the members Blue Cross Blue Shield company or national account in order to properly route the claim. ABW Anthem BCBS of Virginia ), Email all EDI questions to: EDIRequests@accesstpa.com. Prefixes with * include all characters for the 3rd position unless otherwise listed, https://www.premera.com/documents/020469.pdf. The NPI replaces all proprietary (payer-issued) provider identifiers, including Medicare ID numbers (UPINs). AII BCBS of Louisiana The main identifier for out-of-area members is the alpha prefix. They include a request of medical records for review. ADE BCBS of IL Polski | ABG BCBS of Georgia It is critical for confirming a patients membership and coverage. AGU Carefirst BCBS Maryland ALN PA BC PA, Highmark, POB 1210 , Pittsburgh , PA , 15230 800-433-9906 AGE Independence Blue Cross For Providers | Regence Group Administrators | Healthcare Benefits BCBS alpha prefixes list and claim submission address - Updated list We'll process the claim after we receive that information. Kreyl Ayisyen | A non-billing issue is classified as a member appeal because the financial liability is that of the member, not the provider (please refer to Chapter 6). 0000011774 00000 n For other language assistance or translation services, please call the customer service number for . ARH IN BCBS of Indiana, POB 68416, Accordia NW , Indianapolis , IN , 46268 317-488-6000, ARR OH BC OH Anthem, 4361 Irwin Simpson Rd , Mason , OH , 45040 513-872-8100, ASA Indemnity CNY PO Box 4809 , Syracuse , NY , 13221 315-448-3735, ASH WNY BCBS WNY, Auto Natl Accts, POB 757 , Buffalo , NY , 14240-0757 800-462-7237, AST TN BCBS Of Tennessee, 801 Pine St , Chattanooga , TN , 37402 423-755-5600, ATT Empire Empire BC, POB 5020 , Middletown , NY , 10940 800-772-2875, AWR PA PA BS Highmark, POB 535045 , Pittsburgh , PA , 15253-5045 800-294-2217, AZO IL BC IL, POB 1364 , Chicago , IL , 60690-1364 800-637-6917, BAN WV BC Washington DC/Carefirst, 550 12th St SW , Washington , DC , 20065 800-642-2411, BBH PPO GA BCBS GA, POB 9907 , Columbus , GA , 31908 800-628-3988, BDC MI BC MI, POB 1618 , Detroit , MI , 48231 800-462-7237 Find the correct address listed under the type of service received (see explanation). ), Charges billed by physician/provider at a line item level, Amount allowed for service at a line item level, Adjudication explanation code(s) at a line item level and claim level (if applicable), Printed at the end of each claim, the line items are summed and an asterisk indicates the claim total line, Less Paid to Codes Listed as S or C, The sum of the claim total Payable Amounts which have a PD TO code of S or C, The sum of any amount withheld and applied to a prior refund or recovery. This claim was paid previously to the provider or applied to the member's deductible. Here are common reasons why claims suspend or reject: Contact Customer Service with questions regarding claims processing or send a copy of the voucher highlighting the claim in question and the inquiry reason. ACH Wellmark BCBS Iowa/South Dakota Be sure information lines up correctly within the respective fields (data that overlaps another field/box cannot be read accurately). 0000013357 00000 n AAN Anthem Blue Cross of California Tricare Phone Number and Claim Address; Molina Healthcare Phone Number claims address of Medicare and Medicaid. Regence BlueShield - FEP PO Box 1388 Lewiston, ID 83501 Customer Service. ACQ BCBS of Georgia We can't process this claim because we haven't received the necessary information we requested from your provider. Washington contracted providers: We process your claims as soon as we receive them. Centers of Excellence Program administered by Premera Phone: 1 (855) 784-4563 TRS: 711 Business hours: Monday through Friday 7 a.m. to 5 p.m. (Pacific), Puget Sound High Value NetworkPhone: 1 (855) 776-9503TRS: 711Business hours: Monday through Friday 7 a.m. to 7 p.m. (Pacific), UW Medicine Accountable Care NetworkPhone: 1 (888) 402-4237TRS: 711Business hours: Monday through Friday 5 a.m. to 8 p.m. (Pacific). If there are no court decrees, the plan of the parent with custody is primary. Use find (Ctrl + F) and enter the prefix to find the BCBS state. In Washington, Premera Blue Cross and Regence BlueShield share responsibility for claims processing, customer service, and prior authorization requests based on where the patient receives the service and what kind of service was received. Because your primary doctor and your specialists may all work for different clinics, you may need to do more of your own care coordination. AEF BCBS of IL Claims DJT BCBS Minnesota If you are interested in purchasing a new computer system, ask us for a list of vendors that submit claims to us in the HIPAA standard ANSI 837 format. Blue Advantage Administrators of ACU Anthem Blue Cross of California AEK Independence Blue Cross DJU Carefirst BCBS Maryland DAU Anthem BCBS of Missouri Regence BCBS Oregon: YVK: Not Assigned Prefix: YVL: Regence BCBS Oregon: YVM: Regence BCBS Oregon: YVO: Regence Blue Cross Blue Shield Oregon: YVP: . We use cookies on this website to give you the best experience and measure website usage. When submitting claims, transfer the members identification (ID) number exactly as printed on the ID card. If submitting a corrected claim on paper, remember to: Obtain Corrected Claim - Standard Cover Sheets at onehealthport.com in the administration simplification claims processing section, or under Forms on our provider website. Need help with a claim? See our FAQs for more claim information and contacts. If member returns the call and the information is obtained, claims will be processed. UMP PEBB | Contact us - Regence To send an electronic claim, use the Availity clearinghouse with payer ID RGA01. You can learn more about credentialing by visiting the provider section of our website. Boise, ID 83707. Subrogation permits the plan to recover payments when the negligence or wrongdoing of another causes a member personal illness or injury. DAC BCBS of Tennessee We notify you in writing if the Level II appeal is not timely and your appeal rights will be exhausted. Jun 29, 2010 | Medical billing basics | 6 comments. Contact us - BridgeSpan Health ACA BCBS of Alabama AGR Anthem BCBS of Colorado ABT Carefirst BCBS Maryland 0000055309 00000 n

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