Bcbs network management phone number


  1. Bcbs network management phone number. 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. Get insurance delivered through your local BCBS agency. Phone: 1-844-594-5072. General Member Service Correspondence. 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. 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. 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. You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. . Please contact your regional representative to reach the contract management team. For help with eligibility verification, claims, and general provider questions, please call the appropriate Anthem Blue Cross and Blue Shield (Anthem) phone number below. Please Select Your State The resources on this page are specific to your state. Call Customer Service at the number listed on your 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 800-336-5696 512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions. Box 7355 London, KY 40742 Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 1-800-451-0287 *. To reach the right team,please select from below. 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. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Behavioral Health Contact Information. Box 2291 Durham, NC 27702-2291. For Benefits & Eligibility questions, check Availity first. Hours: 800-662-9023, 800-722-6614, 855-343-4851 or Customer service. Other contracting questions: Network Management and Credentialing Services 1-800-316-BLUE (2583) Dental providers Dental Network Management 1-800-882-1178; Pharmacy. Blue Cross Complete claims P. 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. 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. Amarillo. 7901 Wallace Boulevard Amarillo, TX 79124. Blue Cross and Blue Shield of Texas Attn: Enterprise Credentialing PO Box 65067 Dallas, TX 75265-0267; Facility Privileges Requirements for Office-Based Providers. com. 800-777-1643. Box 312500 Detroit, MI 48231-2500. County-level maps of each region available at the end of this document. 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. 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. Otherwise, please call 800-331-1476 (TTY: 711) Mon-Fri, 8 a. 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. Box 660712 Review Plan and Network Information. 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. 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. . O. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. 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. Care Management. – Fri. Read the bios and backgrounds for the leaders of BCBSA. 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. 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. Do not submit duplicate requests. – 5 p. Federal Employee Program claims Blue Cross Blue Shield of Michigan P. Utilization Management. Blue Cross Blue Shield of Massachusetts P. Condition Management for Exchange Members: 855-462-1781. Blue Premier SM and Blue Contact Us. TTY/TDD: Business. Review the information on our plans and networks: Blue Advantage HMO SM Network Participation and Blue Advantage Plus SM HMO. Blue Cross and Blue Shield of Oklahoma 1400 S. Phone: 877-783-1385 fepblue. 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. , 8 a. 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. 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. Mail: Blue Cross NC P. S. Blue Choice PPO SM. Call for out-of-state Blue Cross and Blue Shield member eligibility and benefits. We're here to help (651) 662-5200 1-800-262-0820 (toll free) (651) 662-2745 (fax) Mon. When we close for a holiday, your call will be routed to CVS Caremark. Mar 25, 2021 · 2024 Plan Non-Renewals. Email: ProviderUpdates@BCBSNC. Medical policies. Box 9134 N. Box 660712 Dallas, TX 75266-0712. Call the toll-free number on the back of your member ID card for BCBS customer service. Provider training modules. Highmark's Provider Resource Center is your source for all provider-related information and updates. ©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. Check out the changes and updates to our plan in 2024. 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. Carelon Medical Benefits Management. Fax: 866-589-8254. , Monday through Friday, Pacific Time. ET Find contacts you need at BCBSTX. I have an HMO Illinois®/Blue Advantage HMO SM plan:. Box 310166 Detroit, MI 48231-0166. We provide health insurance in Michigan. and 6 p. 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. 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. w/ Physician. Blue Cross Blue Shield of New Mexico Medical Care Management P. Monday – Friday (8am-5pm) Phone: (505) 837-8800 or toll free at 1-800-567-8540; Fax: 1-866-290-7718. 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. com . 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. Please allow 30 days to process your request. Check your network application status: ProviderApplicationStatus@bcbsma. To Request UM: Criteria. Box 655924 Dallas, TX 75265-5924. You can request prior authorization at Availity. 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. Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. Find information you need to contact BCBSIL. Office Hours 8 a. org. Credentialing inquiries The credentialing process typically takes 45 days from the time the Credentialing department receives your completed CAQH application. Claim status inquiries contact Availity or other electronic connectivity. 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. BCBSOK Provider Network Representatives can assist We would like to show you a description here but the site won’t allow us. Pharmacy Prior Authorization. m. Blue Cross Medicare Advantage (PPO) SM. 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. What's New for 2024. Log in to find contact information specific to your area. 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. Columbia, SC 29219. Claim adjustments call 800-451-0287*. Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. We're here to help answer your questions. 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. 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. , Monday-Friday Alexandria Phone (group sales): (318) 448-1660 Phone (individual sales): (318) 442-8107 Physical Address:. Contact Us. 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. Fax: 505-816-3856. Learn More Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. 7 a. Toolkit. Condition Management: 866-874-0912. For commercial non-HMO prior authorization requests handled by Carelon. Quincy, MA 02171-9134 Florida Combined Life Insurance Company P. Capital Blue Cross Dental. Where to Find Us. Call customer service and web support at 800-607-0546 between 8 a. - Fri. Box 312599 Detroit, MI 48231-2599. UB-04 claims Blue Cross Blue Shield of Michigan P. -4:30 p. If you are interested in applying to join our provider networks, follow the steps outlined below. Contact Customer Support by phone or Live Chat. Braven Health will no longer offer the following plans beginning January 1, 2024:. 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. 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. Universal credentialing. Claims Mailing Address. In the United States, Puerto Rico and U. For Commercial Claims: Blue Cross and Blue Shield of Oklahoma 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. Blue Cross Medicare Advantage (HMO) SM and Blue Cross Medicare Advantage Dual Care (HMO) SM. to 6 p. Virgin Islands. com or by fax at 1-866-747-0587. Log in to find contact information specific to your area and plan. Phone: 844-730-BLUE (2583) Dermatology Network Phone: 844-222-3535. Drugs. 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. BCBS Customer Service. O. BlueCard Eligibility ® Line. to 5 p. Boston Tulsa, OK 74119-3613 (918) 560-3500. 800-676-2583. Fax: 919-765-4349. 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. 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. 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. mstbw luoqs lgudi vtc jqkvtpz cixxdbf bcone ctgv cie wxuly