regence claims address

Physicians and other healthcare providers receive an Explanation of Payment (EOP), which describes our determination of the payment for services. AHA BCBS of IL However we have some guide to follow, using prefixes we could find the state of the BCBS and contact phone number to proceed further. AGC MO BCBS MO, POB 419169 , Kansas City , MO , 64141-6169 888-989-8842, AHP Empire Empire BC, POB 5020 , Middletown , NY , 10940 800-772-2875, AHU PPO MD BC MD, 10455 Mill Run Circle , Owings Mills , MD , 21117 877-228-7268, AHW PA BCBS NE PA, 70 N Main St , Wilkes-Barre , PA , 18711 717-829-8500, AIU PA Independence BC, 1901 Market St , Philadelphia , PA , 19103 215-564-2100, AKM MI BC MI, POB 1618 , Detroit , MI , 48231 800-462-7237 The conversion factor represents the dollar value of each relative value unit (RVU). trailer Box 805107 Chicago, IL 60680-4112. Box 1106Lewiston, ID 83501-1106 Fax: 1 (877) 357-3418 If you have questions about submitting a claim for services outside the U.S., call UMP Customer Service. Electronic claims without a TIN are rejected as incomplete. DJW Wellmark BCBS Iowa/South Dakota Designed by Elegant Themes | Powered by WordPress. . 0000010231 00000 n ABL BCBS of IL ABF Healthnow of NY Buffalo We can't process this claim because we haven't received the necessary information we requested from your provider. medical equipment supplier, ambulance services, applied behavior analysis services (ABA) or clinical social worker. The preferred process for submitting corrected claims is to use the 837 transaction All other related costs incurred by the parties shall be the responsibility of whoever incurred the cost. FAQs & Resources What type of EDI transactions does RGA accept? We will notify you once your application has been approved or if additional information is needed. | Pension & Retirement. P | It is critical for confirming a patients membership and coverage. CWI Blue Shield of California 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. 0000004941 00000 n It doesn't replace your tax ID number (TIN) or Drug Enforcement Administration (DEA) number. | RBRVS is a method of reimbursement that determines allowable fee amounts based on established unit values as set norms for various medical and surgical procedures, and further based on weights assigned to each procedure code. COB information is allowed when the primary coverage is with a commercial payer; this generally excludes Medicare and FEP. Find the correct address listed under the type of service received (see explanation). When a member is the subscriber on more than one plan, when both plans have a COB provision, the plan with the earliest start date pays first (primary). The main identifier for out-of-area members is the alpha prefix. To send an electronic claim, use the Availity clearinghouse with payer ID RGA01. Email: Medicare/Medicaid: PRmedicaremedicaid@bcidaho.com. AAK Anthem Blue Cross of California As a beginner to alpha prefix of BCBS at this time, you like to know about the role of the alpha prefix and how to use this alpha prefix properly. Use our onboarding resource to quickly get started. Claims & payment - Asuris You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. ACS BCBS of IL You can print and assist the member in completing the form, but it's important to review the instructions included with the form because the patient must complete the form and then sign it. 0000003471 00000 n Fax: 801-333-6523 (Mark claims: Attn New Claims) Email: Log in or register - MyBlue Customer eService. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. DJP BCBS of Nebraska BCBS Prefix List 2021 - Alpha. The protection of your privacy will be governed by the privacy policy of that site. CZW BCBS of North Carolina Eastern WA and Alaska providers submit to Premera. threshold. DJT BCBS Minnesota Thank you for the care you provide to our members and people in our communities. Regence Blue Shield in accordance with the terms of your provider contract with Regence. . 0000011774 00000 n Modifiers. To help your office complete year-end accounting, each December we'll issue you a check for the accrued interest we owe you, even if the amount is below the We can process the claim after we receive that information. CPT 92521,92522,92523,92524 Speech language pathology, CPT 81479 oninvasive Prenatal Testing for Fetal Aneuploidies, CPT CODE 47562, 47563, 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY, CPT Code 99201, 99202, 99203, 99204, 99205 Which code to USE. It is critical for confirming a patients membership and coverage. UMP medical plans are administered by Regence BlueShield. ), Tel:800-562-1011Fax: 877-239-3390 (Claims and Customer Service)Fax: 877-202-3149 (Member Appeals only)Fax: 866-948-8823 (FEP Care Management - prior auth/pre-service requests), Premera Blue Cross - FEPPO Box 33932Seattle, WA 98133, Retail Pharmacy Program Box 260070 Pembroke Pines, FL 33026 . Blue Cross and Blue Shield of Illinois (BCBSIL) members ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have been updated. providers: We process your claim as soon as we receive them. AFK Empire BCBS When we process a claim, we coordinate benefits if the member has other primary coverage from another carrier, our health plan, service plan, or government third-party payer. Claim edits in place will identify those services previously billed and bundle ALL services on to a single Email: Contact Regence. Tricare Phone Number and Claim Address; Molina Healthcare Phone Number claims address of Medicare and Medicaid. ADQ Independence Blue Cross Regence User the HIPAA 837 standard claims transaction including the following information: Frequency code of 7 in look 2300, CLM05-3 segment to indicate a corrected/replacement of a previously processed claim. the claims for which interest payments have been applied during that period. The following are examples of ID numbers with the alpha prefix highlighted: Note : Guest members do not have an alpha prefix. AEV Keystone Health Plan East (IBC) Claims submitted that indicate possible Workers' Compensation illness or injuries are investigated. These charges are included in the main anesthesia service. The total number of characters in the members ID ranges from six to fourteen. Subrogation permits the plan to recover payments when the negligence or wrongdoing of another causes a member personal illness or injury. These weights are then multiplied by the dollar conversion factor we publish. ALN PA BC PA, Highmark, POB 1210 , Pittsburgh , PA , 15230 800-433-9906 PO Box 33932 Seattle, WA 98133-0932 Phone: 800-562-1011 6:00 AM - 5:00 PM AST Fax: 877-239-3390 (Claims and Customer Service) Fax: 877-202-3149 (Member Appeals only) Fax: 866-948-8823 (FEP Care Management - prior auth/pre-service requests) Email Members: Log in or register - MyBlue Customer eService Retail pharmacy services Claims AHE Empire BCBS CZO Anthem BCBS of Ohio CZQ Anthem BCBS of Ohio Tricare Phone Number and Claim Address; Molina Healthcare Phone Number claims address of Medicare and Medicaid. Regence Blue-Cross Blue-Shield: YAM-Unallocated/Not Assigned: YAN-Unallocated/Not Assigned: YAO-Unallocated/Not Assigned: YAP: Minnesota: Calypso, our affiliate, processes refunds and overpayment requests. All Rights Reserved to AMA. AES BCBS of Alabama For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. We can process the claim after we receive that information. AGB Excellus BCBS Physicians and providers may submit a proposal to modify a payment policy. ** Do not add/delete characters or numbers within the member ID. Units shown in box 24G of the CMS-1500 form. You can make a complaint verbally to Customer Service or in writing to Customer Service Correspondence. There is a minimum threshold of $25 for monthly interest payments on delayed clean claims. 4. Please make copies of the front and back of the ID card, and pass this key information to your billing staff. AAC BCBS of IL FEP claims - Provider - REG - Regence From there, you will be directed to a new site; at this site, enter in your login information. Guardian Employees . If you are unable to submit claims electronically, you can submit paper claims on CMS-1500 or UB-04 forms. 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 The charges for this service have been combined into the primary procedure based on the provider's contract. Blue Advantage Administrators of BCBS Prefix List HAA to HZZ - Alpha Lookup by State 2022 Need help with a claim? Our medical staff reviewed this claim and determined that this continued stay doesn't meet the criteria for medical necessity. endstream endobj 597 0 obj <>/Filter/FlateDecode/Index[30 523]/Length 41/Size 553/Type/XRef/W[1 1 1]>>stream Payment of this claim depended on our review of information from the provider. 1-800-962-2731. In these cases, please don't return the check to us. Friday 6:00 AM. Do not make up alpha prefixes or assume that the members ID number is the Social Security Number. Claims Asthma. AII BCBS of Louisiana Monday-Friday, 8-5 Pacific (800) 552-0635 www.CarpentersBenefits.org. PDF Local Blue Cross and Blue Shield Mailing Addresses State/Alpha Prefix DJC Anthem BCBS of Ohio Bill all original lines-not including all of the original lines will cause the claim to be rejected. Sign the completed form where indicated at the bottom of this page and submit the completed claim form to: Regence BlueShield Attn: UMP Claims PO Box 1106 Lewiston, ID 83501-1106 or by fax to: 1 (877) 357-3418 Payments will be mailed to the address on file for the subscriber. Member identification prefixes were updated as part of that transition. Regence BlueShield - FEPPO Box 31207Salt Lake City, UT 84131, (Attended sleep study at outpatient part of a hospital, home hospice, organ/tissue transplants, clinical trials. ID cards for the following products and programs do not have an alpha prefix: ** Stand-alone vision and pharmacy when delivered through an intermediary model*, ** The BCBS Federal Employee Program (FEP) The letter R appears in front of the ID number.*. ** A correct member ID number includes the alpha prefix (first three positions) and all subsequent characters, up to 17 positions total. BCBS Prefix List 2021 - Alpha. We abide by the following COB standards to determine which insurance plan pays first (primary carrier) and which pays second (secondary carrier). DCL BCBS of TN Box 31 Enter the physician or providers name that performed the service. CYJ Horizon BCBS of New Jersey Every user of BCBS health insurance is assigned an alpha prefix that contains three letters. ** When filing a claim, always enter the ID number, including the alpha prefix, exactly as it appears on the members card. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. Prefixes with * include all characters for the 3rd position unless otherwise . See our FAQs for more claim information and contacts. DHA Excellus BCBS Utica This traditional, broad network includes a wide variety of doctors and specialists across the United States. Contact Provider Relations | Blue Cross of Idaho - bcidaho.com Featured In: May 2020 Empire Provider News. Human Resources Inquiries. AAP BCBS of Tennessee CZB Wellmark BCBS Iowa/South Dakota How do I identify BlueCard Managed Care/POS members? Contact us - Regence AHX Horizon BCBS of New Jersey AGV BCBS of MA Availity is an independent provider of health information network services that does not provide Blue Cross Blue Shield products or services. Use find (Ctrl + F) and enter the prefix to find the BCBS state. Remember to include the leading three-character prefix and enter it in the appropriate field on the claim form. For more information, view our privacy policy. Oromoo | Filing your claims should be simple. 1 (888) 675-6570 Prescription questions? For information that cannot be served by Availity Essentials or our self-service tool, our Provider Contact Center is available Monday through Friday, 6 a.m. - 5 p.m. (PT). Regence BlueCross BlueShield of Oregon | OneHealthPort AEA BCBS of Texas Phone: 1-800-628-3481. Please reach out and we would do the investigation and remove the article. BCBS Prefix List 2023 - Alpha Prefix and Alpha Number Prefix Lookup AAU Blue Shield of California The alpha prefix is critical for inquiries regarding the member, including eligibility and benefits, and is necessary for proper claim filing. BCBS Contact Info - Providers, Overseas, and More - FEP Blue We accept electronic claims through Availity using payer ID RGA01. 0000128769 00000 n How do I determine if a diagnosis or procedure code needs preauthorization? . Deutsch | Supplier Registration If we cannot resolve the matter through non-binding mediation, either one of us may institute an action in any Superior Court of competent jurisdiction. Polski | When a Medicare patient received services that Medicare specifically requires to be submitted on separate claim forms, this one claim requirement will not apply. CWK BCBS of MA 553 0 obj <> endobj A detailed description of the disputed issue, All evidence offered by you in support of your position including medical records, A description of the resolution you are requesting. The Federal Employee Program (FEP) NO LONGER uses the address below, and mail will discontinue to be forwarded to the correct address above. Box 805107 Chicago, IL 60680-4112 Iowa . Claims determinationsThe plan will notify you of action taken on a claim within 30 days of the plan receiving it. Uniform Medical Plan (UMP) | Washington State Health Care Authority 0000125980 00000 n YDW Retail OFF Exchange DKB Highmark BCBS 0000001570 00000 n To ensure that OCR reads your paper claims accurately: Submitting a corrected claim may be necessary when the original claim was submitted with incomplete information (e.g., procedure code, date of service, diagnosis code). startxref | CYQ BCBS of IL PDF Member Reimbursement Claim Form - beonbrand.getbynder.com Visit the Regence provider website, regence.com to learn more about: Claims and payment: Appeals. ABY Carefirst BCBS Maryland ABA BCBS of IL BCBS Prefix List XAA to XZZ - Alpha Lookup by State 2022 AAN Anthem Blue Cross of California Enter a ZIP code in that box. If you need more information about the NPI mandate, Medicare timelines, and/or the enumeration process, visit the CMS website. DKC BCBS of Texas Alpha Prefix, The three-character alpha prefix at the beginning of the members identification number is the key element used to identify and correctly route claims.

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