File or check on claim Replace your member ID card Review your balance View your plan details Looking for Insurance? You can get valuable information from a Blue KC Medicare advisor in-person or from your home. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Ambetter from Absolute Total Care - South Carolina. If youre ready to get Medicare coverage, you can start your enrollment now using our secure online enrollment system. 1133 SW Topeka Boulevard. Our contact information is specific to state. Utilization Management (Prior Authorizations), STAR Kids Referral and Authorization Process, Value-Added Services for STAR, CHIP and STAR Kids, Medicaid Provider Information on COVID-19 Coverage, Quality Improvements (QI) Toolkits and Tip Sheets, Home Delivery Pharmacy (Mail-Order Pharmacy), Medicaid (STAR) and CHIP Prior Authorization Forms, National Uniform Claim Committee (NUCC) 1500 Health Insurance Claim Form Reference Instruction Manual, Independent Review Organization (IRO) and EMR Provider Training, Interpreting the PLB Segment on the 835 ERA Guide. Attn: MA Customer Service PO Box 410080 Kansas City, MO 64141. Learn about insurance options for Individuals & Families or Employers. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Ambetter PA Health & Wellness Member and Provider Services Phone Number: Ambetter from Peach State Health Plan Georgia, 1100 Circle 75 Parkway, Suite 1100, Atlanta, GA 30339. BlueCard is a national program that enables members of one Blue Cross and Blue Shield (BCBS) Plan to obtain health care services while traveling or living in another BCBS Plans service area. Back to Help Center Blue Cross and Blue Shield of Kansas City General Inquiries 1-816-395-2222 1-800-221-2362 Blue Cross and Blue Shield of Kansas City 2301 Main Street Kansas City, MO 64108 www.bcbskc.com Customer Service 1-816-395-2500 Mental Health/Substance Use Disorder Precertification 1-800-528-5763 Precertification 1-816-395-3989 x]o8/AbZX,0{7swv@gb_$%9N,MF $c"#ERMW+nUsa]]~.nUK6}xAr.XmVg]3M!,y R$H$5e-6q:?{. If you are a member, log in for personalized contact information. does united health care cover dental implants? All Rights Reserved. Log into to the secure site or download the free mobile app from the App Store or Google Play. Does USAA car insurance cover hail damage? 9:00 a.m. 4:00 p.m. (Sales) BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. rights reserved.An Independent Licensee of the Blue Cross and Blue Shield Association. Mail Order. Participating physicians, professional providers, ancillary and facility providers are requested to submit claims electronically to Blue Cross and Blue Shield of Texas (BCBSTX) within 95 days of the date of service, or by using the standard CMS-1500 or UB04 claim form. Ambetter from Absolute Total Care Member and Provider Services Phone Number: Ambetter from Arizona Complete Health Arizona, 1870 W. Rio Salado Parkway Tempe, AZ 85281.
Health . In addition, some sites may require you to agree to their terms of use and privacy policy. Ambetter of North Carolina Member and Provider Services Phone Number: Ambetter of Tennessee Member and Provider Services Phone Number. Box 3836, Scranton, PA 18505, Blue Cross Medicare Advantage, c/o Provider Services, P.O. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of Kansas City Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). rights reserved.Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. One option is Adobe Reader which has a built-in reader. Find jobs that are available and how you can apply. You can use Availity to submit and check the status of all your claims and much more. Blue Cross and Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. The site may also contain non-Medicare related information. Availity provides administrative services to BCBSIL. Blue Shield Association. To contact Customer Service or the foreign language line service, please call the number listed on your member ID card. Are you an individual needing insurance or a group wanting to discuss options for you and your employees? Learn how to enroll online for EFT and ERA transactions by referring to theAvaility EFT & ERA Enrollment User Guide. Ambetter from Arkansas Health and Wellness Member and Provider Services Phone Number: Ambetter from Coordinated Care Washington, 1145 Broadway, Suite 300 Tacoma, WA 98402. Box 805107, Chicago, IL 60680-4112. Check out what you can do online at your convenience. Medicare can seem confusing at first. Non-Discrimination Statement and Foreign Language Access. PO Box 410080 <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
This new site may be offered by a vendor or an independent third party. 1-785-291-7000. rights reserved. You can choose the format that fits your schedule and your comfort level. Fax (816) 995-1507. The claims process is how we determine how much the plan pays and how much you may owe. rights reserved.Blue Cross and Blue Shield of Vermont is an Independent Licensee of the Blue Cross and Blue Shield Association. Kansas City, MO 64141, Help Us Fight Health Care Fraud, Waste, and Abuse, Y0126_230-2023 (785) 291-4180 (in Topeka) 1-800-766-3777 (for hearing impaired customers) Contact our Other Party Liability department about duplicate coverage Hours of operation/locations Customer service representatives are available to receive your call from 7 a.m. to 4:30 p.m., Monday through Friday. Box 98029 Baton Rouge, LA 70898- 9029 Maine Anthem BCBS . Mailing Address: Central Operations (COPS) Blue KC MA . Personalized customer service for Blue Cross and Blue Shield of Kansas members, employers and providers . Blue Cross and Blue Shield of Kansas is an independent licensee of the . rights reserved.Healthcare benefit programs issued or administered by Capital Blue Cross and/or its subsidiaries, Capital Advantage Insurance Company, Capital Advantage Assurance Company and Keystone Health Plan Central. Please note: If you purchased your plan on the Marketplace and need to update your information, please contactHealthCare.govby calling1-800-318-2596or by logging in to yourHealthCare.govaccount. Blue Cross Blue Shield of Kansas Other ID's: SB650, 00650, SB653, SB651, SB652, 57325. There are different addresses for Blue Cross Community Health PlansSM, Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and Blue Cross Medicare AdvantageSM claims. The HMO products are offered by Blue-Advantage Plus of Kansas City, Inc. and the PPO products are offered by Missouri Valley Life and Health Insurance Company, both independent licensees of the Blue Cross and Blue Shield Association, and wholly-owned subsidiaries of Blue Cross and Blue Shield of Kansas City. Mail original claims to BCBSIL, P.O. 10/26/2022 - Updating and Certifying Provider Data in the Centers for Medicare & Medicaid Services' National Plan & Provider Enumeration System. An independent licensee of the Blue Cross and Blue Shield Association Whether youre interested in enrolling, already a member,
How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee All Excellus plans use this mailing address: Excellus BCBS Attn: Claims P.O. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. It does not describe all the parts of the plan or guarantee payment, reimbursement or eligibility of coverage. External link You are leaving this website/app (site). Monday Friday from 8am 8pm from April 1 September 30.
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Please note that our main customer service number presented above is the designated number for submitting oral requests for expedited appeals. 816-395-2500. The three-character prefix preceding the members ID number. Well walk you through the Medicare process and answer all your questions, so you can be confident in your decision making. Already a member with BCBSKS coverage? Provider Correspondence/Claims Address . Otherwise, please select your state. Ambetter Magnolia Health Member and Provider Services Phone Number: Ambetter from Managed Health Services Indiana, 550 N.Meridian St. Suite 101, Indianapolis, IN 46204, Ambetter from NH Health Families New Hampshire, 2 Executive Park Drive, Bedford, NH 03110.
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External link You are leaving this website/app (site). For vendor options and information, refer to the Electronic Commerce page. If you suspect someone should not be covered under someone elses health care plan or you have been billed for a service you never received, call us at: If you're with a hospital, doctor's office or another medical provider, we can put you in touch with the right person. Please leave a message and your call will be returned the next business day. With My Health Toolkit, you can always access secure information about your claims any time, from anywhere. does united health care cover hearing aids? Telephone lines are open 8 a.m. to 8 p.m., 7 days a week. Select this option to learn if a provider is contracting with Blue Cross and Blue Shield of Kansas. The claim includes information on what treatments, tests or other services you received.
PDF Claims dispute and appeals process - Healthy Blue MO PDF PROVIDER REFERENCE GUIDE - Blue KC Contact Us | Anthem - Anthem Blue Cross Blue Shield Blue Cross and Blue Shield of Kansas City PO Box 410080 Kansas City, MO 64141. Ambetter Coordinated Care Member and Provider Services Phone Number: Ambetter from Home State Health Missouri. We process the claim based on the terms of your specific benefit plan including: Once we process a claim, we share this information with you in a statement called an Explanation of Benefits, or EOB. Telephone lines are open 8 a.m. to 8 p.m., 7 days a week. Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross and Blue Shield Association. Mail original claims to the appropriate address as noted below. Claim Inquiry Please wait at least 30 days, but no more than 180 from the original submission date before you send an inquiry on claim status. Ambetter Member services and Provider services Number. ] O(DP}z!&^4tN/I1rUL
Medicare Advantage | Blue Cross and Blue Shield of Kansas - BCBSKS Secondary Claims. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Registertoday with no set-up fees, monthly fees or per-claim fees charged to providers by visiting theAvaility websiteand selecting"Register".
Seeking employment with us? STATE MAIL TO MAILING ADDRESS CITY, STATE ZIP . Missouri Blue Cross Blue Shield of Kansas City PO Box 419016 Kansas City, MO 64141 Montana Blue Cross and Blue Shield of Montana PO Box 5004 Great Falls, MT 59405 Customer service Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Member Discounts Blue365 offers our members access to exclusive discounts on health and wellness products and services. Wondering about the status of a claim? Mail original claims to BCBSIL, P.O. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Level I Claim payment appeal Level II Regulatory Complaint If you disagree with the outcome of a claim, you may begin the Healthy Blue provider payment dispute process. Weve put together some documentation and coding tip sheets for the following conditions: Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. 1 0 obj
Navigation. and Blue Shield Association. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Get the best health care in Kansas. In order for Blue KC to comply with Missouri Prompt Pay Statuses 376.383 and 376.384 please indicate if you are responding to a request for additional information from Blue KC. All rights reserved. High quality documentation and complete, accurate coding can help capture our members health status and promote continuity of care. If your business currently has insurance with us, please select the appropriate category to get the email address, phone numbers and mailing addresses for Blue Cross and Blue Shield of Kansas representatives. The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval. Please refer to the following websites for assistance with proper completion of paper claim forms: Electronic claim submission is preferred, as noted above. Select this option to learn how a service you have not had yet will be covered. rights reserved.Blue Cross and Blue Shield of Florida, Inc. is an Independent Licensee of the Blue Cross and Blue Shield Association. To view this file, you may need to install a PDF reader program. National Information Center 1-800-411-BLUE (2583) Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays) %
Get answers to your questions. Appeal requests. All claims must be submitted as a complete and accurate electronic form, including appropriate CPT, HCPCS, ICD-10 and revenue If necessary, commercial paper claims may be submitted as follows: Electronic claim submission is preferred, as noted above. When the confirmation message displays, select, To enroll online for EFT, you must be a registered Availity, Texas Medicaid claims are normally finalized weekly on Mondays. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Want to check the status of a pending claim? Most PDF readers are a free download. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Ambetter Sunshine Health Member and Provider Services Phone Number: Ambetter from Superior HealthPlan Texas. Medicare beneficiaries can also contact . rights reserved.An independent licensee of the Blue Cross and Blue Shield Association. We have a dedicated unit to investigate referrals and tips from people suspecting insurance fraud. General Inquiries. Review our FAQs. 1441 Main Street, Suite 900, Columbia, SC 29201. NOTE: To gain access to the above Blue Cross and Blue Shield of Texas Medicaid Tools you must be registered with Availity. endobj
rights reserved.BlueCross BlueShield of Tennessee, Inc. is an independent licensee of the BlueCross BlueShield Association. Get answers to your questions about eligibility, benefits, authorizations, claims status and more. rights reserved.Blue Cross and Blue Shield of Kansas is an independent licensee of the Blue Cross PO Box 410080 When you see a doctor or other health care provider, the provider's office sends us a claim. Ambetter Arizona Provider Services Phone Number: Ambetter from Arkansas Health & Wellness Arkansas. The Blue Cross and Blue Shield and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Missouri & Kansas | 2021 . Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. One option is Adobe Reader which has a built-in reader. Change My Address; Check My Claim; Find a Doctor; Complex Medical Condition; New Employee; Duplicate Coverage; . Does cigna health insurance cover birth control? Customer Service Question Form. Want to attend a Blue KC Medicare seminar to learn more? Youve got a friend for life in Blue KC. rights reserved.A Division of Health Now New York Inc. An Independent Licensee of the BlueCross BlueShield Association. The simplest way to define a claim payment dispute is when the claim is finalized, but you disagree with the outcome. Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, National Uniform Billing Committee (NUBC), Mental, Behavioral and Neurodevelopmental Disorders, Documentation Guidelines for Urine Drug Testing, Medicare Advantage Claims: National Drug Code (NDC) Billing Update, For CMS-1500 (Professional) claims, visit. Get to know us. Log into the Availity Provider Portal, select Payer Spaces from the top navigation menu and select BCBSTX. 2 0 obj
Government Programs Claims Electronic claim submission is preferred, as noted above. EFT is a direct deposit claim payment from BCBSTX to your designated bank account. Ambetter from Absolute Total Care Member and Provider Services Phone Number: 833-270-5443. If necessary, government programs paper claims may be submitted. Participating Providers must file claims for all Blue Cross and Blue Shield of Kansas City (Blue KC) members, as well as for members who have BCBS coverage through other plans, for all Provider services. /S9UML/U7xL/IaNIwY9z:qro02Kp;AFybhPNw$|UM_0;Xw?IxQ)U'4%yD|E5z%V6LLI/4iz#;eoW5],eg[+(mHY.isaxDO@Z)1y;nz jIMXO9 |?y:H[zA+ZzSJ^5F[o
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Yz[{}~%g8I[l+j&$"#AN8D Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Get answers to your questions. Most PDF readers are a free download. BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Enrollment in Blue Medicare Advantage depends on contract renewal. Or call us toll free at (855) 208-8246 (TTY:711) 8 a.m. to 8 p.m., MondayFriday.
Claims | Blue Cross and Blue Shield of Texas 10/12/2021 - Help improve diabetic patient health while reducing medical record review requests. Registered Trademarks of the BlueCross BlueShield Association. FAQ. 8:00 a.m. 5:00 p.m. (Customer Service) Blue Shield of California Promise Health . Medicare beneficiaries can also contact1-800-MEDICARE, 24 hours a day, 7 days a week. The site may also contain non-Medicare related information.
Personalized customer service | Blue Cross and Blue Shield of Kansas Blue Cross and Blue Shield of Kansas City PO Box 410080 . October 1 March 31 open 7 days a week from 8am 8pm. Out-of-network/non-contracted providers are under no obligation to treat Blue Medicare Advantage members, except in emergency situations. Portal Account & Password Support: 816-395-3700 %PDF-1.7
Gone are days when you had to send medical claims through paper on insurance mailing address. The information in My Health Toolkit can help you understand your health plan benefits. BCBSTX providers who receive paper checks and Provider Claim Summaries (PCSs) via the U.S. Mail may wish to consider the electronic alternatives listed below for greater efficiency, convenience and security of information. . PDF File is in portable document format (PDF). Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Blue Medicare Advantage (HMO/PPO) - Provider Reference Guide Table of Contents | 2 . This insurance is also known as: Kansas Blue Cross Blue Shield. You should also check with your billing service, clearinghouse or software vendor to confirm ERA-compatibility and availability of auto-posting software. Medicare beneficiaries may also enroll in Blue Medicare Advantage through the CMS Medicare Online Enrollment Center located athttp://www.medicare.gov. Or would you like to review your EOBs? Payer ID. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. Box 419169 . Select this option for questions regarding services already provided where a claim is involved.
Missouri - Blue Cross and Blue Shield's Federal Employee Program Claims mailing Address. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Claims mailing address: Blue Cross and Blue Shield of Texas PO Box 51422 Amarillo, TX 79159-1422; Claim Refunds for Non Medicare/Medicaid . . Please refer to your policy for specific benefits. For a guide on how to fill out Provider ID# - Box 33b on the 1500 Claim Form, view page 56 of theNational Uniform Claim Committee (NUCC) 1500 Health Insurance Claim Form Reference Instruction Manual.
CLAIM.MD | Payer Information | KS BCBS Topeka, KS 66629-0001. www.bcbsks.com. In addition, some sites may require you to agree to their terms of use and privacy policy. Saturday and Sunday closed. Blue Cross Community Health Plans, c/o Provider Services, P.O. Well mail you a free Blue Medicare Advantage Information Kit. You may receive a messaging service on weekends and holidays from April 1 to September 30. Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association. For additional information, including Timely Filing Requirements, Coordination of Benefits (COB), Medicare Crossover process and more, please refer to the BCBSIL Provider Manual. Need to submit transactions to this insurance carrier? Fax (816) 995-1507. To view this file, you may need to install a PDF reader program. Blue Cross and Blue Shield of Kansas City, One Pershing Square Work for one of the most trusted companies in Kansas. With the revolution of technology in healthcare IT industry, everything is getting fast and easy. rights reserved.CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., which are independent licensees of the Blue Cross and Blue Shield Association. Kansas City, MO 64108. Ambetter NH Healthy Families Member and Provider Services Phone Number: Ambetter from PA Health & Wellness Pennsylvania, 300 Corporate Center Drive, Suite 600, Camp Hill, PA 17011.
Provider Contact Us - Blue KC See our statewide locations. Medicaid and CHIP Claim Editing Enhancements Coming Feb. 23, 2022, ICD -10 Z Codes for Social Determinants of Health, How to Submit a Complaint as a Medicaid Provider, Members can ask for an External Medical Review (EMR) and State fair Hearing from the state Medicaid program and get information about how the process works in our provider alert. Kansas: 800-432-3990 800-432-0272 (Benefits/Eligibility) 785-291-4181 (Federal Employee Program in Topeka) . Provider Contact Us Email: Submit an Inquiry Forms: Find a Form Phone: Blue KC Provider Hotline: 816-395-3929 Prior Authorization / Pre-Determination: 816-395-3989 View Prior Authorization requirements and submit requests with your provider portal account. Get the best health care in the region. Ambetter Silversummit Healthplan Nevada Member and Provider Services Phone Number: Ambetter from Sunflower Health Plan Kansas, 8325 Lenexa Drive, Suite 200 Lenexa, KS 66214. Then select Chat with Payer and complete the pre-chat form to start your chat. To receive a free Blue Medicare Advantage Information Kit in the mail with no obligation, simply enter your information in the form below and click the Send button. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All This new site may be offered by a vendor or an independent third party.
Claim Inquiry - Blue KC 9100. Mailing address.
PDF Local Blue Cross and Blue Shield Mailing Addresses State/Alpha Prefix Need information about options for paying your bill? P.O.
Blue Cross and Blue Shield of Kansas Back. Ambetter Illinicare Health Member and Provider Services Phone Number: Ambetter from Magnolia Health Mississippi, 111 East Capitol, Suite 500, Jackson, MS 39201. Participating physicians, professional providers, ancillary and facility providers may not seek payment from the member for claims submitted after the 95-day filing deadline. Manage Your Plan; . Get to know us. Box 3418, Scranton, PA 18505, Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O. 816-395-2222 DOWNTOWN 2301 Main Street Kansas City, MO 64108 LOBBY HOURS: Monday through Friday 8:00 a.m. - 5:00 p.m. (Customer Service) 9:00 a.m. - 4:00 p.m. (Sales) Saturday and Sunday closed To contact Customer Service or the foreign language line service, please call the number listed on your member ID card. BlueCross and BlueShield of Kansas serves all counties in Kansas except Johnson and Wyandotte. This website is current as of 1/3/2023. Blue Cross and Blue Shield of Kansas is the largest health insurer in the state of Kansas. Submit appeals within 120 calendar days from receipt of remittance advice (RA).
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