Use this payer if your practice is in the following counties: Payer ID - BCBSRA (the same as BCBSX): Excellus BCBS Rochester area.Be sure to check that you're using the correct ID for your county. There are 3 possible payer IDs based on the county where your practice is located. If you're filing claims for Excellus BCBS in New York, you'll need to pay attention to your location because the payer ID you'll need to use will vary depending on your zip code. Some claims, depending on the client's plan, submitted to Blue Cross Blue Shield of Maryland (payer ID - MDBLS) and CareFirst BCBS - DC National Capitol Area (payer ID - SB580), will have their remits returned under CareFirst Administrators (payer ID - 75190). For instance, Capital Blue Cross (Payer ID 23045) frequently requires mental health claims to be submitted to Magellan Behavior Health (Payer ID 01260)Ĭall your client's BCBS insurer to confirm where they would like electronic mental health claims sent. Some Blue Cross Blue Shield insurance plans require mental health claims to be submitted to a separate payer. You can still enroll in payment reports for payer ID 00430 as some ERAs will come through this payer ID as it is dependent on the client's plan. If you are inquiring about payer ID 00430 for claim submissions to Premera, all claims should be submitted to WABLC. Out-of-state BCBS cards will be submitted to the local BLS. This Claim Submission Map from BCBS will help identify where you should be filing. You can find out what your local BCBS plan is and which payer ID you should be filing to based on where you are located in Washington. Our clearinghouse has two different payer IDs for BCBS in Washington state: This will also apply for payment report enrollments for MIBLS and MIFEP but not MIBCN as that is a different pay source. If you receive an approval for one payer ID, you can reach out to our team and we can work with our clearinghouse to get acceptances for the rest of the payer IDs. Note: Each payer ID for Michigan BCBS requires a claim filing enrollment prior to filing claims. If you are located in Michigan, please follow these guidelines to ensure you are filing to the correct payer ID based on the client's benefits: Some states like Michigan will have multiple BCBS payer IDs within SimplePractice. If you’re in California, and a client has an out-of-state BCBS plan, use payer ID BS001. In addition to reaching out to the payer directly to confirm where claims need to be submitted, you can also use this Claims routing tool. Our clearinghouse uses payer ID BS001 for Blue Shield, and BC001 for Anthem Blue Cross. To learn more about corrected claims, look at this guide: When to submit a corrected claim in SimplePractice and how.Ĭalifornia is unique in that it has two Blue Cross payers, and claims submitted to the incorrect payer will be rejected. This payer requires the group ID on claim submissions and a claim note in box 19 if you are submitting a resubmission. Our clearinghouse uses payer ID 53589 for BCBS of Arizona. If your client has an FEP plan through the states Michigan or Connecticut, use the payer IDs MIFEP and C2BLS, respectively. Important: There are two exceptions to this rule. File your FEP claims to your local BCBS payer. The same is true if you're trying to file claims to the Federal Employee Program (FEP). Once you file the claim to BCBS of Hawaii, the local Plan will electronically forward the claim to the correct branch to make sure that you get paid. For example, if a new client has a BCBS California ID card, but you're in Hawaii, you must file the claim in Hawaii. This is true even if a client's BCBS ID card is out-of-state. However, when you're working with clients who are insured with BCBS, the rule is: always file your claims with the local BCBS payer. Blue Cross Blue Shield Plans are known for being complicated when it comes to figuring where to file a claim.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |