Quick guide to blue cross and blue shield member id cards. Blue cross and blue shield of north carolina bcbsnc wants to remind. Aarp health insurance plans pdf download medicare replacement pdf download aarp medicarerx plans united healthcare pdf download medicare benefits pdf download medicare coverage pdf download medicare part d pdf download medicare part b pdf download. News from blue cross and blue shield of north carolina spring. Bluecard gives you access to quality care throughout the country. Pai is a national thirdparty administrator tpa with expertise in administering employer selffunded group health plans and benefits including supplemental medicalrx, dental, vision, life, shortterm disability, critical illness, and accident coverage. Blue cross and blue shield plans are independent licensees of the blue cross and blue shield association. Bluecard worldwide international claim form please see the instructions on the reverse side of this form before completing. Columbia hdi, a global professional association for technical service and support, has certified bluecross blueshield of south carolinas technology support center tsc as one of the nations.
January 2014 2 this guide will give you an overview of the new bluecross blueshield of south carolina and bluechoice healthplan exchange member identification id cards. I appreciate all the feedback and some of the tips that come with them. These id cards also distinguish the plans by having the carolina advantage high deductible health plan hdhp, advantage plus hdhp, and consumerdriven health plan logos. Networkblue impacted publix associates received new member identification id cards with a new pxn alpha prefix. Blue cross and blue shield of north carolina north carolina health insurance institute december 2007 please visit us on the web at for providers. Bluecross blueshield of south carolina will not offer medicare advantage plans for 2015 alpha prefix zct. Cml list of participating insurances commonwealth medical jun 1, 2015 bcbs of iowa wellmark ige testing only north carolina south carolina standard.
Table of contents overview new costsaving benefits. Bcbs association symbols and bcbsnc text blue medicare alphaprefix. The bluecross blueshield of south carolina foundation is an independent licensee of the blue cross and blue shield association. What you need to know about member identification cards. March 2015 blue cross and blue shield of south carolina. This guide will give you an overview of the various bluecross blueshield of south carolina and bluechoice healthplan of south carolina member identification id cards, the symbols on these cards. List of alpha prefix of bcbs from aaa to azz along with. Pdf ohio peb penn capital peg texas pek new york empire peo new york excellus rochester region. If you have never registered, you will need to create a profile.
Registered marks blue cross and blue shield association. Cml list of participating insurances commonwealth medical jun 1, 2015 bcbs of iowa wellmark ige testing only north. Select blue cross blue shield global or geoblue if you have international coverage and need to find care outside the united states. Bcbs alpha prefix list from saa to szz along with phone. The state health plan and state savings plan alpha prefix is zcs. Sep 21, 2015 association plan and was the first medicare advantage plan in north. Bcbs of south carolina medicare supplemental plans for south.
Provider medicaid blue cross and blue shield of texas. A predetermination is a voluntary, written request by a provider to determine if a proposed treatment or service is covered under a patients health benefit plan. Local blue cross and blue shield mailing addresses state. Cross and blue shield of south carolina, and blue cross and blue shield of tennessee. Bcbs state health benefit planformerly united out of state prefix stha p384 2s5 22. Nia is an independent company that handles precertification for certain nuclear cardiology services on behalf of bluecross and bluechoice. Aarp health insurance plans pdf download medicare replacement pdf download aarp medicarerx plans united healthcare pdf download medicare benefits pdf download medicare coverage pdf download medicare part d pdf download medicare part b pdf. Bluecross blueshield of south carolina is an independent licensee of the blue cross and blue shield association. Blue cross prefix list updated often the health exhibit. Healthy blue has a strong provider network in south carolina and offers the confidence and security as part of bluecross blueshield of south carolina bluecross the only health insurer based and. Blue cross prefix list updated often thank you to all of you who are commenting with more prefixes. Medicaidsouth carolina sc medicaid x005 m11 104 10 days select healthfirst choice p012 z53 48 10 days.
Members have a cost sharing account to help in meeting deductibles and other approved health care expenses. Bluecross tsc provides internal information technology support and services to the companys employees and contractors. Blueshield of south carolina to validate the rendering provider. Precertification bluechoice healthplan of south carolina. Our local network covers 100% of hospitals and 99% of doctors. Blue connect blue cross and blue shield of north carolina. Quick guide to blue cross and blue shield member id cards april 2015 2 introduction this guide offers an overview of blue cross and blue shield id cards, including what the symbols mean and how to use. Blue cross and blue shield of north carolina blue cross nc is a medicare. Blue cross blue shield members can search for doctors, hospitals and dentists. Instructions for submitting requests for predeterminations.
This network sharing will allow ma ppo members from these blue plans to obtain innetwork benefits when traveling or living in the service areas of the other two plans, as long as the member sees one of those plans contracted ma ppo providers. A predetermination is a voluntary, written request by a provider to determine if a proposed. Columbia hdi, a global professional association for technical service and support, has certified bluecross blueshield of south carolinas technology support center tsc as one of the nations leading support centers. State health plan shp medical providers cover the shingles vaccine as an innetwork pharmacy benefit through bluecross blueshield of south carolina. Please select one dvest1 dv9st1 dv8st1 dv5st1 dv4st1 dv1st1. Pankau earned a masters degree from the arnold school of public health in 1990, one of the first steps toward a career that has led him to the helm of bluecross blueshield of south carolina. Bcbs of south carolina has provided medicare supplemental health insurance in south carolina for the carrier offers a range of standardized plans see below. Bluecross blueshield of south carolina does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation or health status in our health plans, when we. Be a part of the largest network in the state, with fast access to everything you need to check benefits and submit claims. Star, chip, chip perinate and star kids threecharacter prefixes. As information is updated by the blue cross blue shield association andor anthem blue. This guide will give you an overview of the various bluecross blueshield of south carolina and bluechoice healthplan of south carolina member identification id cards, the symbols on these cards and how to use the information on the cards. Doing so may cause delays in the handling of your inquiries and claims.
Nucc 1500 health insurance claim form reference instruction manual. A complete list of cpt4 codes that nia authorizes on behalf of bluecross blueshield south carolina will soon be available at. Ensuring access to quality health coverage is vital to the health and wellbeing of every community in our state. Pai is a national thirdparty administrator tpa with expertise in administering employer selffunded group health plans and benefits including supplemental medicalrx, dental, vision, life, shortterm. Were more than a recognized member of the community were a strong and stable partner you can count on. Bcbs alpha prefix list from saa to szz along with phone numbers. Aetna and fetal ultrasounds blue cross prefix list updated often thank you to all of you who are commenting with more prefixes. Medicare card codes electronic payer id for sc medigap. Local blue cross and blue shield mailing addresses last update 102420 statealpha prefix claims filing address. Quick guide to blue cross and blue shield member id. Blue cross blue shield companies provide a bestinclass, comprehensive suite of international products and services for people who live, work and travel internationally, giving them confidence that quality care can be accessed wherever and whenever they need it. Blue cross blue shield companies provide a bestinclass, comprehensive suite of international products and services for people who live, work and travel internationally, giving them confidence that quality. Program provider manual january 2019 kentucky, inc.
Information on vision and employee payroll deduction plans is not available in my insurance manager. Partners is a blue cross and blue shield of north carolina bcbsnc company. It is always important to verify and update insurance information and know which testing laboratories are innetwork or participating providers for your benefit plan. This network sharing will allow ma ppo members from these blue plans to obtain innetwork benefits when. Professional provider office manual bcbsla blue cross and blue cross and blue shield of louisiana is an independent licensee of the. As a participating providerof bluecross blueshield of south carolina, you may render services to. From blue cross blue shield of south carolina blueessentialssm 2018 individual and family plans. Providers my insurance manager precertification medical policies. Healthy blue has a strong provider network in south carolina and offers the confidence and security as part of bluecross blueshield of south carolina bluecross the only health insurer based and operated in south carolina. Predetermination approvals and denials are usually based on our medical. Bluecross, the terms of such agreements shall govern. Patients identification number and alpha prefix when applicable.
When a member receives the vaccine at an innetwork provider, the shp will cover the vaccine and the administration fee in the doctors office. Institutional claim payers list 03092015 mar 9, 2015 aarp medicare supplement plans medicare network, former payer id. Sc bcbs era, bcbs sc era, bcbs sc edi form, sc bcbs edi form, south carolina bcbs era, bcbs of south carolina era form. Box 105187 atlanta, ga 303485187 oklahoma bcbs of oklahoma attn. You can find nias guidelines for clinical use of diagnostic imaging examinations on nias web site at they are in a pdf file that you can print for future reference. Bluecross total ppo bluecross blueshield of south carolina. If you arent clear about any of the underlined terms used in this form, see. Now that youre enrolled, you can register for provider secured services. This guide will give you an overview of the various bluecross blueshield of south carolina and bluechoice healthplan member identification id. Bluecross blueshield of south carolina 800 8682510. Quick guide to blue cross and blue shield member id cards july 2015 3 introduction blank suitcase alpha prefixes most bcbsbranded id cards display a threecharacter alpha prefix in the first three. Table of contents overview new costsaving benefits enrollment and benefits plan benefits. Bluecross blueshield of south carolinas technology support. Nov 05, 20 837 professional top edits last updated.
Instructions for submitting requests for predeterminations predeterminations typically are not required. Quick guide to blue cross and blue shield member id cards july 2015 3 introduction blank suitcase alpha prefixes most bcbs branded id cards display a threecharacter alpha prefix in the first three positions of the. Our easytouse guide will quickly introduce you to excellus bcbs program features, benefits and rewards. In missouri excluding 30 counties in the kansas city area. View all the latest bluecross news announcements and monthly newsletters for providers. Righ this manual is designed to assist you with education about bluecard and interplan business. If in doubt, always check with bluecross blueshield of south carolina as the list of international licensees can change. Sc bcbs era, bcbs sc era, bcbs sc edi form, sc bcbs edi form. Blueshield of uruguay, blue cross and blue shield of panama, and blue cross blue shield of costa rica, and those products include those provided through geoblue and the blue cross blue shield globalcore portfolio.
State of south carolina state health plan benefits. To view pdf documents, you will need adobe acrobat reader. Provider manual blue medicare hmosm and blue medicare pposm. Bluecross blueshield of south carolinas technology. My insurance manager provides detailed information on health and dental coverage. Plan name member id prefix payer id bluecross blueshield of. Bluecross blueshield of south carolina has earned the trust of south carolinians for more than 70 years. Association plan and was the first medicare advantage plan in north. When you cover yourself in blue sm, its all about you. The threecharacter prefix at the beginning of the members identification number is the key. Because the comments are getting so numerous, im going to start deleting the. Provider network change and new alpha prefix for florida publix members effective jan. For this threecharacter advantage hmo snpprefix, phone numbers are different than local members. When a member receives the vaccine at an innetwork.
Health insurance plans excellus bluecross blueshield. Box 35 durham, nc 27702 north dakota bcbs of north dakota 4510 th ave south fargo, nd 58121 0001 ohio kentucky indiana anthem blue cross blue shield p. Bcbs of south carolina medicare supplemental plans for. List of alpha prefix of bcbs from aaa to azz along with phone. Employers bluesenroll my health toolkit for employers. These tools let you quickly and easily send electronic fund transfers, view benefits and see authorizations and claims. South carolina 2020 labcorp will file claims for insured patients directly to medicare, medicaid, and many insurance companies and managed care plans.
Medicaid for south carolina healthy blue of south carolina. Please select one dvest1 dv9st1 dv8st1 dv5st1 dv4st1 dv1st1 dvpst1 dvost1 dvmst1 dvjst1 dvhst1 dvgst1 dvfst1 dvest1 dvdst1 dvcst1 loest1. News from blue cross and blue shield of north carolina. Aarp medicarerx plans united healthcare pdf download medicare benefits pdf download medicare part b pdf download bcbs alpha prefix for north carolina. When members arrive at your office or facility, ask to see their current member id cards at each visit.