Click here for full contact info: New York, Blue Shield of Northeastern New York: 800-444-4552: Click here for full contact info: New York, Empire BCBS of New York: 800-552-6630: Click here for full contact info: New York, Excellus BCBS: 800-920-8889: Click here for full contact info: North Carolina, Blue Cross and Blue Shield: 800.214.4844 . WAB. Business Information Analyst II (US) Job Family: Data Warehousing and Business Information; Type: Full time; Date Posted:Apr 19, 2023; Req #: JR49511 Information for New York. Important Phone Numbers for Patients and Providers, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, NYS Office of Alcoholism and Substance Abuse Services, Consumer Assistance Unit, NYS Department of Financial Services, Elderly Pharmaceutical Insurance Coverage (EPIC), Insurance Help for the Seriously Ill and Their Caregivers, NYS Commission on Quality of Care and Advocacy for Persons with Disabilities, James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), Addressing the Opioid Epidemic in New York State, Health Care and Mental Hygiene Worker Bonus Program, Maternal Mortality & Disparate Racial Outcomes, Help Increasing the Text Size in Your Web Browser. Get current patient insurance coverage information. It looks like you're outside the United States. (585) 339-3839 Providers | BlueCross BlueShield of South Carolina 111 E. Wacker Drive Individuals & Families - Contact Us | Blue Shield of Northeastern NY . Physical Address: 151 Farmington Avenue, Hartford, CT 06156 web site address: www.mutualofomaha.com/states, TTalcott Resolution Life Insurance Company Your Provider Experience representative will respond usually within two business days. Blue-Cross Blue-Shield of Alabama. 1-800-358-9260. UNDERSTANDING BASICS. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. kristin.korniat@excellus.com, COVERAGE AREA: Buffalo, NY 14240-0080. ET, Contact Dental Customer Care for eligibility/benefits and claims inquiries, Contact By: Contact Us | Blue Cross and Blue Shield of Texas - BCBSTX Laura.LePage@excellus.com, Excellus BCBS Dental (Dental Customer Care 1-800-724-1675), Angie Bradley web site address:https://mymedsuppinfo.transamerica.com/, UUnitedHealthCare Insurance Company of New York On our Policies page, you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual, and support for delivering benefits to our members. We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. . The credentialing process typically takes 45 days from the time the Credentialing department receives your completed CAQH application. 11 W 42nd St PO Box 80 Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. what entity must authorize a body composition assessment waiver Highmark Blue Cross Blue Shield of Western New York Our Lady of Lourdes hospital and physician practices (regardless of zip code), SOUTHERN TIER SPECIALTY PROVIDERS: 1-800-522-5006. SENIOR BLUE 651 (HMO) FREEDOM NATION (PPO) FOREVER BLUE VALUE (PPO) FOREVER BLUE 751 (PPO) OPTIONAL SUPPLEMENTAL DENTAL. Our Plans. Chiropractic, Heather Ducot Supervision by DFS may entail chartering, licensing, registration requirements, examination, and more. Access fee schedules or request copies of contracts. (doing business as BlueShield of NNY) Telephone Numbers. Click here for all contact information pertaining to individuals and families. (315) 798-4329 Monroe County (14642), URMC (Hospitals and all physician offices, regardless of ZIP code), HOSPITALS: Deidra.Powell@excellus.com, COVERAGE AREA: Have a question? NEW System Changes . Phone: 800-955-5692 (Use Availity1 to enter your authorizations, referrals, and inquiries) Medicare Advantage, Florida Blue Medicare, Medicare PPO Medical Fax: 904-301-1614. Electronic Funds Transfer and Remittances. Guthrie Hospitals and physician groups (regardless of zip code) new york wgs bcbs provider phone number web site address: www.globelifeofnewyork.com, HHealthNow New York Inc. Contact Us: Customer Support by Phone & Email | Empire Blue 800-216-9920 1-844-795-3428 Geneva, Clifton Springs, Seneca Falls, Newark and Macedon, OB/GYN and Pediatric, regardless of ZIP code, HOSPITALS: Please use We currently don't offer resources in your area, but you can select an option below to see information for that state. Buffalo, New York 14240-0080, Highmark Blue Cross Blue Shield of Western New York, Provider Relations & Contracting Department, 257 West Genesee Street BCBS Provider Phone Number list updated (2023) Employer Group: 800-467-1199/833-794-0312/833-848-8730 (518) 561-2243 (option 5, then option 3) For practitioner departures, please use the Provider Maintenance Form* to notify us. Carrie.Gallagher@excellus.com, COVERAGE AREA: Plan Name Provider Phone Number Utilization Review Alabama, BCBS Of The resources for our providers may differ between states. PRESCRIPTION DRUG INFORMATION. call to discuss options to purchase coverage. Angela.Bradley@excellus.com, COVERAGE AREA: 1-800-677-3086 Provider Service. Worker Compensation Insurance Claims mailing address updated list (2023), BCBS ALPHA NUMERIC PREFIX LIST A2A to Z9Z list updated (2023), Blue cross blue shield (BCBS) of Alabama (AL), Premera Blue cross blue shield (BCBS) of Alaska (AK), Blue cross blue shield (BCBS) of Arizona (AZ), Anthem Blue cross blue shield (BCBS) of Colorado (CO), Anthem Blue cross blue shield (BCBS) of Connecticut (CT), Blue cross blue shield (BCBS) of Costa Rica (CR), Highmark Blue cross blue shield (BCBS) of Delaware (DE), Anthem Blue cross blue shield (BCBS) of Georgia (GA), Blue cross blue shield (BCBS) of Illinois (IL), Anthem Blue cross blue shield (BCBS) of Indiana (IN), Local: 800-345-4344 (Blue Access/Preferred/Traditional), Blue cross blue shield (BCBS) of Kansas City, Anthem Blue cross blue shield (BCBS) of Kentucky (KY), Blue cross blue shield (BCBS) of Louisiana (LA), Anthem Blue cross blue shield (BCBS) of Maine (ME), Carefirst Blue cross blue shield (BCBS) of Maryland (MD), District of Columbia (DC) and Northern Virginia (VA), Blue cross blue shield (BCBS) of Massachusetts (MA), Blue cross blue shield (BCBS) Blue Care Network Michigan (MI), Blue cross blue shield (BCBS) of Minnesota (MN), Blue cross blue shield (BCBS) of Mississippi (MS), Anthem Blue cross blue shield (BCBS) of Missouri (MO), Anthem: 888-571-9054 (Exchange/Business/Alliance), Blue cross blue shield (BCBS) of Montana (MT), Blue cross blue shield (BCBS) of Nebraska (NE), Anthem Blue cross blue shield (BCBS) of Nevada (NV), Anthem Blue cross blue shield (BCBS) of New Hampshire (NH), Horizon Blue cross blue shield (BCBS) of New Jersey (NJ), Blue cross blue shield (BCBS) of New Mexico (NM), Empire Blue cross blue shield (BCBS) of New York (NY), 800-992-2583(Direct HMO/MediBlue/Medicare Advantage plan/POS/EPO/PPO), Excellus Blue cross blue shield (BCBS) of New York (NY), Blue cross blue shield (BCBS) of Western New York (WNY), Blue Shield (BS) of Northeastern New York (NeNY), Blue cross blue shield (BCBS) of North Carolina (NC), Blue cross blue shield (BCBS) of North Dakota (ND), Anthem Blue cross blue shield (BCBS) of Ohio (OH), Individual and Group Policies: 888-290-9160, Blue cross blue shield (BCBS) of Oklahoma (OK), Highmark Blue cross blue shield (BCBS) of Pennsylvania (PA), Independence Blue Cross(BC) of Philadelphia(Phi) and Southeastern Pennsylvania(PA), 800-275-2583(Personal Choice PPO/Keystone Health Plan East HMO/POS), Triple-S SALUD Blue cross blue shield (BCBS) of Puerto Rico (PR), Blue cross blue shield (BCBS) of Rhode Islanad (RI), Blue cross blue shield (BCBS) of South Carolina (SC) / Southcarolinablues, Blue cross blue shield (BCBS) of Tennessee (TN), Blue cross blue shield (BCBS) of Texas (TX), Blue cross blue shield (BCBS) of Vermont (VT), Anthem Blue cross blue shield (BCBS) of Virginia (VA), Highmark Blue cross blue shield (BCBS) of West Virginia (WVA), Anthem Blue cross blue shield (BCBS) of Wisconsin (WI), Blue cross blue shield (BCBS) of Wyoming (WY). 1-315-451-2544 or 1-800-331-2512 Box 2227 Detroit, MI 48321-2227. We currently don't offer resources in your area, but you can select an option below to see information for that state. Without the Correct phone number reaching the correct payer is impossible with Blue Cross Blue Shield insurance. Call 1-800-920-8889 Empire BlueCross BlueShield HealthPlus is the trade name of HealthPlus HP, LLC, an independent licensee of the Blue Cross and Blue Shield Association. P.O. Also refer to the termination clause in your provider agreement for additional requirements. please call the customer service number for your local BCBS company. Alaura Daniels Email Provider Enrollment to submit your application and follow up on enrollment status. 877-228-7268 (Out of area), Medicare Advantage plan: What is Medical Billing and Medical Billing process steps in USA? For Providers: Contact us | BCBSM Crouse, Oswego, Clifton-Fine, Canton-Potsdam, Governeur, Claxton-Hepburn, and Massena Memorial, CNY REGION SPECIALTY PROVIDERS: Call 1-800-920-8889 . PDF WGS Claim Form - Nortel Forgot Password, Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m. As the nation's second largest health plan-owned company, Anthem Behavioral Health provides choice, innovation and access. web site address: www.excellusbcbs.com, Excellus Health Plan, Inc Submit an inquiry online, Monday - Thursday: 8 a.m.- 5 p.m. On-the-go health plan access. WGS: Unassigned Prefix: WGT: BCBS of Western New York: WGU: Unassigned Prefix: WGV: Anthem Blue Cross of California: WGW: Anthem BCBS of Missouri: WGX: 855-690-7798 800-517-6425(Eligibility), Medicare Advantage plan Number: 888-850-8526, Blue cross blue shield (BCBS) of Alaska Number: 800-722-4714, Blue card number: * We require 30 days advance notice of these changes. 205-985-5378 (Non-PPO) FAQ: Update to AIM phone number - Provider Communications If you dont have an Availity account, you can register for access. Need to update your practice or provider information? Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. View information on enrolling in our networks, updating your demographics and more. Contact Blue Cross. Check out the changes and updates to our plan in 2023. web site address: www.univerahealthcare.com, GGlobe Life Insurance Company of New York Use our library of self-paced courses and instructor-led training sessions available 24/7 at no cost. You can also visit bcbs.com to find resources for other states. Providers should immediately submit any changes to demographics, specialty, practice information, TIN, billing, office hours or appointment scheduling phone number directly to Empire. Click here for all contact information pertaining to providers. For specific questions regarding your . You can also visit bcbs.com to find resources for other states. You can also visit bcbs.com to find resources for other states. (315) 404-9933 Provider Service 800-368-2312 Contact Hours Mon -- Fri, 8 a.m. to 4:30 p.m. . All rights reserved. United Health Services Hospitals and physician groups (regardless of zip code) Change State. 1-888-587-2583 or 1-800-329-2792 Blue Shield offers a full range of insured, self-insured, and government programs and services covering businesses, families, and individuals. Skip to main content. (315) 798-4234 By Phone: Call the number on the back of the members ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. X. Page Menu. Then select Chat with Payer and complete the pre-chat form to start your chat. Call the telephone number listed on your member ID card, or call us toll free at 1-855-344-3425. Federal Employee Program (FEP) members should visit the FEP website. BCBS Contact Info - Providers, Overseas, and More - Blue Cross and Blue We currently don't offer resources in your area, but you can select an option below to see information for that state. Highmark Blue Cross Blue Shield Children's Behavioral Health Services: All Rochester, CNY, Southern Tier and Utica region counties (585) 530-6752 NYS Commission on Quality of Care and Advocacy for Persons with Disabilities. Contact Us | Quick Reference Guide | Florida Blue Physical Address: 257 West Genesee Street, Buffalo, NY 14202 Through our family of companies, we support health at every life stage, offering health plans and clinical, behavioral, pharmacy, and complex-care solutions that promote whole health. Health Insurance Plans for Excellus BCBS Providers. Rochester, New York 14692 1-800-633-6066 or 1-877-883-9577 web site address: www.excellusbcbs.com. Contact Blue Cross Blue Shield health insurance in ND for answers on how to use your health insurance plan, how to choose a health care plan and more. PO Box 80. web site address: www.emblemhealth.com, Empire HealthChoice Assurance Medicare Advantage plan Anthem Medicare Preferred(PPO): 877-811-3107 Box 22999 AARP Health Care Options 800-444-2726 (Claims) Find drug lists, pharmacy program information, and provider resources. ET State Lookup. Call the toll-free number on the back of your member ID cardfor BCBS customer service. Heather.Ducot@excellus.com, COVERAGE AREA: Insurance Identifier Lookup WAA To WZZ | List Of Bcbs Prefixes Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. ; For billing questions or to pay by phone, please call us Monday - Friday: 8 a.m. - 6 p.m. . Blue Cross Blue Shield of Michigan P.O. See our Privacy Policy for how we use information. EXPLORE PLANS EXPLORE PLANS child pages . If you are currently enrolled in treatment for mental health/substance abuse (including alcoholism), please contact ValueOptions at 1-800-446-3995 for help in making the transition to your NYSHIP coverage. Were committed to supporting you in providing quality care and services to the members in our network. (315) 671-7099 Providers in need of assistance should contact provider services at 800-241-5704 (toll-free). My Provider Enrollment Portal. Careers. (Empire) phone number below. Submit an inquiry online Mailing Address: PO Box 14088, Lexington, KY 40512 Medicare Advantage plan PPO/MediBlue Dual Advantage: 844-421-5662, COVA/TLC Medicare Supplement: 800-552-2682, Anthem Medicare Advantage plan: 833-848-8730, Anthem MediBlue Access/Plus/Dual Advantage: 844-421-5662, Anthem Blue cross blue shield (BCBS) Medicaid: 855-558-1443. Arnot hospitals and physician groups (regardless of zip code) We currently don't offer resources in your area, but you can select an option below to see information for that state. Send us medical records, invoices, itemized bills, or other requested information. Your dashboard may experience future loading problems if not resolved. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, 800-722-4714 (Claims, Benefits/eligibility), 888-817-3717 (Blue Card/National Accounts), 800-934-0331 (Behavioral Health HMO/PPO/NEHP). To review your application or correct submitted information, please email our Credentialing team at Credentialing@Anthem.com. Medicaid, Medicare health insurance & more | Wellpoint Provider services. This is the customer service number for questions about your health insurance coverage, benefits or treatment. 646-447-5000 Call 1-800-724-1675 Your dashboard may experience future loading problems if not resolved. DME Vendors (Local and National), Lab Vendors (Local and National), Oral Surgery, Skilled Nursing Facilities; Physical/Speech/Occupational Therapy, Kristin Korniat web site address: www.bsneny.com, Humana Insurance Company of New York Mailing Address: P.O. Posted 12:00:00 AM. Dental: Note that Empire is also available 24 hours a day, 7 days a week to accept claims, prior authorization requests and more via the Availity* Portal. Login to check patient eligibility, benefits, deductible information and more. Please call the number on your memberID card, orlog in to start a Live Chat. (585) 231-6891 Box 15013, Albany, NY 12212 (212) 476-1000 or 1-855-731-1090 1-800-600-4143. Cayuga, Cortland, Jefferson, Lewis, Onondaga, Oswego, St. Lawrence, Tompkins, COVERAGE AREA - Southern Tier: CareFirst BlueChoice, Inc., and The Dental Network, Inc., are independent licensees of the Blue Cross . 877-231-7239 (Par) If you receive a call that appears to originate from this number, the call is likely fraudulent or malicious and you should not answer it, or hang up immediately after receiving it if you do answer the call initially. . If your state isn't listed, check out bcbs.com to find coverage in your area. 800-760-6851 2023 Blue Cross Blue Shield Association. Contact your broker or consultant to learn more about Empire plans. You can also visit. These learning opportunities will assist you in administering your patients health plan and provide with the knowledge to best assist our members. PO Box 80 X. Your dashboard may experience future loading problems if not resolved. BCBS Provider Phone Number. If you have questions about this communication or need assistance with any other item, contact your local Provider Experience representative or call Provider Services at 800-450-8753. does police report automatically go to insurance? Contact Us | BCBSND Resources Overview; Provider Manuals, Policies & Guidelines . Clinton, Delaware, Essex, Franklin, Fulton, Hamilton, Herkimer, Madison, Montgomery, Oneida, Otsego, Laura LePage (315) 404-9933 in forming an insurance contract when does acceptance usually occur? If you have a learner's permit and have successfully completed driver training with an Indiana licensed Driver Training provider, and are 16 years and 90 days of age, you may take the driving test with the provider if your provider participates in the BMVs driving skills test administration program. web site address: www.bankersconseco.com, EEmblemHealth Plan, Inc. (formerly Group Health Incorporated (GHI)) Contact your local BCBS company. 1-800-659-1986 or 1-877-883-9577 Submit an inquiry online, For medication prior authorization, benefit questions, or to reach a pharmacist, Contact By: AO Fox Healthcare, MIBassett Healthcare, Cobleskill Regional Hospital, Delaware Valley, Little Falls, Margaretville Memorial, O'Connor, Tri-Town Regional Healthcare, Nathan Littauer, St. Mary's Amsterdam, SPECIALTY GROUPS: Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Omaha, Nebraska 68175 FEP: 800-328-0365, Anthem Keycare PPO: 800-552-2682/800-533-1120, Anthem: Phone Number: 877-842-3210. AAetna Life Insurance Company We look forward to working with you to provide quality service for our members. 205-733-7016 (Non-Par), Pharmacy: We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Brian.Fetterly@excellus.com, COVERAGE AREA - CNY: We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Resources. Home; Signatures. . Optometry, Ophthalmology, Optical, SOUTHERN TIER SPECIALTY PROVIDERS: Inquire about previously submitted authorization requests. Forgot Username As the Centers for Medicare and Medicaid Services (CMS) is aware, the COVID-19 crisis hit New York first and hardest. About Us. Review the Credentialing Overview page for more information about our process. Alaura.Daniels@excellus.com, Children's Behavioral Health Services: We currently don't offer resources in your area, but you can select an option below to see information for that state. BCBS Prefix List 2021 - Alpha. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. If you are not sure if your group or practice is contracted with Empire, please call Provider Services at 1-800-450-8753 to inquire. 1-800-342-9871. Monday - Friday: 8:00 a.m. - 7:00 p.m. Please update your browser if the service fails to run our website. (doing business as UniveraHealthCare): Medicare Select products Albany, Columbia, Delaware, Dutchess, Fulton, Greene, Herkimer, Montgomery, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Sullivan, Ulster, UTICA REGION SPECIALTY PROVIDERS: Strong Memorial, Highland, FF Thompson, Noyes, Aleisa Bevilacqua (315) 671-7176 1-877-327-1395, Provider Relations & Contracting/Network Management, 716-887-2054 Eagan, MN 55121. Already a member? Horizon Blue cross blue shield (BCBS) of New Jersey (NJ) Provider: 800-624-1110 Facility: 888-666-2535: New Mexico: Blue cross blue shield (BCBS) of New Mexico (NM) 888-349-3706 (IVR) Government Programs: 800-693-0663 (Blue Cross Community Centennial) 877-774-8592 (Medicare Advantage plan) New York: Empire Blue cross blue shield (BCBS) of New . * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. Syracuse, New York 13220-3125 Blue Cross Blue Shield Provider Phone Number. Highmark's mission is to be the leading health and wellness company in the communities we serve. Choose your state below so that we can provide you with the most relevant information. Providers. Member Discounts Take advantage of member-only discounts on health-related products and services. It looks like you're in . You can also visit. Please complete the Practice Profile Update Form below, and either fax it to Provider Relations or email us: For additional contact information, including contact information for services such as mail-order pharmacy, vision services and nonemergent transportation, please refer to your providermanual. The resources for our providers may differ between states. Bianca.Coe@excellus.com, CNY REGION SPECIALTY PROVIDERS: This would include: NYS will also reach out to community partners to solicit additional and innovative ideas for new types of services that can be piloted and tested for their ability to enact long-term improvements.

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