Leading the way in health insurance since 1929. View Patient Benefits. Review the codes that most often require provider initiated medical record submissions. Privacy Policy X. Review the CPT, HCPCS, revenue and diagnosis codes that most often necessitate provider initiated medical record submissions. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Enter the first three letters of the Identification Number from your member ID card. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. We value you as a member and look forward to working with you to provide quality services. Learn more about the process for submitting FEP medical records. Find information on specialty networks, credentialing, and the responsibilities of primary care physicians. Visit the form page to review more update options. ¿Necesita su ID de usuario? We’ll cover the cost while you cover care. Search ... LLC in California and New York), an independent licensee of the Blue Cross and Blue Shield Association. Forgot password? Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. Explore resources that help healthcare professionals care for Anthem members. Medicare Policies and Responsibilities On September 19, 2019, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the medical drug benefit for Anthem Blue Cross. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Fraud and Abuse. 2019 Medical Record Submission Process Change. Join our network Be a part of the largest network in the state, with fast access to everything you need to check benefits and submit claims. Encouraging stronger patient-doctor relationships, enhanced communication and team-based care, Using advanced data and analytics to provide optimal care to patients with chronic health challenges, Improving care coordination so patients have clear treatment goals, and, Simplifying appointments, billing and timely access to health care professionals. For Blue Cross NC’s latest information on the COVID-19 (coronavirus), please visit bluecrossnc.com/coronavirus. Practice Quality Standards Post-Service Provider Appeals An independent licensee of the Blue Cross and Blue Shield Association. Anthem Blue Cross providers should update provider demographic information online via the revised Provider Maintenance Form. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Blue Cross of Idaho is proud to partner with you to provide Idahoans the best care at a great value. Usage Agreement We will connect you with your local Blue Cross and Blue Shield company. Complementary Content ${title} ${badge} ® SM Registered and Service Marks of the Blue Cross and Blue Shield Association. © 2020 Blue Cross Blue Shield Association. The National Institute on Mental Health (NIMH) developed the Ask Suicide-Screening Questions (ASQ), four questions in 20 seconds to identify people at risk of suicide. New insights into the continuing decline in millennials’ health, Blue Cross Blue Shield Association names Kim A. Keck as new President and Chief Executive Officer. Blue Cross providers can find all the information they need here. BCBS Plan Medical Policy & pre-cert. Register now. The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies. See the quality standards Blue Cross NC managed care plans has met for accreditation. Experience Health is committed to developing affordable and accessible products and services focused on: Network Development Representatives are available to assist providers Monday through Friday, 8 am to 5pm ET. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Dominion National, an independent company, assists in the administration of the BlueCross Dental benefits. Get the latest information on COVID-19. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies. Current Bulletins Palmetto Provider University Trainings Annual Provider Summit. To access your member services, please visit your BCBS company. ¿Olvido su contraseña? Information on our products, services, claims billing, policies and much more. Changes, Updates and Industry Requirements, National Committee for Quality Assurance (NCQA). All Rights Reserved. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. ® Registered Marks of Blue Cross Blue Shield of Massachusetts. (Training for Skilled Nursing, Home Health and Comprehensive Outpatient Rehabilitation facilities only), Medicare Fast Track Appeals - Workflow Process Chart, Medicare Fast Track Appeals - Notice of Medicare Non-Coverage (NOMC) Form. Member Discounts Take advantage of member-only discounts on health-related products and services. Join our email list to get the latest dental news from Blue Cross NC delivered right to your inbox. Password. Leading the way in health insurance since 1929. COVID-19. © 2020 Blue Cross Blue Shield Association. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Providers - Horizon Blue Cross Blue Shield of New Jersey. Tell your patients to stay home. No action is needed if you already have access to Provider Central with a different username from what appears in the email notification. Specialty and Pharmacy Drugs . eManuals This functionality can improve communications for medical record requests and receipt and will not impact the audit program. January 2019: Introducing the New PPO Dental Plan for Individuals from Blue Cross NC. To access your member services, please visit your BCBS company. Having problems accessing this content? Technical Information BlueCross Dental - Provider Services251 18th Street South, Suite 900Arlington, VA 22202Fax: 888.345.2040. © Blue Cross Blue Shield of Arizona. Network Participation Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. CPT and HCPCS Code List Medical Management Programs and Services Changes, Updates and Industry Requirements Starting April 13, 2020, Anthem will launch the use of Availity’s Medical Attachment functionality for electronic communications. The Blue Cross Blue Shield System is made up of 36 independent and locally operated companies. Welcome, Healthcare Providers! 844-415-2045 Toll Free or NCProviderQuestions@NCHealthyBlue.com. Learn more about Provider Central. Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. In a NIMH study, a “yes” response to one or more questions identified 97% of youth aged 10 to 21 at risk of suicide. Forgot User ID? Medical Record Submission Process BlueCross Dental Access the BlueCross Dental Provider Portal to view patient eligibility, plan information, claims status, payment history and more. Username. There is no fee to register or use MyBlue. Username. Programs that recognize doctors and facilities for excellence in care. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Accessibility ... Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. Review the CPT, HCPCS, revenue and diagnosis codes that most often necessitate provider initiated medical record submissions. © 2020 Blue Cross and Blue Shield of North Carolina. Find out what Blue Cross NC is doing to improve members' health, care and well-being. Find out how to become part of the Blue Cross NC network of providers. Update options include: adding an address location, changing a name or tax ID, provider leaving a Provider Central {} LoginPortlet. Continuous Quality Improvement ©2020 copyright of Anthem Insurance Companies, Inc. Healthcare benefit programs issued or administered by Capital BlueCross and/or its subsidiaries, Capital Advantage Insurance Company®, Capital Advantage Assurance Company® and Keystone Health Plan® Central. In response to the fires and evacuations in Northern California, Anthem Blue Cross is revising the medical and pharmacy guidelines to help ensure our impacted members and participating providers have access to essential prescription medications and other health care-related services. Learn more about what BCBS companies are doing to support their local communities during the COVID-19 pandemic. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Appeals forms, enrollment applications and credentialing forms. Complete the application and participation agreement and send them to us via Mail or Fax. Learn more about the process for submitting Blue Medicare medical records. New! 2019 FEP Medical Record Submission Process Change. Servicing Blue Medicare HMO and Blue Medicare PPO members, Medicare Fast Track Appeals Site Map Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Please log in to access secure information. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Your resource for member eligibility, claim status, claims entry, and more. Find essential resources and forms including prior authorization, Medicare payer sheets and provider newsletters. Experience Health is Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. If you received an email notification that your Provider Central access is expiring: No action is needed if you already have access to Provider Central with a different username from what appears in the email notification. info. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Check claims status and patient eligibility, view remittances, and review the Provider Administrative Manual.