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what is a payer identifier for blue cross medicare advantage plans

by Scottie Schulist Published 2 years ago Updated 1 year ago

Full Answer

What is the new payer ID for Medicare Advantage?

New Payer ID The Payer ID for the Blue Cross Medicare Advantage plans will change to 66006 for claims submitted on and after Jan. 1, 2017. Providers who are not registered with Availity should contact their clearinghouse to confirm the new Payer ID for this plan - as other clearinghouses may assign their own unique number.

What is the payer ID for Blue Cross Blue Cross?

BLUE CROSS/BLUE SHIELD 1882 SX075 AmeriHealth - New Jersey (Non-HMO Claims) NJ BLUE CROSS/BLUE SHIELD Claims should enrolled and submitted to Independence Blue Cross for this plan under this payer id. However ERAs are enrolled and delivered by Independence BC under payer id SX055.

What is the state alpha prefix for Blue Cross Medicare Advantage Member ID?

Please note that the Blue Cross Medicare Advantage member ID cards will contain the following applicable state alpha prefix: State PPO HMO Oklahoma YUX YUB Illinois XOD XOJ Texas ZGD ZGJ New Mexico YID YIJ Montana YDJ YDL o The above state alpha prefix must be submitted using the new Payer ID 66006, even for

What is the payer ID for affinity Medicare Advantage commercial?

COMMERCIAL When submitting to this payer ID please ensure the following: The claim is for a Medicaid Child Health Plus or Family Health Plus member and the subscriber ID is as printed on Member's ID Card 75 13333 Affinity Medicare Advantage COMMERCIAL

What is Medicare payer ID?

The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.

What is the payer ID for Blue Cross Blue Shield Federal?

19. What is Blue Shield's Payor Identification Number? Shield payor ID used is 94036 or BS001.

What is the payer ID for Premera Blue Cross?

Claim payer IDs by category for PremeraPlanProfessionalDentalPremera Blue Cross*0043047570

What is claims payer ID?

A Payer ID is a unique ID number that is assigned to an insurance company for the purpose of transmitting provider claims electronically. Each company has a specific number that must be used in order to achieve proper adjudication of the claim.

What is Florida Blue payer ID?

5) Florida Blue will only accept the submission of the tax ID number 592015694 in this field.

What is the payer ID for Cigna?

62308Use Cigna payer ID 62308 * Including employee assistance program.

Is payer ID the same as member ID?

There are multiple listings of names with the same payer ID because clients' member ID cards can have any of those different names on them. However, they're all associated with the same payer.

How do I submit a claim to Premera Blue Cross?

You can reach Customer Service by calling 877-342-5258, option 2, or by calling the Customer Service phone number on the back of the member's ID card. Before discussing member claim information, the Customer Service representative must verify the identity of the caller.

Can you bill Medicare through simple practice?

If you are not credentialed directly with Medicare or Medicaid, they will not accept your claims or enrollments through SimplePractice. If Medicare has 2 NPI numbers on file for you ( a billing NPI and a provider NPI), be sure to use your billing NPI when filing CMS claim forms.

Is an insurance company a payer or payor?

Who is a Payer? A payer, or sometimes payor, is a company that pays for an administered medical service. An insurance company is the most common type of payer. A payer is responsible for processing patient eligibility, enrollment, claims, and payment.

Is employer number the same as group number?

Almost all insurance plans will assign you a member ID number, regardless of whether it is employer based or not. This number is individual to you specifically, whereas the insurance group number on the card can apply to multiple people who have the same employer as you, as well as their dependents.

How much does Blue Advantage pay for prescriptions?

Blue Advantage pays the rest. Once YOUR out-of-pocket spending on prescriptions reaches $6,550 you pay the greater of $3.70 for generic drugs and $9.20 for brand-name drugs OR 5% coinsurance per prescription for the rest of the year. Blue Advantage pays the rest.

What is Blue Advantage?

Blue Advantage makes it easy to stay healthy and save money. Choice of plans, including $0 premium option. Built-in prescription drug coverage. Statewide provider network with 100% of Alabama hospitals and over 90% of doctors. No referral required for network specialists, doctors or hospitals.

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