MENU . Empire BlueCross BlueShield HealthPlus is the trade name of HealthPlus HP, LLC, an independent licensee of the Blue Cross and Blue Shield Association. Community Memorial, Oneida Healthcare, Rome Hospital, Contact Customer Care for eligibility/benefits and claims inquiries, Contact By: We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. The resources for our providers may differ between states. Click here for all contact information pertaining to individuals and families. Blue Shield (BS) of Northeastern New York (NeNY) IVR: 800-444-4552 : Blue Card . Our resources vary by state. 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. Get answers to your questions about eligibility, benefits, authorizations, claims status and more. Our Lady of Lourdes hospital and physician practices (regardless of zip code), SOUTHERN TIER SPECIALTY PROVIDERS: What system change is occurring within Empire BCBS (Empire)? To contact an Elevance Health media relations professional visit our Media Resources page. It looks like you're outside the United States. Heather.Ducot@excellus.com, COVERAGE AREA: Clinton, Delaware, Essex, Franklin, Fulton, Hamilton, Herkimer, Madison, Montgomery, Oneida, Otsego, Laura LePage (doing business as BlueCross BlueShield of Western New York) If your state isn't listed, check out bcbs.com to find coverage in your area. It looks like you're outside the United States. Physical Address: 151 Farmington Avenue, Hartford, CT 06156 Please Note: Form 1095-B will not be mailed and is not required when filing your taxes.Learn about Form 1095-B and your options. Billing and Payments: Learn about convenient bill pay options. New York, NY 10036 888-261-9562 (Claims), Health insurance Market place a.k.a exchanges: 855-854-1438, Blue card number(Out of Area): Choose your location to get started. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Highmark Blue Cross Blue Shield of Western New York To update the provider or practice mailing address, contact information, hours, or other information, please use the Provider Maintenance Form. (585) 485-6064 Login to get a more personalized experience. 1-800-752-9797 Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Syracuse, New York 13220-3125 Blue Cross Blue Shield Provider Phone Number. G P.O. Nicole.Trombley@excellus.com, COVERAGE AREA: * AIM Specialty Health is an independent company providing some utilization review services on behalf of Empire BlueCross BlueShield HealthPlus. Then select Chat with Payer and complete the pre-chat form to start your chat. 800-676-2583 (Eligibility) Box 230589 Grand Rapids, MI 49523-0589. Providers - New York Empire. Empire is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. This is the customer service number for questions about your health insurance coverage, benefits or treatment. The resources for our providers may differ between states. (315) 798-4234 See our Privacy Policy for how we use information. Provider manuals and guides. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico Alicia.Chase@Excellus.com, COVERAGE AREA: Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Accessibility & Reasonable Accommodations. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Call the number on your ID card for: Checking coverage and in-network providers; Claim and Explanation of Benefits (EOB) questions; Billing inquiries and more; Use the phone number on the back of your member ID card to reach a customer service representative who can help you with your specific plan. kristin.korniat@excellus.com, HOSPITALS: If you have questions related to Availity, contact Availity Client Services at 800-282-4548 or visit the Availity support community. You can also log in to Availity, select Help and Training, choose Availity Support and select your organization. Save my name, email, and website in this browser for the next time I comment. X. * Availity, LLC is an independent company providing administrative support services on behalf of Empire BlueCross BlueShield HealthPlus. 855-251-8826(HMO/D-SNP), Medicare Advantage plan: Alaura.Daniels@excellus.com, Children's Behavioral Health Services: Login to check patient eligibility, benefits, deductible information and more. Need help shopping for a plan? 1-800-633-6066 or 1-877-883-9577 (315) 798-4242 Contact your local BCBS company. Provider Portal Security Upgrades are complete. All Rochester, CNY, Southern Tier and Utica region counties, Brian Fetterly Employers Plans: Contact your broker or consultant to learn more about Empire plans. 2023 Blue Cross Blue Shield Association. BCBS Company. Physical Address: 257 West Genesee Street, Buffalo, NY 14202 Chenango County physicians, SOUTHERN TIER SPECIALTY PROVIDERS: Careers. Contact Blue Cross. 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. You can also visit. 1-800-342-9871. Visit our Join Our Network page for more information. Have a question? Contact the Web Help Desk for technical website issues. Leading the way in health insurance since 1929. New data shows telehealth accounts for a rapidly growing share of abortions, and Honeybee, the largest online pharmacy supplying mail-order abortion pills . Essential Plan & QHP Individual Market Members: 1-877-626-9298 Child Health Plus Members: 1-800-650-4359 Medicare Members: 1-877-883-9577 TTY: 711 For billing questions on Dental Blue Select, please call us Or learn more online about coverage for: This number is used solely to receive calls and never to make calls to BCBS members. Optometry, Ophthalmology, Optical, HOSPITALS: Physical Address: 257 West Genesee St., Buffalo, NY 142202 Optometry, Ophthalmology, Optical, Carrie Clifford These learning opportunities will assist you in administering your patients health plan and provide with the knowledge to best assist our members. NEW System Changes . FEP: 888-800-1359, BlueCard: 800-395-3389 Crouse, Oswego, Clifton-Fine, Canton-Potsdam, Governeur, Claxton-Hepburn, and Massena Memorial, CNY REGION SPECIALTY PROVIDERS: Provider Phone Number Precert Phone Number; W2A: Blue Shield of Northeastern New York: W2B: Blue Cross Blue Shield of Illinois: W2C: Anthem BCBS of Georgia: W2E: . (518) 561-2243 (option 5, then option 3) We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. ET The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Illinois. Box 1017 Via Pascoli Giovanni, 1 80026 Casoria (NA) Tel: +39 081540 5416 Tel: +39 081 5404414 Cell: +39 320 8141985 synthetix5 quest diagnostics Inquire about previously submitted authorization requests. * We require 30 days advance notice of these changes. My Provider Enrollment Portal. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. If you dont have an Availity account, you can register for access. 2022Highmark Blue Cross Blue Shield of Western New Yorkis a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. 800-216-9920 We look forward to working with you to provide quality service for our members. Highmark Blue Cross Blue Shield of Western New York For other issues, you can message the Provider Experience team. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. (315) 798-4329 Providers should immediately submit any changes to demographics, specialty, practice information, TIN, billing, office hours or appointment scheduling phone number directly to Empire. 1-888-989-9905 or 1-888-787-2390 Local: (716) 884-2800 Subacute Care North** Region (includes FL Travelers): 305-716-2731. X. 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. Please update your browser if the service fails to run our website. Prompt Payment for Providers, NYS Insurance Department. PO Box 80 web site address: www.excellusbcbs.com, Excellus Health Plan, Inc Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 111 E. Wacker Drive Monroe County (14020, 14423, 14428, 14464, 14468, 14470, 14514, 14546, 14559, 14605, 14606, 14612, 14613, 14615, 14616, 14617, 14621, 14622, 14624, 14626), PHYSICAN PRACTICES: 1-877-327-1395, Provider Relations & Contracting/Network Management, 716-887-2054 web site address: www.empireblue.com, Excellus Health Plan, Inc Friday: 9a.m. - 5p.m. Outside the United States. Wellmark BCBS: WGS: Not Assigned Prefix: WGT: BCBS Western New York: WGU: . Investor Relations To find answers to frequently asked questions, review online copies of financial reports, and find contact information for shareholder services and our investor relations team visit the Investor Relations page . Monroe County (14445, 14450, 14467, 14472, 14506, 14526, 14534, 14543, 14580, 14602, 14603, 14604, 14607, 14608, 14609, 14610, 14611, 14618, 14619, 14620, 14623, 14625), PHYSICIAN PRACTICES: 877-299-1008 (Group), Blue card number: The resources for our providers may differ between states. or Find your plan type listed below and that number will put you in touch with a product expert. Children's Behavioral Health Services: All Rochester, CNY, Southern Tier and Utica region counties You can normally find the BCBS phone number for providers, customer service, claims and benefits verification on the back side of an Insurance card but If you don't have the Insurance card, you can find the BCBS phone numbers by plan and state here in this list. Anthem Blue Cross and Blue Shield (Anthem) is committed to supporting you in providing quality care and services to the members in our network. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Call 1-800-278-1247 If you have questions about your fee schedule or need to request a copy of your contract, please reach out to your contract manager for assistance. Get current patient insurance coverage information. 800-774-3892 (Out of State Number) Without the Correct phone number reaching the correct payer is impossible with Blue Cross Blue Shield insurance. 16 International Way, Ready to join our network? We currently don't offer resources in your area, but you can select an option below to see information for that state. 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. Blue Shield offers a full range of insured, self-insured, and government programs and services covering businesses, families, and individuals. Optometry, Ophthalmology, Optical, SOUTHERN TIER SPECIALTY PROVIDERS: 800-444-2726 (Claims) If you have questions related to Availity, contact Availity Client Services at 800-282-4548 or visit the Availity support community. 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: HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT). Submit and monitor the status of claims submissions. Onondaga County: Baldwinsville (13027), Liverpool (13090, 13088), Crouse physicians (regardless of ZIP code);Oswego County, St. Lawrence County, HOSPITALS: how does life insurance create an immediate estate? . Blue Cross Blue Shield of Michigan P.O. (Empire) phone number below. Buffalo, New York 14240-0080, HealthNow New York It looks like you're in . (585) 530-6752 Arnot hospitals and physician groups (regardless of zip code) Mailing Address: PO Box 80, Buffalo, NY 14240 ET Copyright 2023, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. 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. 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. All rights reserved. Find answers to questions regarding benefits, claims, prescriptions and more. 1-800-659-1986 or 1-877-883-9577 The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Prospective customers can call to discuss options to purchase coverage. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Forgot Username Provider Service. Chiropractic, HOSPITALS: Request a new ID card; View your EOBs; See how much of your deductible you've met; View your claims; . Slocum Dickson Medical Group, COVERAGE AREA: By Phone: Call the number on the back of the member's ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. 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. You can also visit bcbs.com to find resources for other states. (doing business as Empire BC (Albany Region) & Empire BC/BS (All Other Regions)) Forgot Password, Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m. Bianca.Coe@excellus.com, CNY REGION SPECIALTY PROVIDERS: 205-985-5378 (Non-PPO) 800-362-2218 (PPO/HMO) Choose a state to see how Blue Cross Blue Shield is working in your community. Aleisa.Bevilacqua@excellus.com, COVERAGE AREA: Broome, Chemung, Chenango, Schuyler, Steuben, Tioga, COVERAGE AREA - Utica: We're sorry, this feature is temporarily unavailable. 1-855-731-1090 (TTY/TDD: 711) . PRESCRIPTION DRUG INFORMATION. IMPORTANT Check here if this is a new address YES NO YES YES NO NO Health Dental Vision Drug Part A Part B MAIL CLAIM TO: Anthem Blue Cross and Blue Shield Attention: Latoya Hicks P.O. We currently don't offer resources in your area, but you can select an option below to see information for that state. Cayuga Medical Center, Schuyler Hospital, COVERAGE AREA: Provider Inquiry Blue Cross Blue Shield of Michigan P.O. DME Vendors (Local and National), Lab Vendors (Local and National), Oral Surgery, Physical/Speech/Occupational Therapy, Skilled Nursing Facilities, Lauren Thayer Highmark Blue Shield of Northeastern New York is happy to assist you. Excellus Health Plan, Inc (doing business as UniveraHealthCare): Medicare Select products Western New York Region 205 Park Club Lane Buffalo, New York 14221 1-800-659-1986 or 1-877-883-9577 web site address: www.univerahealthcare.com. Member Discounts Take advantage of member-only discounts on health-related products and services. Box 15013 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. Access fee schedules or request copies of contracts. * CarelonRx, Inc. is an independent company providing pharmacy benefit management services on behalf of the health plan. Rochester, New York 14692 1-800-633-6066 or 1-877-883-9577 web site address: www.excellusbcbs.com. 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. Our Companies. ET, Contact Dental Customer Care for eligibility/benefits and claims inquiries, Contact By: Strong Memorial, Highland, FF Thompson, Noyes, Aleisa Bevilacqua We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Check out the changes and updates to our plan in 2023. 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. Federal Employee Program (FEP) members should visit the FEP website. Friday: 9a.m. - 4:30p.m. 1-800-486-2620 or 1-800-833-6917 document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Blue cross blue shield (BCBS) Company Names, Blue cross blue shield (BCBS) Phone Number Provider. Provider Services: Call the number on the back of the member's ID card or call 800-676-BLUE (2583) . (212) 476-1000 or 1-855-731-1090 Submit an inquiry online, For medication prior authorization, benefit questions, or to reach a pharmacist, Contact By: Option 1: Participation and Credentialing Information. 1-800-677-3086 Medicare Supplement: 800-333-3883, Third-Party Liability Claims -Meridian: 800-645-9785, Blue Shield Life and Health Insurance: 866-510-8778, Blue Shield Medicare Advantage plan: 818-228-5014, Blue card number: For practitioner departures, please use the Provider Maintenance Form* to notify us. Need to update your practice or provider information? Your Provider Relations representative is your liaison with our health plan, bringing your needs, suggestions and concerns to the attention of our medical directors, policy makers and communications staff. web site address: www.bankersconseco.com, EEmblemHealth Plan, Inc. (formerly Group Health Incorporated (GHI))
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