For vendor options and information, refer to the Electronic Commerce page. Kansas City, MO 64141 . Dial the phone number next to the option that best describes your health plan. Monday through Friday 8:00 a.m. 5:00 p.m. Members Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Medicaid and CHIP Claim Editing Enhancements Coming Feb. 23, 2022, ICD -10 Z Codes for Social Determinants of Health, How to Submit a Complaint as a Medicaid Provider, Members can ask for an External Medical Review (EMR) and State fair Hearing from the state Medicaid program and get information about how the process works in our provider alert. or one of our providers, our local customer service representatives are here to support you. . Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. does united health care cover hearing aids? ] O(DP}z!&^4tN/I1rUL With the revolution of technology in healthcare IT industry, everything is getting fast and easy. BlueCard is a national program that enables members of one Blue Cross and Blue Shield (BCBS) Plan to obtain health care services while traveling or living in another BCBS Plans service area. Please refer to your policy for specific benefits. Contact Us | Blue Cross Blue Shield Review our FAQs. Kansas City, MO 64141, Help Us Fight Health Care Fraud, Waste, and Abuse, Y0126_230-2023 Well mail you a free Blue Medicare Advantage Information Kit. rights reserved.An independent licensee of the Blue Cross and Blue Shield Association. Well walk you through the Medicare process and answer all your questions, so you can be confident in your decision making. YES. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All The ERA can be automatically posted to your patient accounting system. rights reserved.Healthcare benefit programs issued or administered by Capital Blue Cross and/or its subsidiaries, Capital Advantage Insurance Company, Capital Advantage Assurance Company and Keystone Health Plan Central. Please note that our main customer service number presented above is the designated number for submitting oral requests for expedited appeals. Well connect you with the right team member to help. Government Programs Claims Electronic claim submission is preferred, as noted above. The site may also contain non-Medicare related information. For a guide on how to fill out Provider ID# - Box 33b on the 1500 Claim Form, view page 56 of theNational Uniform Claim Committee (NUCC) 1500 Health Insurance Claim Form Reference Instruction Manual. Missouri & Kansas | 2021 . Mail Order. Get answers to your questions. Submit appeals within 120 calendar days from receipt of remittance advice (RA). Ambetter Superior HealthPlan Member and Provider Services Phone Number: 12515-8 Research Blvd, Suite 400 Austin, TX 78759. Kansas: 800-432-3990 800-432-0272 (Benefits/Eligibility) 785-291-4181 (Federal Employee Program in Topeka) . Discover how you can reach us. Fax (816) 995-1507. The HMO products are offered by Blue-Advantage Plus of Kansas City, Inc. and the PPO products are offered by Missouri Valley Life and Health Insurance Company, both independent licensees of the Blue Cross and Blue Shield Association, and wholly-owned subsidiaries of Blue Cross and Blue Shield of Kansas City. This new site may be offered by a vendor or an independent third party. rights reserved.Blue Cross Blue Shield of Nebraska is an independent licensee of the Blue Cross Blue Shield Association. Customer service 4 0 obj rights reserved.Blue Cross and Blue Shield of Florida, Inc. is an Independent Licensee of the Blue Cross and Blue Shield Association. External link You are leaving this website/app (site). Medicare beneficiaries can also contact . You can choose the format that fits your schedule and your comfort level. The site may also contain non-Medicare related information. PDF Claims dispute and appeals process - Healthy Blue MO 1-785-291-7000. Mail original claims to BCBSIL, P.O. Mailing Address: Central Operations (COPS) Blue KC MA . You may receive a messaging service on weekends and holidays from April 1 to September 30. Ambetter NH Healthy Families Member and Provider Services Phone Number: Ambetter from PA Health & Wellness Pennsylvania, 300 Corporate Center Drive, Suite 600, Camp Hill, PA 17011. 1133 SW Topeka Boulevard. This insurance is also known as: Kansas Blue Cross Blue Shield. Blue Cross and Blue Shield of Kansas City Ambetter from Arkansas Health and Wellness Member and Provider Services Phone Number: Ambetter from Coordinated Care Washington, 1145 Broadway, Suite 300 Tacoma, WA 98402. Blue Cross Blue Shield of Kansas Other ID's: SB650, 00650, SB653, SB651, SB652, 57325. CSC Question Form - BCBSKS Most PDF readers are a free download. PDF File is in portable document format (PDF). Claim Submission | Blue Cross and Blue Shield of Illinois If you suspect someone should not be covered under someone elses health care plan or you have been billed for a service you never received, call us at: If you're with a hospital, doctor's office or another medical provider, we can put you in touch with the right person. rights reserved.A Division of Health Now New York Inc. An Independent Licensee of the BlueCross BlueShield Association. Seeking employment with us? Mail original claims to the appropriate address as noted below. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All We have a dedicated unit to investigate referrals and tips from people suspecting insurance fraud. rights reserved.Blue Cross and Blue Shield of Vermont is an Independent Licensee of the Blue Cross and Blue Shield Association. Ambetter Home State Health Member and Provider Services Phone Number: Ambetter from Illinicare Health Illinois, PO Box 92050, Elk Grove Village, IL 60009-2050. Are you an individual needing insurance or a group wanting to discuss options for you and your employees? 3 0 obj Ambetter from Absolute Total Care Member and Provider Services Phone Number: 833-270-5443. Medicare Advantage | Blue Cross and Blue Shield of Kansas - BCBSKS Blue Cross and Blue Shield of Kansas City, One Pershing Square Want to check the status of a pending claim? Ambetter Arizona Provider Services Phone Number: Ambetter from Arkansas Health & Wellness Arkansas. Topeka, KS 66629-0001. www.bcbsks.com. rights reserved.An Independent Licensee of the Blue Cross and Blue Shield Association. BCBS Provider Phone Number - Anthem Blue Cross and Blue Shield List All Rights Reserved. Health . The information in My Health Toolkit can help you understand your health plan benefits. You are leaving this website/app (site). Or call us toll free at (855) 208-8246 (TTY:711) 8 a.m. to 8 p.m., MondayFriday. Box 22999 Rochester, NY 14692 *New York *The Buffalo office handles the receipt of claims and correspondence for BS To receive a free Blue Medicare Advantage Information Kit in the mail with no obligation, simply enter your information in the form below and click the Send button. Get the best health care in the region. Blue Shield of California Promise Health . Availity provides administrative services to BCBSTX. Blue Cross and Blue Shield of Kansas is the largest health insurer in the state of Kansas. BlueCross and BlueShield of Kansas serves all counties in Kansas except Johnson and Wyandotte. Mailing address. There are different addresses for Blue Cross Community Health PlansSM, Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and Blue Cross Medicare AdvantageSM claims. Claim Inquiry - Blue KC Telephone lines are open 8 a.m. to 8 p.m., Monday-Friday, Medicare Advantage and Medicare Supplement plans. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Contact Us | Blue Cross and Blue Shield of Kansas - BCBSKS Provider Contact Us Email: Submit an Inquiry Forms: Find a Form Phone: Blue KC Provider Hotline: 816-395-3929 Prior Authorization / Pre-Determination: 816-395-3989 View Prior Authorization requirements and submit requests with your provider portal account. We process the claim based on the terms of your specific benefit plan including: Once we process a claim, we share this information with you in a statement called an Explanation of Benefits, or EOB. Availity EFT & ERA Enrollment User Guide. rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Attn: MA Customer Service PO Box 410080 Kansas City, MO 64141. This new site may be offered by a vendor or an independent third party. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Prescription Drug Forms. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All endobj Our contact information is specific to state. (For example, if your service was provided on March 5, 2022, you have until December 31, 2023 to submit your claim). Ambetter from Buckeye Health Plan Member and Provider, Ambetter Indiana Member and Provider Services Phone, Medical Coder Salary -the Best Paying Jobs in Healthcare Industry (2023), Amerihealth Caritas provider Phone Number, Payer ID and Claims mailing address list (2023), Ambetter from Absolute Total Care South Carolina, 1441 Main Street, Suite 900, Columbia, SC 29201. and Blue Shield Association. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All BCBS of Kansas P. O. rights reserved. Availity provides administrative services to BCBSIL. Saturday and Sunday closed. Gone are days when you had to send medical claims through paper on insurance mailing address. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If your business currently has insurance with us, please select the appropriate category to get the email address, phone numbers and mailing addresses for Blue Cross and Blue Shield of Kansas representatives. Get to know us. Ambetter Magnolia Health Member and Provider Services Phone Number: Ambetter from Managed Health Services Indiana, 550 N.Meridian St. Suite 101, Indianapolis, IN 46204, Ambetter from NH Health Families New Hampshire, 2 Executive Park Drive, Bedford, NH 03110. Otherwise, please select your state. Your health insurance claims. Blue Cross and Blue Shield of Kansas City PO Box 410080 Kansas City, MO 64141. Contact Blue KC - Blue Cross and Blue Shield of Kansas City PO Box 410080 PDF PROVIDER REFERENCE GUIDE - Blue KC Level I Claim payment appeal Level II Regulatory Complaint If you disagree with the outcome of a claim, you may begin the Healthy Blue provider payment dispute process. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. does united health care cover dental implants? Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross and Blue Shield Association. 2023 Blue Cross and Blue Shield of Kansas City. You can use Availity to submit and check the status of all your claims and much more. Ambetter of North Carolina Member and Provider Services Phone Number: Ambetter of Tennessee Member and Provider Services Phone Number. Thats why were here to help. Need to submit transactions to this insurance carrier? Most PDF readers are a free download. Want to attend a Blue KC Medicare seminar to learn more? Log into to the secure site or download the free mobile app from the App Store or Google Play. Ambetter from Absolute Total Care Member and Provider Services Phone Number: Ambetter from Arizona Complete Health Arizona, 1870 W. Rio Salado Parkway Tempe, AZ 85281. Get answers to your questions about eligibility, benefits, authorizations, claims status and more. If necessary, commercial paper claims may be submitted as follows: Electronic claim submission is preferred, as noted above. You or your billing agent will need to utilize a third-party claims clearinghouse vendor such as AvailityEssentials to submit electronic Professional and Institutional claims (ANSI 837P and 837I transactions) to BCBSIL. In addition, some sites may require you to agree to their terms of use and privacy policy. Back to Help Center Blue Cross and Blue Shield of Kansas City General Inquiries 1-816-395-2222 1-800-221-2362 Blue Cross and Blue Shield of Kansas City 2301 Main Street Kansas City, MO 64108 www.bcbskc.com Customer Service 1-816-395-2500 Mental Health/Substance Use Disorder Precertification 1-800-528-5763 Precertification 1-816-395-3989 Registered Trademarks of the BlueCross BlueShield Association. Get the best health care in Kansas. The EPSarrives fasterthan the PCS andis easier to archivefor future retrieval. Yes No FEP Members ONLY: CLAIM.MD | Payer Information | KS BCBS Please leave a message and your call will be returned the next business day. Ambetter Silversummit Healthplan Nevada Member and Provider Services Phone Number: Ambetter from Sunflower Health Plan Kansas, 8325 Lenexa Drive, Suite 200 Lenexa, KS 66214. To confirm receipt and adjudication progress. When you see a doctor or other health care provider, the providers office sends us a claim. Lastly mail the completed claim form to the address provided. Box 98029 Baton Rouge, LA 70898- 9029 Maine Anthem BCBS . rights reserved.Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Box 805107, Chicago, IL 60680-4112. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Claims mailing Address. Payer ID. Box 3836, Scranton, PA 18505, Blue Cross Medicare Advantage, c/o Provider Services, P.O. Telephone lines are open 8 a.m. to 8 p.m., 7 days a week. External link You are leaving this website/app (site). <> Claims mailing address: Blue Cross and Blue Shield of Texas PO Box 51422 Amarillo, TX 79159-1422; Claim Refunds for Non Medicare/Medicaid . 10/12/2021 - Help improve diabetic patient health while reducing medical record review requests. Download and complete the appropriate form below, then submit it by December 31 of the year following the year that you received service. FAQ. Outpatient Medical Drug Exclusion List. Have questions? <> Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Blue Cross and Blue Shield of Kansas City PO Box 410080 . endobj PDF Local Blue Cross and Blue Shield Mailing Addresses State/Alpha Prefix Navigation. rights reserved.Excellus BlueCross BlueShield, a nonprofit Independent Licensee of the BlueCross BlueShield Association. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All rights reserved.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross and Blue Shield of Kansas. Ambetter Member services and Provider services Number. Back. Manage Your Plan; . x]o8/AbZX,0{7swv@gb_$%9N,MF $c"#ERMW+nUsa]]~.nUK6}xAr.XmVg]3M!,y R$H$5e-6q:?{. rights reserved.Blue Cross and Blue Shield of Kansas is an independent licensee of the Blue Cross Ambetter PA Health & Wellness Member and Provider Services Phone Number: Ambetter from Peach State Health Plan Georgia, 1100 Circle 75 Parkway, Suite 1100, Atlanta, GA 30339. This new site may be offered by a vendor or an independent third party. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All The lobby at our main headquarters,1133 SW Topeka Blvd., Topeka, KS, is open from 8 a.m. to 4:30 p.m. Want to visit one of our other locations throughout the state? LAST UPDATE 03/02/2021. Kansas - Blue Cross and Blue Shield's Federal Employee Program Claims and grievances. Ambetter from Absolute Total Care - South Carolina. Fax (816) 995-1507. SHOP FOR INSURANCE Prospective customers can call to discuss options to purchase coverage. If youre ready to get Medicare coverage, you can start your enrollment now using our secure online enrollment system. Find answers to questions regarding benefits, claims, prescriptions and more. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Get answers to your questions. BCBSKS. Get answers to your questions. 816-395-2500. Select this option for questions regarding services already provided where a claim is involved. 68069. Participating physicians, professional providers, ancillary and facility providers are requested to submit claims electronically to Blue Cross and Blue Shield of Texas (BCBSTX) within 95 days of the date of service, or by using the standard CMS-1500 or UB04 claim form. When you enroll for the ERA, you are automatically enrolled for the EPS, which is an electronic version of the paper PCS. Monday through Friday % PO Box 410080 Does insurance cover breast pumps blue cross blue shield? Claims | Blue Cross and Blue Shield of Kansas In order for Blue KC to comply with Missouri Prompt Pay Statuses 376.383 and 376.384 please indicate if you are responding to a request for additional information from Blue KC. Non-Discrimination Notice & Information in other Languages. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Personalized customer service | Blue Cross and Blue Shield of Kansas When you see a doctor or other health care provider, the provider's office sends us a claim. Claims Submission. Youve got a friend for life in Blue KC. PDF Claims, Billing and Remittance - Blue KC Then select Chat with Payer and complete the pre-chat form to start your chat. We offer innovative Kansas health insurance coverage, caring customer service, and a full range of health and wellness initiatives for individuals and businesses. 2 0 obj I'M NOT A MEMBER YET! Claims | Blue Cross and Blue Shield of Texas Ambetter Illinicare Health Member and Provider Services Phone Number: Ambetter from Magnolia Health Mississippi, 111 East Capitol, Suite 500, Jackson, MS 39201. One option is Adobe Reader which has a built-in reader. When the confirmation message displays, select, To enroll online for EFT, you must be a registered Availity, Texas Medicaid claims are normally finalized weekly on Mondays. Provider Contact Us - Blue KC Medicare can seem confusing at first. Customer Service Question Form. 2301 Main Please note: If you purchased your plan on the Marketplace and need to update your information, please contactHealthCare.govby calling1-800-318-2596or by logging in to yourHealthCare.govaccount. Check out what you can do online at your convenience. Blue Cross and Blue Shield of Kansas is an independent licensee of the . /S9UML/U7xL/IaNIwY9z:qro02Kp;AFybhPNw$|UM_0;Xw?IxQ)U'4%yD|E5z%V6LLI/4iz#;eoW5],eg[+(mHY.isaxDO@Z)1y;nz jIMXO9 |?y:H[zA+ZzSJ^5F[o \X@Bz\.k*B=DCD3*r>iVMmor !;Q -< Yz[{}~%g8I[l+j&$"#AN8D Kansas City, MO 64141, Attn: MA Customer Service We can help! BCBS of Kansas - BCBS: SB650: BCBS of Kansas City - BCBS: SB740: BCBS of Kansas HMO FEP - BCBS: SB651: . You can get valuable information from a Blue KC Medicare advisor in-person or from your home. Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association. If you have questions, please contact your local Blue Cross and Blue Shield company. If necessary, government programs paper claims may be submitted. Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All <>/Metadata 265 0 R/ViewerPreferences 266 0 R>> Work for one of the most trusted companies in Kansas. Member Discounts Blue365 offers our members access to exclusive discounts on health and wellness products and services. Whether youre interested in enrolling, already a member, Get to know us. If you have any questions or comments about this site, please notify our webmaster. Individual Short Term Disability Insurance, 1-800-766-3777 (for hearing impaired customers), For enrolled groups with 10 or more employees, I need to find covered prescription drugs, I have a question about my deductible, coinsurance and/or copayment, Non-Discrimination, Translation and Interpretation Services, Contact our Other Party Liability department about duplicate coverage. BCBS Contact Info - Providers, Overseas, and More - Blue Cross and Blue Non-Discrimination Statement and Foreign Language AccessCopyright {{ new Date().getFullYear() }} All Medicare beneficiaries can also contact1-800-MEDICARE, 24 hours a day, 7 days a week. (785) 291-4180 (in Topeka) 1-800-766-3777 (for hearing impaired customers) Contact our Other Party Liability department about duplicate coverage Hours of operation/locations Customer service representatives are available to receive your call from 7 a.m. to 4:30 p.m., Monday through Friday. Missouri Blue Cross Blue Shield of Kansas City PO Box 419016 Kansas City, MO 64141 Montana Blue Cross and Blue Shield of Montana PO Box 5004 Great Falls, MT 59405 Out-of-network/non-contracted providers are under no obligation to treat Blue Medicare Advantage members, except in emergency situations. Telephone lines are open 8 a.m. to 8 p.m., 7 days a week. One option is Adobe Reader which has a built-in reader. stream See our statewide locations. Ambetter Claims mailing address and provider Phone Number list (2023) . Provider Correspondence/Claims Address . Copyright 2022Health Care Service Corporation. How to Submit a Claim - Blue Cross and Blue Shield's Federal Employee Mail original claims to BCBSIL, P.O. Weve put together some documentation and coding tip sheets for the following conditions: Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. For additional information, including Timely Filing Requirements, Coordination of Benefits (COB), Medicare Crossover process and more, please refer to the BCBSIL Provider Manual. Learn how to enroll online for EFT and ERA transactions by referring to theAvaility EFT & ERA Enrollment User Guide. 9100. Box 3686, Scranton, PA 18505. Utilization Management (Prior Authorizations), STAR Kids Referral and Authorization Process, Value-Added Services for STAR, CHIP and STAR Kids, Medicaid Provider Information on COVID-19 Coverage, Quality Improvements (QI) Toolkits and Tip Sheets, Home Delivery Pharmacy (Mail-Order Pharmacy), Medicaid (STAR) and CHIP Prior Authorization Forms, National Uniform Claim Committee (NUCC) 1500 Health Insurance Claim Form Reference Instruction Manual, Independent Review Organization (IRO) and EMR Provider Training, Interpreting the PLB Segment on the 835 ERA Guide. Or would you like to review your EOBs? Log into the Availity Provider Portal, select Payer Spaces from the top navigation menu and select BCBSTX. Please call our Customer Service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. The claims process is how we determine how much the plan pays and how much you may owe. Kansas City, MO 64108. Within BCBSTX-branded Payer Spaces, select the Applications tab and click the BCBSTX Medicaid Provider Appeal Request Form. This website is current as of 1/3/2023. To view this file, you may need to install a PDF reader program. Appeal requests. BlueCross and BlueShield of Kansas is an independent licensee of the BlueCross BlueShield Association. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. Ambetter Sunshine Health Member and Provider Services Phone Number: Ambetter from Superior HealthPlan Texas. If necessary, government programs paper claims may be submitted. Missouri - Blue Cross and Blue Shield's Federal Employee Program All claims must be submitted as a complete and accurate electronic form, including appropriate CPT, HCPCS, ICD-10 and revenue Contact Blue KC Medicare Customer Support Need information about options for paying your bill?
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