Submit an Inquiry, Call the toll-free service phone number on your patients ID card. 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. Sales Inquiries Request information about our individual and group plans. 1901 Market Street. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; QAA: Tennessee: . Choose Independence Blue Cross, the name you know and . If you wish to purchase coverage with Personal Choice, you must residein Philadelphia, Bucks, Chester, Delaware or Montgomery county. Contact Us. document.write(new Date().getFullYear()) You can also access additional information about submitting transactions through Highmark Gateway, maintained and managed by Highmark, Inc. Call the Magellan national Provider Services Line at 1-800-788-4005 for general inquiries, including credentialing and network status. This free, confidential program provides support, guidance, and coordinated care for complex health concerns. Learn about insurance options for Individuals & Families or Employers, or get connected with your local Blue Cross Blue Shield company by calling 888.630.2583. Calling all Clinical Care Innovators! Blue Cross Blue Shield Federal Phone Number. Personal Choice PPO plans available through Independence Blue Cross. Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. What does that mean to you? Call the eBusiness Hotline at 215-640-7410 if you have any questions. NaviNet is a registered trademark of NantHealth. 1-888-356-7899 1-888-356-7899 Independence Blue Cross sales representatives are available 8 a.m. to 8 p.m., Monday - Friday, to answer your questions and help you apply for coverage: Call 1-888-475-6206 TTY/TDD: 711 Visit Independence LIVE 1919 Market Street, 2nd Floor Philadelphia, PA 19103 8 a.m. to 4 p.m., Monday - Friday Medicare Visit IBX Medicare contact us page Independence Blue Cross Contact Phone Number is : +1 215-241-2000. and Address is 1901 Market Street, Philadelphia, Pennsylvania 19103, United States. How can I add trusted sites to my browser. Which website is listed on the back of your ID card? Providers can streamline inpatient and outpatient precertification requests and treatment updates using iEXCHANGE, a convenient, HIPAA-compliant online service offered through MEDecision, Inc. Precertification can also be requested by calling the phone number on the plan members ID card. Mailing address 1901 Market Street Philadelphia, PA 19103-1480 Email Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM. They will not be able to assign access to third-party organizations for PEAR CV using PAT. With an expansive network of more than 55,000 doctors and 100 hospitals to choose from, you can always find the care you need.For more than 70 years, weve provided the best in quality,reliability and service to Philadelphians. Click the link below to authenticate. Anthem Blue Cross Blue Shield Timely filing limit - BCBS TFL List; Ambetter Timely Filing Limit; Workers Compensation. You can go to any provider, but your out-of-pocket costs are based on the type of provider you use: Preventive care services are covered at 100%. Member Inquiries For members, request more information. Independence Blue Cross AmeriHealth Administrators Members: 888-678-7013. HIPAA Inquiries The PEAR portal offers participating providers a single point of entry to multiple digital tools, including PEAR Practice Management, PEAR Comprehensive Visit, and PEAR Analytics & Reporting. Submit an Inquiry FutureScripts 1-888-678-7013 (phone) 1-888-671-5285 (fax) Visit iEXCHANGE Our transition to the Provider Engagement, Analytics & Reporting (PEAR) portal is complete! Many FutureScripts plans require prior authorization for certain medications. To appeal a claim, download the Provider Claim Appeals Form. AmeriHealth Administrators, an independent company, performs medical management services on behalf of Independence Administrators. Independence Blue Cross Foundation. Visit FutureScripts to download a request form, or call FutureScripts at 1-888-678-7013. Independence Blue Cross Medicare Members: 888-678-7015. Choose Independence Blue Cross, the name you know and trust. Submit claims and obtain important documents online through our Electronic Data Interchange (EDI) services. Independence Blue Cross 5 County service area. Employer Inquiries For employers, request more information. The Provider Manual for Participating Professional Providers (Provider Manual) is part of a provider's Professional Provider Agreement with Independence Blue Cross and its affiliates (collectively referred to as "Independence"). Independence Blue Cross General Inquiries 1-215-241-2400 Independence Blue Cross 1901 Market Street Philadelphia, PA 19103 www.ibx.com Customer Service Medical: 1-800-779-6945 Hospital: 1-215-241-4400 Precertification 1-800-862-3648 Mental Health/Substance Use Disorder Precertification 1-800-688-1911 Care Management Programs Asthma The PEAR portal. Important telephone numbers PNS contact tool Contact your designated Independence Provider Network Services (PNS) team contact. Trading partners can access the EDI Trading Partner Business Center and register to submit and receive transactions. Independence Blue Cross Consumer Members: 888-678-7012. Under this program, physicians can order certain specialty drugs that are given in the office and are eligible for coverage under the plan members medical benefit when medical necessity criteria are met. To request a reimbursement for an implant, download the Implant Reimbursement Request Form. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; RAA: Pennsylvania: Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania: RAB: Florida: Florida-Blue: RAC: Wisconsin: All rights reserved. *Some specialty medications, such as infusion drugs or drugs administered by the physician in the office, may be covered by the plan members medical benefits plan and may require precertification. Submit an Inquiry, 1-888-678-7013 (phone) State Lookup. See if your question has been answered in our FAQs. Registration is required. The future of health care is extremely complex and constantly changing. Provider inquiries For questions about a request or the ProviderPortalSM: Call 1-800-252-2021 or EMAIL OUR SUPPORT TEAM Business hours: 8:00 a.m. - 5:00 p.m. CST Sales inquiries For questions about our solutions and how they can support your organization: EMAIL OUR SALES TEAM Media inquiries For media-related questions: EMAIL OUR MEDIA TEAM Tip Independence Blue Cross is an independent licensee of the Blue Cross Blue Shield Associaion serving Southeastern Pennsylvania and Philadelphia health insurance needs. Hours of availability are given in Eastern Time and indicate the times you can transact with a health plan using NaviNet. 1-888-356-7899 Submit an Inquiry Claims, benefits, & eligibility Call the toll-free service phone number on your patient's ID card. Administered by Independence Blue Cross, the PennCare/Personal Choice Preferred Provider Organization (PPO) plan doesn't require a Primary Care Provider (PCP) or referrals. AmeriHealth Administrators, a leading independent national third party administrator, provides medical management services for Independence Administrators. 1-888-356-7899 Submit an Inquiry Claims, benefits, & eligibility Call the toll-free service phone number on your patient's ID card. If you have additional questions, please email us at qualitymanagement@ibx.com. 1-888-356-7899 Submit an Inquiry Members Call the phone number on your Independence Administrators ID card. Submit an Inquiry FutureScripts 1-888-678-7013 (phone) 1-888-671-5285 (fax) Visit iEXCHANGE Appeals procedures are subject to change. Philadelphia, PA 19103 1-888-617-1010 Submit an Inquiry Contact Us General inquiries Questions? In fact were the regions Numberone HMO and PPO provider. Independence Blue Cross . An expedited appeal may be obtained with validation from the Member's Provider stating that the Member's life, health, or ability to regain maximum function would be placed in jeopardy or Find an Independence Administrator Network Provider. Independence Blue Cross Foundation 1901 Market Street 37th floor Philadelphia, PA 19103-1480. Independence Blue Cross PO Box 13713 Philadelphia, PA 19101-3713 Email form: For more information about our Medicare plans, please fill out our Online Information Request Form. The registration form requires an officer or owner of the provider . Weve adopted more nimble, advanced technologies so we can offer more comprehensive services, greater flexibility, enhanced interoperability, and improved health data management. Procedures & Medications Requiring Precertification, Precertification List (effective 7/1/2022), Precertification List (effective 1/1/2022). Employer Inquiries For employers, request more information. Be sure to include your name, contact number, and provider ID number in your email. Before prescribing a medication, you should work with the plan member to determine if the drug is included on the formulary. Find Providers, Call the number on your patients ID card or log into iEXCHANGE Provider Inquiries Reach provider services, care management, and clinical pharmacy services. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Anthem Blue-Cross Blue-Shield of Colorado, Anthem Blue-Cross Blue-Shield of Virginia, Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania, Empire Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Missouri, Highmark Blue-Cross Blue-Shield of Pennsylvania, Blue-Cross Blue-Shield of Western New York, Anthem Blue-Cross Blue-Shield of Wisconsin, Anthem Blue-Cross Blue-Shield of Kentucky, Highmark Blue-Cross Blue-Shield of Delaware, Maryland/District of Columbia/Northern Virginia. See our, Online Statement of Remittance (SOR) Inquiry, BlueExchange Eligibility and Benefits Inquiry, BlueExchange Medical Policy/Pre-Certification Inquiry, Pre-Service Review for Out-of-Area Members. Please note that this number is used solely to receive calls from BCBS members seeking assistance and never to make calls to BCBS members. For assistance please call (215) 675-6846, 2015 by Health Insurance Depot 626 Jacksonville Rd Suite 146, CenterPointe Building Warminster, PA 18974. Providers and facilities can use InstaMed to receive fully reconciled remittance advice and claims settlement payments electronically for services provided to Independence Administrators plan members. Call 1-888-444-4617 to contact the iEXCHANGE Help Desk or Request a Free Webinar. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association. Sales Inquiries Request information about our individual and group plans. HIPAA Inquiries Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania: QBO-Unallocated/Not Assigned: QBP: New York: Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. What is Medical Billing and Medical Billing process steps in USA? The manual was developed to assist participating professional providers in conducting business with Independence in accordance with the Provider Agreement. This resource is designed to give health care providers easy access to timely, accurate information, allowing you to focus on whats most important your patients health. Contact Us. We have answers. Eligible health systems and large specialty groups can now apply for 2023 Clinical Care Innovation Grants. Magellan provider newsletter, Provider Focus Provider inquiries Call the general 800 number listed in this Quick Reference Guide for claims and authorization questions. Pennsylvania Independence Blue Cross (215) 241-4400 (800) 862-3648 (800) 688-1911: Pennsylvania Highmark Inc. (800) 779-6945 1500 Claim SubmissionAllowance InquiryCash ManagementClaim StatusBlueExchange Claim Status InquiryClaim InvestigationCOB QuestionnaireEOB and RemittanceEFT Attestation and RegistrationOnline Statement of Remittance (SOR) Inquiry, Diagnosis Code Inquiry Procedure Code Inquiry, BlueExchange Eligibility and Benefits InquiryEligibility and Benefits(Watch video)Eligibility and Benefits FAQsPCP and Specialist CAP RostersHMO QIPS RostersPPO QIPS Rosters, AuthorizationsAuthorizations LogAuthorizations FAQsBlueExchange Medical Policy/Pre-Certification InquiryBlueExchange Referral/Auth Submission CareCoreEncounter SubmissionPre-Service Review for Out-of-Area MembersReferrals, Network Facility InquiryNetwork Provider InquiryPractice DocumentsProvider File ManagementView/Download Any Report, Diagnosis Code InquiryProcedure Code Inquiry, BlueExchange Eligibility and Benefits InquiryEligibility and Benefits(Watch video)Eligibility and Benefits FAQsSpecialist CAP Rosters, AuthorizationsAuthorizations LogAuthorizations FAQsBlueExchange Referral/Auth SubmissionCareCorePre-Service Review for Out-of-Area MembersReferrals. Find out how Independence Administrators reviews the requested treatment settings for certain specialty drugs that are eligible for coverage under the medical benefit. If your provider organization is not yet enrolled, select Register My Organization below. With a Personal Choice PPO plan, you have freedom to see any doctor or goto any hospital you want. Some of the content on this page is restricted to authenticated users. Otherwise, you will be asked to enter your username and password. Premera Blue Card Provider Phone Number: 888-261-9562 (Claims) 800-676-2583 (Benefits/Eligibility) Arizona: Phoenix: 602-864-4400 800-232-2345 Tucson: 520-745-1883 800-752-0193 Flagstaff: For Individuals, Families, Students and the Self-Employed. Supporting Treatment and Overdose Prevention Initiative, General, program, and initiative inquiries. Because were dedicated to improving the health and wellness of the communities we serve in Philadelphia, Montgomery,Chester, Bucks and Delaware counties. Required precertification must be obtained to avoid reduced payment or non-payment for the service or medication. Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. * Send authorization requests directly to FutureScripts. To learn more about the IAC Vein Center accreditation program, please visit the IAC website or call 1-800-838-2110. You can obtain a copy of a specific policy by calling the clinical services department at 1-888-234-2393. We're leading initiatives to increase access to mental health resources and treatment for underserved youth and the health care workforce. Anthem Blue Cross Blue Shield Timely filing limit - BCBS TFL List; . If you have an active session with NaviNet or another NantHealth product, you will be taken directly to the content. Call the eBusiness Hotline at215-640-7410if you have any questions. Only participating providers in an Independence Blue Cross, Independence Administrators, AmeriHealth, or AmeriHealth Administrators network can obtain access to the PEAR portal. If patients are facing a serious illness or medical condition, Independence Administrators case management program might be right for them. Please call the phone number listed on the patients Independence Administrators ID card. You can request precertification online using iEXCHANGE or call the phone number on the plan members ID card. Youll pay less when you choose doctors and hospitals in the Independence Blue Cross Personal Choice PPO network, and more if you choose to see doctors and hospitals out-of-network. With an expansive network of more than 55,000 doctors and 100 hospitals to choose from, you can always find the care you need.For more than 70 years, we've provided the best in quality,reliability and service to Philadelphians. Philadelphia, PA 19103-1480. Maryland/District of Columbia/Northern Virginia. Visit. More options. . Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania: BSK-Unallocated/Not Assigned: BSL: Texas: Blue-Cross Blue-Shield of Texas: BSM: Copyright 2020 NantHealth. Provider Inquiries Reach provider services, care management, and clinical pharmacy services. accrediting organization guidelines adopted by Independence Blue Cross (Independence). document.write(new Date().getFullYear()) Independence Administrators is an independent licensee of the Blue Cross and Blue Shield Association, serving southeastern Pennsylvania.QCC Insurance Company and Independence Administrators are subsidiaries of Independence Blue Cross independent licensees of the Blue Cross and Blue Shield Association. The Provider Engagement, Analytics & Reporting (PEAR) portal is a single point of entry for participating providers to easily access tools to help manage the clinical and financial information specific to their provider organization and to obtain plan information to care for their patients. Submission by EDI can increase accuracy of claims processing and the speed of claim payments. The Insurance Company was founded . Submit an Inquiry Provider services Reach provider services, care management, and clinical pharmacy services. We're proud to support organizations dedicated to improving the health of the community through leadership, collaboration, and innovation. Visit the new NantHealth Help Centerto view recent content or to receive support. Carefirst Blue-Cross Blue-Shield. Otherwise, you will be asked to enter your username and password. Independence Blue Cross Foundation Independence Blue Cross is a subsidiary of Independence Health Group, Inc. independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania. Benefits administered by QCC Insurance Company, a subsidiary of Indepependence Blue Cross, independent licensees of the Blue Cross and Blue Shield Association. In fact we're the regions Number one HMO and PPO provider. To gain access to a provider's practice in PEAR CV, please ask the Provider Organization or Location Administrator to call 1-833-444-PEAR (1-833-444-7327). Visit the Independence Blue Cross medical policy page for more information. Phone number: For more information about Medicare Advantage plans, call toll-free 1-877-393-6733 (TTY/TDD: 711), 8 a.m. to 8 p.m., seven days a week. Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit; . Submit an Inquiry Media Information for and interview requests from members of the media. Closed networks Independence Blue Cross wants to help foster your efforts to improve the health and well-being of our members. 37th floor. Log In, Information for and interview requests from members of the media. Certain procedures and prescription drugs require precertification before they are performed or administered. CAA. If you have an active session with NaviNet or another NantHealth product, you will be taken directly to the content. 1-888-671-5285 (fax) No referrlas are necessary and you may see anyspecialist you want without needing permission from a primary care physician.You will also enjoy in-network coverage anywhere in the United States when you use providers who participate in the BlueCard PPO network. Member Inquiries For members, request more information. In addition to the following content, IBC provides more user guides and webinars. Submit an Inquiry, Reach provider services, care management, and clinical pharmacy services. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; BAA: Ohio: . CAB. Welcome. BCBS Prefix List 2021 - Alpha. BCBS Company. Submit an Inquiry Providers Submit an Inquiry Provider services Reach provider services, care management, and clinical pharmacy services. Learn how Independence Administrators reviews treatment regimens for certain specialty drugs to ensure they adhere to safe prescribing limits. In addition to the following content, IBC provides more user guides and webinars. Independence Blue Cross National Alliance Members: 855-390-2604. FutureScripts, an independent company, provides pharmacy benefit management services for Independence Administrators. Independence Blue Cross is the health Insurance Company that offers health plans such as managed care, medicare, medicaid, traditional indemnity Insurance etc. Independence Administrators offers a Direct Ship Drug Program to our in-network physicians. Independence Administrators uses various policies including Independence Blue Cross medical policy and InterQual criteria. Independence Blue Cross ACA Members: 855-241-3614. Provide the following information at the EDI Trading Partner Business Center: Independence Administrators preferred pharmacy benefits manager is FutureScripts. 2022 Independence Blue Cross Independence Blue Cross is a subsidiary of Independence Health Group, Inc. independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania. Our award-winning publication explores the rapidly shifting health care landscape and showcases new ideas and initiatives that affect the way we live. 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