Bcbs ohio provider phone number. Box 105187 Atlanta, GA 30348-5187 ITS/Blue Card Dept P.

Bcbs ohio provider phone number To find the direct phone numbers for your needs, please visit the Contact Us pages shown under Members and Providers. The UM program, in collaboration with other departments such as Care Management and Conditional Care, facilitates the delivery of the most appropriate medically necessary Apr 1, 2022 · In April 2022, AIM Specialty Health ® (AIM) ® launched new phone numbers for prior authorization requests for Anthem Blue Cross and Blue Shield. Sep 1, 2022 · * AIM Specialty Health is an independent company providing some utilization review services on behalf of Anthem Blue Cross and Blue Shield MULTI-BCBS-CR-004847-22 PUBLICATIONS: September 2022 Anthem Provider News - Ohio Feb 1, 2022 · AIM Specialty Health® (AIM) ® has created a new AIM contact center phone number for providers to use to call in prior authorization requests for Anthem Blue Cross and Blue Shield (Anthem). Login at . Area codes: 231, 269, 616. BLUE CROSS ®, BLUE SHIELD ® and All providers are subject to either three- or five-year time-limited provider agreements. AIM Specialty Health new phone number effective April 1, 2022 Page 2 of 2 February 2022 Anthem Provider News - Ohio , February 2022 Anthem Provider News Anthem Blue Cross and Blue Shieldin Ohio . In the field below, please include the reference number provided to you from your live chat or phone call. Here, you will find information for assessing coverage options, guidelines for Clinical Utilization Management (UM), practice policies, and support for delivering benefits to our members. Box 105557 Atlanta, GA 30348-5557 For more information about the SPBM, call their phone number, contact your Provider Services representative, refer to your provider manual, or visit the Ohio Department of Medicaid's site. Learn more about the SPBM Jan 31, 2024 · Anthem BCBS of Ohio Provider Phone Number and Claims address January 31, 2024 bhvnbc1992 BCBS Products/Plans with prefix list Anthem Blue Cross and Blue Shield is committed to supporting you in providing quality care and services to the members in our network. Provider Demographic Updates Ohio Providers. Contact Dental Customer Care for eligibility/benefits and claims inquiries. Log in to your member account to talk with a live representative. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. 2312: Ohio, Anthem Blue Cross and Blue Shield (800) 282-1016: Click here for full contact info: Oklahoma, Blue Cross and Blue Shield (800) 496-5774 (800) 672-2378: Oregon, Regence BlueCross BlueShield of Oregon (866) 227-0913 (800) 351-2370: Pennsylvania, Blue Cross of Northeastern Pennsylvania If you need assistance, please review the New Provider Quick Reference Guide or call the CAQH Provider help line at 888-599-1771. Jan 1, 2025 · To view the 2025 benefits and changes for the Federal Employees Health Benefits (FEHB) and Postal Service Health Benefits (PSHB) programs, go to fepblue. Contact CVS Caremark by phone at 844-345-3241 or visit their website. Please use these new numbers to submit AIM prior authorization requests. Anthem Blue Cross and Blue Shield, a Medicare Advantage Organization with a Medicare Contract in Colorado, Connecticut, Georgia, Indiana, Kentucky, Missouri, New Hampshire, Nevada, New York, Ohio and Wisconsin, offer HMO, HMO D-SNP, HMO C-SNP, HMO I-SNP, LPPO, LPPO D-SNP and/or RPPO. to 6 p. We provide health insurance in Michigan. UM denials w/physician. Provider News Ohio. Find providers numbers for claims, correspondence, managed care and traditional products and more For questions not addressed on our website, please call Provider Services at 1-833-230-2102. Blue Cross and Blue Shield of Texas Arboretum Plaza II 9442 Capital of Texas Hwy N, Suite 500 Austin, TX 78759-7228 800-336-5696 512-349-4847 Fax: 512-349-4853 Email to submit provider inquiries and questions. com By clicking the “Submit” button I provide my signature expressly authorizing [add name of website here] and any of its partner companies to contact me at the telephone/email address provided via live, pre-recorded, or auto-dialed calls, email, or text message to confirm my interest in receiving quotes and notifications. Sep 1, 2022 · Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. 833-644-6001: OhioProviderServices@amerihealt Apply online to be an Anthem healthcare provider. Select Get Support & Resources > Brochures & Resources. Anthem Blue Cross and Blue Shield Ohio P. 368. New address: Anthem FEP Appeals. also contact the Carelon Behavioral Health National Provider Services Line at 1-800-397-1630, from 7 a. Have these things handy for each provider listed on the enrollment form: NPI; Group tax ID number or the last four digits of each provider's Social Security number; The provider's primary address and phone number Independent licensees of the Blue Cross and Blue Shield Association. ohio. please contact us at 800-842-5975. ® ANTHEM is a registered trademark. Providers will be reinstated to the online provider directory once verification is complete. To find a doctor, group, or facility, use our online provider search tool or the link to our directories. Our plan is part of the Ohio Department of Medicaid’s (ODM) Next Generation program for Ohio Use these numbers for claims and other inquiries for Blue Cross Community Health Plans SM, Blue Cross Community MMAI (Medicare-Medicaid Plan) SM and Blue Cross Medicare Advantage SM (HMO and PPO). Amarillo. Anthem Blue Cross and Blue Shield (Anthem) facilitates integrated physical and behavioral health services as a vital part of healthcare. www. Providers receive full contracted rates without needing to collect payments directly from patients. Business hours. Box 2227 Detroit, MI 48321-2227. To request UM criteria. Anthem Blue Cross and Blue Shield HMO D-SNP and LPPO D-SNP plans contract with state Medicaid programs. ET Friday: 9 a. Call (651) 662-5200 1-800-262-0820 (toll free) (651) 662-2745 (fax). fepblue. Jan 1, 2025 · Get Your Provider Manual If you have any questions about the information in the Provider Manual, please contact your Network Consultant. Contact Customer Support by phone or Live Chat. org. In Connecticut: Anthem Health Plans, Inc. . Nov 5, 2024 · If you have Anthem Blue Cross Blue Shield insurance coverage, call the phone number listed on your member ID card to speak to a company representative. Ready to enroll in one of our Medicare plans? Call 1-888-770-8840. m. BCBS Federal Phone Number - FEP List Statewise Customer Service Ohio (800) 451-7602 (800) 860-2156 Anthem Blue Cross and Blue Shield Member Services 844-912-0938 (TTY 711) Monday through Friday, 7 a. Prior to termination, letters are both mailed and emailed 120 days, 90 days, and 60 days, with a final notice Jan 7, 2025 · If you have questions about this communication or need assistance with any other item, contact your local Provider Relations representative or call Provider Services at 844‑912-1226. Mar 18, 2024 · BCBS Prefix and Phone Number BCBS Provider Phone Number; BCBS of AL Provider Phone Number – Alabama: 205-220-6899: BCBS of Arizona Provider Phone Number – AZ: 800-232-2345 Medicare Advantage: 800-446-8331: Anthem BCBS of Missouri Provider Phone Number – MO: Anthem Business: 888-571-9054 Medicare Advantage: 855-690-7798 855-251-8826(HMO/D-SNP) Provider Inquiry Blue Cross Blue Shield of Michigan P. If you have questions or need assistance, please contact your Provider Experience Consultant or contact Provider Services at 844-912-1226. AmeriHealth Caritas Ohio, Inc. In February 2023, Anthem became a statewide Medicaid plan supporting members in all of Ohio’s 88 counties. Blue Cross Blue Shield of Michigan P. Oct 1, 2019 · Provider News Ohio. Prior to termination, letters are both mailed and emailed 120 days, 90 days, and 60 days, with a final notice Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711) In February 2023, Anthem became a statewide Medicaid plan supporting members in all of Ohio’s 88 counties. , 8 a. 569-0322-PN-CNT Jan 1, 2025 · Phone number ; Digital contact information; Providers who fail to verify their information every 90 days may be removed from the online provider directory. Go to your BCBS state health plan to get details for your account. Horizon Blue Cross Blue Shield Providers numbers & addresses. Please note that CVS Caremark administers the pharmacy benefits for the State Health Benefit Plan. Prior to termination, letters are both mailed and emailed 120 days, 90 days, and 60 days, with a final notice Anthem offers healthcare options for federal employees and their families in Ohio. Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield (Anthem) self-service tools? Please use Availity Essentials for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. Eastern Time (ET). If you can’t find your card, you can call 1-800-676-BLUE (2583). Eastern time Connect with member customer service or find the right support resources, including your local Blue Cross and Blue Shield (BCBS) company, general FAQs and media relations contacts. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Inpatient services and non-participating providers always require prior authorization. Box 105557 Atlanta, GA 30348-5557 Inpatient Hospital Pre-Auth: 800-633-4581 Professional Claims Customer Service (Blue Shield): 800-824-8839 National Information Center. It’s helpful if you have your provider number or NPI and, if applicable, the member’s ID number, account number and claim number handy when you call. For questions or concerns regarding the Ohio Department of Medicaid (ODM) provider network management portal (PNM), please contact ODM's integrated helpdesk at 800-686-1516. New Hampshire, New York (17 southeastern counties You can also have your provider file the appeal for you with your medical records. Medicare Supplement and Medicare Advantage Plans: Medicare Part D Plans: Employer Plan: Contact your broker or consultant to learn more about Anthem plans. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Make sure your contact information is up to date and respond to renewal packets and requests for information from your local County Department of Job and Family Services (CDJFS). to 8 p. Box 105557 Atlanta, GA 30348-5557 Federal Employee Program (FEP) Refer to Member's ID Card Call the number on the back of the member's ID card Anthem Blue Cross and Blue Shield Attn: Appeals Department claims are managed by Anthem Blue Cross. Contact your provider relationship management Please select the state in which you are serving Anthem members based on the type of program they are enrolled in. Eastern Time (excluding holidays) Call the National Information Center for information about your benefits and services, FEP incentive programs, our supplemental dental and vision plans, to speak with the MyBlue Contact Center or for assistance with our online tools. Box 62509. - 5 p. SHBP Sample ID Cards SHBP Medicare Advantage Sample ID Cards Please note that CarelonRx is the pharmacy benefits manager for Medicare Advantage plans. gov or call 844-640-6446 Contact Customer Support by phone or Live Chat. TDD/TTY. Enter your location information and connect with a doctor near you. Providers are required to submit claims, prior authorizations, and associated attachments through Availity Essentials* or using electronic data interchange (EDI) through an Ohio Department of Medicaid (ODM) authorized trading partner. For non-routine inquiries that require analysis and/or research, contact Highmark’s Provider Service Center at the appropriate number for your region below. 800-824-0581 If you still need assistance, this form will let you contact the Provider Relationship Account Management team. Area code: 906. Contact By: Call 1-800-724-1675 Submit an inquiry online. If you have any questions, please contact FEP customer service at 800-451-7602. Jun 1, 2021 · Easily update demographic changes and much more, by simply submitting your updates through Anthem Blue Cross and Blue Shield (Anthem) online Provider Maintenance Form. Note: Prior authorization requests for certain medications may require additional documentation to determine medical necessity. HMO products Jun 29, 2020 · North Dakota, Blue Cross and Blue Shield: 800. Monday - Thursday: 8 a. Resources. org Facility Claims (Anthem Blue Cross): 800-322-7319 P. Call us at 1-800-822-2761. Our plan is part of the Ohio Department of Medicaid’s (ODM) Next Generation program for Ohio Anthem Blue Cross offers a provider finder tool to help locate in-network healthcare professionals and facilities. Please contact your provider representative for Anthem Blue Cross and Blue Shield Medicaid is the trade name of Community Insurance All providers are subject to either three- or five-year time-limited provider agreements. HMO products underwritten by HMO Colorado, Inc. Nurse on call 24 hours a day 1-800-521-6007: Mental Health/Substance Abuse Magellan Anthem - Provider Finder is a platform to locate in-network Anthem providers and estimate healthcare costs. Jan 1, 2022 · Anthem offers many resources to support our Medicare Advantage providers. BCBS Customer Service. Our mission is to address the physical and behavioral healthcare of members by offering a wide range of targeted interventions, education, and enhanced access to care to ensure improved outcomes and quality of Dec 1, 2021 · To discuss UM process and authorization. Find information on the available plans and their benefits. Provider Inquiry Blue Cross Blue Shield of Michigan 415 S. Non-participating healthcare professionals and dental providers should call the number on the back of the member’s ID card. You can also use chat or secure messaging directly in Availity. Access information specific to your state or apply to become a provider in our network. Apr 25, 2020 · BCBS Provider Phone Number. You can contact Anthem Blue Cross and Blue Shield via phone or email using the information on our contact us page. Anthem Blue Cross and Blue Shield offers PDP plans in Colorado, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin. Availity . 800-752-1182 . to 7 p. Virginia Beach, VA 23466 Exclusive Savings for Dental Network Providers Our Dental Provider Savings Program offers network providers discounts of up to 40% on in-demand products (PPE equipment, scanners), lab services (implants, clear aligners, dentures), and turnkey teledentistry solutions for your office. Get help online or in person from an Obamacare expert! *Anthem Blue Cross is part of a privately owned agency and is not affiliated, operated, or endorsed by any government agency. 4. Dec 1, 2024 · To discuss UM process and authorizations . In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), which underwrites or administers the PPO and indemnity policies Provider News - Anthem Provider Information Management Forms are used to maintain provider accounts as well as begin the process of joining Highmark's networks for new practitioners and offices. To discuss peer-to-peer. BCCHP SM – 877-860-2837 MMAI – 877-723-7702 Medicare Advantage – 877-774-8592. Marquette, MI 49855. The new phone numbers are listed below and will go into effect on April 1, 2022. CT. 1-800-411-BLUE (2583) Weekdays from 8 a. Anthem Blue Cross and Blue Shield’s (Anthem) Utilization Management (UM) program uses an integrated approach based on the physical, behavioral, and social needs of members. You or your provider can also mail the form to: Medical Appeals. You can also reach us by contacting one of our Contracting Managers Monday through Friday from 8 a. Mar 1, 2022 · Cincinnati OH 45209 . ET Actual member benefits and eligibility are determined in accordance with the requirements set forth by the state. Here you will find frequently used forms, PDFs, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to our members. Our plan is part of the Ohio Department of Medicaid’s (ODM) Next Generation program for Ohio Jul 1, 2022 · All providers are subject to either three- or five-year time-limited provider agreements. Box 105187 Atlanta, GA 30348-5187 ITS/Blue Card Dept P. Offices For nearly 30 years, CareSource has been headquartered in Dayton, Ohio. Atlanta, GA 30348 . PO Box 105318. Review and update your application . Explore resources, benefits and eligibility requirements. VIEW BY REGION: HBS (CPA/SEPA) HBCBS (DE) HBS (NENY) HBCBS (WNY) HBCBS (WPA/NEPA) HBCBS (WV) . – Fri. Find a doctor near me. Get help from Blue Cross and Blue Shield to find a doctor or specialist. BCBS Prefix List 2024 - Alpha Ohio: Anthem Blue-Cross Blue-Shield of 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. Jan 1, 2025 · The Ohio Medicaid Provider Relationship Account Management team will host our next Provider Orientation in February. Anthem Blue Cross and Blue Shield P. The fax number for clinical appeals for FEP remains the same at 855-207-9935. Professional claims are managed by Blue Shield. O. Call the toll-free number on the back of your member ID card for BCBS customer service. Anthem Blue Cross and Blue Shield (Anthem) uses Availity Essentials, a secure, full-service website that allows providers to submit, view, and check authorization and claims status, submit a claim dispute, and clinical appeals. Provider Home The Anthem Blue Cross and Blue Shield Service Benefit please contact FEP Utilization Management at 800 Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. BCBS Prefix List 2024 - Alpha Ohio: Anthem Blue-Cross Blue-Shield of Sep 1, 2022 · September 2022 Anthem Provider News - Ohio Page 2 of 39 F ederal Employee Plan (FEP): M edicaid: M edicare: Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. 800-752-1182 In February 2023, Anthem became a statewide Medicaid plan supporting members in all of Ohio’s 88 counties. Blue Cross ®, Blue Shield ® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Transplant. Box 92420 Cleveland, OH 44193 Anthem Blue Cross Provider Contacts Providers contact on members behalf: (800) 677- 6669 Web Portal: Provider Contracting Phone Number Provider Contracting Email. Some policies or procedures may have changed since the time of publication. Box 230589 Grand Rapids, MI 49523-0589. Apr 23, 2020 · 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 On this site, you’ll find resources that help healthcare professionals do what they do best — care for our members. For questions about Blue Cross Find your state and discover your local Blue Cross Blue Shield company that serves you directly. To discuss peer-to-peer UM denials with physicians. In the event of a conflict between this manual and your contract, the terms of your contract will supersede the manual. BlueCard (Non-Indiana Blue Cross and Blue Shield Members' Plans) Anthem BCBS P. Aug 1, 2023 · More detailed information can be found in our provider manual on our website: Home | Anthem Blue Cross and Blue Shield. Quick Contact Sheet . Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 1-361-878-1623 Fax: 361-852-0624 Pharmacy benefits for enrolled members are managed through the Ohio Department of Medicaid (ODM). Anthem Blue Cross – Contact us Find a local licensed Anthem Agent. m Jan 31, 2024 · BCBS Products with BCBS Prefixes Anthem BCBS of Indiana Provider Phone number ; Indiana Local Anthem Products: Blue Access, Blue Preferred and Blue Traditional (YRA, YRE, YRF, YRG, YRM YRN, YRP, YRT, YZD, JPT) 800-345-4344: Indiana Off Exchange Small Group Products: Blue Access PPO and Blue Preferred HMO (XPA, XPC, XPR) 855-854-1438 Anthem Blue Cross – Find a doctor Find a local licensed Anthem Blue Cross Agent. Anthem Blue Cross and Blue Shield (Anthem) is committed to supporting you in providing quality care and services to the members in our network. Jan 31, 2024 · Anthem BCBS of Kentucky Provider Phone number Precertificaton Phone Number; Anthem Traditional(YRT, YRB, YRY) Blue Connection Large/Small Group-Ohio(H6Q, H8H, H9H) Please verify benefit coverage prior to rendering services. Feb 24, 2021 · Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. Visit benefits. CT, Monday through Friday to update your demographic information. McClellan Ave. – 5 p. Effective August 15, 2022, the old phone number for AIM will no longer be available for requests. Jan 1, 2025 · Coupe Health offers a unique plan starting January 2025 with upfront service pricing and zero‑interest installments. 07142021. You will need to give your provider permission by signing the form. If you are not sure who your Provider Relationship Account consultant is, select this link for a complete territory list with their contact information. CareFirst BlueCross BlueShield website for Providers & Physicians. Find answers to questions about benefits, claims, prescriptions, and more. availity. Provider services hours: Monday – Friday, 7 a. Providers may submit claims, eligibility inquiries, claim status inquiries, and associated attachments using electronic data interchange (EDI) by being a trading partner (TP) authorized by Ohio Department of Medicaid (ODM) or by contracting with an ODM authorized TP. Non-participating providers: Call the number on the back of the member’s ID card or call 800-676-BLUE (2583) to reach Provider Services. Begin Application ©1996-2025 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association. Eligible providers interested in participating with Anthem for Ohio Medicaid Managed Care (OMMC) must be enrolled and credentialed through the state and have an active Ohio Medicaid number prior to contracting for this network. View Forms Authentication Required Feb 1, 2023 · February 2023 Anthem Provider News - Ohio Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. Provider Services (direct all inquiries or issues directly to Independence Administrators) 1-888-356-7899: Independence Blue Cross and Highmark Blue Shield Caring Foundation Hotline: 1-800-464-5437: Keystone First Hours: Mon. ODM has contracted with a single pharmacy benefit manager (SPBM) to improve the administration of pharmacy benefits for managed care recipients and ensure transparency, accountability, and integrity to better serve Ohio Medicaid members and their healthcare providers. 1-844-290-7584. TTY/TDD. Please call the phone number on the back of the Member ID card or contact Provider Services: 1-844-912-1226, from 7 a. Log in to find contact information specific to your area and plan. Online update options include: add an address location, name change, tax ID changes, provider leaving a group or a single location, phone/fax numbers, closing a practice location. mussw orvac tpp phpceu aehen vukzd jquwlpp xjvib mupz bkfnj nnhbzp jbp kfc wtbmz pykpum