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Saturday, June 7, 2014

All state BCBS phone number for providers

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All state BCBS phone number for providers





















Plan  Name


Customer Service


Utilization Review


Alabama, BCBS of Alabama


800-760-6852


Click here for full contact info


Alaska,   Premera BCBS of Alaska


800-722-4714 opt 2


800-722-4714 opt 3


Arizona, BCBS of Arizona


800-232-2345


Click here for full contact info


Arkansas, BCBS of Arkansas


800-827-4814


Click here for full contact info


California, Anthem Blue Cross of California


800-922-3242 (HMO)


Click here for full contact info


California, Blue Shield of California


800-541-6652 Option 6


Click here for full contact info


Colorado, Anthem BCBS of Colorado


877-833-5742


Click here for full contact info


Connecticut, Anthem BCBS of Connecticut


800-922-3242 (HMO)


Click here for full contact info


Delaware,   BCBS of Delaware


800-572-2872


800-572-2872


District   of Columbia, Carefirst BCBS


800-842-5975


Click here for full contact info


 


 


 


Florida,   BCBS of Florida


800-727-2227 Option 2


800 955-5692  Option 3


Georgia,   Anthem BCBS of Georgia


800-441-2273


800-722-6614


Hawaii,   BCBS of Hawaii


800-790-4672


Idaho,   Blue Cross of Idaho


866-482-2250


800-743-1871


Idaho,   Blue Shield of Idaho


866-227-0913


Click here for full contact info


Illinois,   BCBS of IL


800-972-8088


Click here for full contact info


Indiana,   Anthem BCBS of USa


800-282-1016


Click here for full contact info


Iowa,   Wellmark BCBS of Iowa


800-362-2218


800-552-3993


Kansas,   BCBS of Kansas


800-432-3990


800-782-4437


Kentucky, Anthem BCBS of Kentucky


800-282-1016


Click here for full contact info


Louisiana,   BCBS of Louisiana


800-392-4076 (IVR)


800-523-6435


Maine,   Anthem BCBS of Maine


800-832-6011


Click here for full contact info


Maryland,   Carefirst BCBS


800-248-8410


Click here for full contact info


Massachusetts,   BCBS of Massachusetts


800-882-2060


Michigan,   BCBS of Michigan


800-344-8525 (professional)


Click here for full contact info


 


 


 


Minnesota,   BCBS of Minnesota


800-262-0820


Mississippi,   BCBS of Mississippi


800-257-5825


Click here for full contact info


Missouri,   Anthem BCBS of Missouri


888-571-9054


800-992-5498


Missouri,   BCBS of Kansas City


800-892-6048


Montana,   BCBS of Montana


800.447.7828


800.447.7828 ext 6230


Nebraska,   BCBS of Nebraska


800‐635‐0579 IVR  
800‐642‐8516.Provider Services


800‐247‐1103 Inpatient, SNF,   Rehab
800‐255‐2838 Preauth


Nevada,   Anthem BCBS of Nevada


800-332-3842


Click here for full contact info


New Hampshire, Anthem BCBS of New Hampshire


800-332-6558


Click here for full contact info


New   Jersey, Horizon BCBS of New Jersey


800-624-1110


Click here for full contact info


New   Mexico, BCBS of New Mexico


888-349-3706


800-325-8334


New   York, BCBS of Western New York


800-950-0052 (managed care)


Click here for full contact info


New   York, Blue Shield of Northeastern New York


800-444-4552


Click here for full contact info


New   York, Empire BCBS of New York


800-552-6630


Click here for full contact info


New   York, Excellus BCBS


800-920-8889


Click here for full contact info


North   Carolina, Blue Cross and Blue Shield


800.214.4844


800.672.7897


North   Dakota, Blue Cross and Blue Shield


800.368.2312


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


BlueCare HMO – 1-800-822-8752


Click here for full contact info


 


 


 


 


 


 


 


 


Rhode   Island, BCBS of Rhode Island


1-800-327-6712 or 1-800-230-9050   (Providers) or
1-800-637-3718, ext. 6067 (Facility)


1-800-637-3718, ext. 2273


South   Carolina, BCBS of South Carolina


800-868-2510


800-868-2510 opt 3


South   Dakota, Wellmark BCBS of South Dakota


800-774-3892


800-642-9273


Tennessee,   BCBS of Tennessee


800-924-7141


Click here for full contact info


Texas,   BCBS of Texas


877-299-2377 (HMO)


Click here   for full contact info


Utah,   Regence BCBS of Utah


(866) 227-0913


800-351-2370


Vermont,   Blue Cross and Blue Shield


(888) 222-9206


800-922-8778


Virginia,   Anthem Blue Cross and Blue Shield


800-533-1120
(Commercial)                           
800-901-0020   (Medicaid)


800-533-1120


Washington,   Premera Blue Cross


877-342-5258 opt2


877-342-5258 opt 3


Washington,   Regence BlueShield


(866) 227-0913


800-351-2370


West   Virginia, Highmark BCBS West Virginia
(Mountain State BCBS)


800-294-9568


800-269-6389


Wisconsin,   Anthem BCBS of Wisconsin


888-571-9055


Click here for full contact info


Wyoming, BCBS of Wyoming


800-442-2376


800-251-1814 Pre Admission  
Review                
888-557-2271   Case Management


 


 


 


 


 


 


 


 


 


 


 


 


 


 


Anthem Blue Cross of California


Provider Services: 877-526-3425

Referrals: (888) 613-1130

Transplant Oncology: (888) 613-1130

Maternity Management Program: (800) 769-4896

FEP – Hospitals – 800-322-7319

FEP – Professionals – 800-633-4581

Medi-Cal (inside LA County): (888) 285-7801

Medi-Cal (outside LA County): (800) 407-4627

Healthy Family Program/HMO/EPO: (800) 845-3604

MRMIP/Access for Infants & Mothers (AIM)/CalKids: (877) 687-0549

County Medical Services program (CMSP) (800) 670-6133 Utilization Management
Prior Authorization

Medi-Cal (statewide, inside & outside LA County): (888) 831-2246

AIM, MRMIP, HFP, CMSP: (877) 273-4193

Fax for all UM PAs: (800) 754-4708


 


Blue Shield of California


For Eligibility, Benefits or Claims information for Blue
Shield 65 Plus Group Plan members: Phone: (877) 654-6500


For Commercial HMO Phone: (800) 541-6652 option 6

For Medicare (HMO)and Blue Shield 65 Plus Group Plan Phone: (800) 786-7474


For Care Management (PPO) Phone: (800) 541-6652 option 6


For FEP (PPO) Phone: (800) 541-6652 option 6


For HMO Direct Contracting and CalPERS EPO Phone: (800)
541-6652 option 6


 


BCBS of Alabama


In-State General Provider Inquiry


Participating hospitals: 1-800-760-6852

Participating providers: 1-877-231-7239

Non-participating hospitals and providers (Automated VRU with Representative
availability): 205-733-7016

Automated Voice Response Unit (VRU): 205-988-2213

Automated VRU: 1-800-648-9807

Out-of-State General Provider Inquiry


Automated VRU: 1-800-517-6425

Group-Specific Provider Inquiry


Federal Employee Program (FEP – R prefix): 1-800-492-8872

NASCO: 1-800-548-0165

General Electric: 1-800-655-5392

Primary Care Network Referrals


Automated VRU: 205-733-4283

Automated VRU: 1-888-881-8668

Dental Provider Inquiry


PPO Dentists: 1-800-373-4879

Non-PPO Dentists: 205-985-5378

Out-of-State Dentists: 1-888-783-5113

Home Care Agency Provider Inquiry (not including Hospice and DME)


Participating Home Care Agency: 1-866-904-4130

Non-participating Home Care Agency: 205-733-7016

Pharmacy Inquiry


General Provider Inquiry: 1-800-216-9920

Blue Advantage/Part D Provider Inquiry: 1-877-878-8668

Other


Cahaba GBA (Medicare) Provider Inquiry: 1-877-567-7271

Other Blue Cross and Blue Shield Plans Outside Alabama: 1-800-676-2583


 


BCBS of Arizona


Phoenix: (602) 864-4400 (800) 232-2345

Tucson: (520) 745-1883 (800) 752-0193

Flagstaff: (928) 526-0232 (800) 423-6484

FEP: Phoenix: (602) 864-4102 (800) 345-7562


 


BCBS of Arkansas


Provider Service 501-378-2307 or 1-800-827-4814 (Arkansas
policies only)


BlueCard® Service 1-800-810-BLUE (2583) AAA + up to 17
additional alphanumeric characters


FEP Service 1-800-482-6655 (federal policies only) R


State and School Employee Service 1-501-378-2364 or
1-800-482-8416 (state and school

employee policies only) XCS followed by 960 and a six-digit number


Health Advantage Service 1-800-843-1329

(HMO policies only) XCH + K and eight numeric digits


BlueAdvantage Administrators

of Arkansas Service 1-888-872-2531 AAA + A + eight numeric digits + a two-digit
suffix


Integrated Health 1-800-451-7302 (precertification of
inpatient admissions only)


Anthem BCBS of Colorado


Customer Service:
877-833-5742, M-F: 8:00 am – 6:00 pm

Authorizations: 303-831-4115 or 800-832-7850


XFG, XFO Medicare
Supplement

Customer Support 866-438-9969, M-F: 9:00 am – 7:00 pm


XFU Medicare
Advantage HMO:Sure Value (Basic and Enhanced)

Customer Support: 866-438-9969, M-F: 9:00 am – 6:00 pm

Authorizations: 866-797-9884


YFV Medicare
Advantage PPO: Anthem Medicare Preferred : Core and Premiere

Customer Service: 866-408-7086, M-F: 9:00 am – 6:00 pm

Authorizations: 866-797-9884


 


BCBS of CT


HMO

XGE, XGG, XGN, XGL, XGT, XGP, XGR

(800) 922-3242 Professional

(800) 345-2227 Institutional

Business hours: Monday – Friday: 8:00AM – 5:00PM


PPO / Century 90

XGC, XGS, XGB

(800) 922-3242 Professional

(800) 345-2227 Institutional


Federal Employee
Program (FEP)

(800) 438-5356

Business hours: Monday, Tuesday, Wednesday, Friday: 8:00AM – 5:30PM and
Thursday: 9:00AM – 5:30PM


New England Health
Plans (NEHP)

CTN, CTP, MEN, MEP, MTN, MTP, NHN, NHP, EHF, EHG, EHH, EHJ

(800) 238-2465

Business hours: Monday – Friday: 8:00AM – 5:00PM


 


Carefirst BCBS


 



Provider Services


Phone Number


Maryland Indemnity
– XW Prefix


410-581-3581
  / 800-437-2332


NCA Indemnity –
XIA, XIJ and XWY Prefixes  BlueChoice – XIC, XIK and XWR Prefixes  
BluePreferred – XIP, XIL and XWV Prefixes BlueChoice Advantage – XIH Prefix
  MHIP


202-479-6560
  / 800-842-5975


BlueChoice – XIC,
XIK and XWR Prefixes


202-479-6560
  / 800-842-5975


BluePreferred –
XIP, XIL and XWV Prefixes


202-479-6560
  / 800-842-5975


BlueChoice
Advantage – XIH Prefix


202-479-6560
  / 800-842-5975


MHIP


202-479-6560
  / 800-842-5975


Maryland Point of
Service (MPOS) Referral Line


410-998-5741
  – Fax for referrals


State of Maryland
– All Products


877-228-7268


Care Management


866-PRE-AUTH
  (773-2884)


Authorization


410-781-7661
  – Fax for authorization


Case Management


410-605-2413
  / 888-264-8648


Northrop Grumman –
NRG Prefix


877-228-7268
  / 800-972-8088


Northrop Grumman –
ESS or NGC Prefix


800-516-1269


All Other NASCO
Accounts


877-228-7268


AVRU NCA Region:
Eligibility, Claim and Benefit Inquiry for   CareFirst BlueChoice,
BluePreferred and NCA Indemnity


202-479-6560
  / 800-842-5975


AVRU MD Region:
Authorizations, Eligibility and Claim and   Benefit Inquiry for PPO,
MPOS, PPN and MD Indemnity


410-581-3535
  / 800-248-8410


 


Blue Shield of Idaho


Administrative
Services Only (ASO) 866-227-0913


Healthcare
Management Administrators (HMA) 800-700-7153


Regence Group
Administrators (RGA) 866-738-3924


TriWest/TRICARE 
888-874-9378


 


BCBS of IL


IVR (800) 972-8088


Anthem Midwest – USa, Kentucky, and Ohio


Commercial


Provider Inquiry
Department

(800) 282-1016


Blue Product
Precertification and Referrals

(877) 814-4803


BlueCard Customer
Service (To verify claims status)

Indiana

(888) 800-2160

Kentucky

(800) 383-2538

Ohio

(800) 213-4908

BlueCard POS Provider Unit:

(800) 421-0405


Medicaid


Medicaid Customer
Service (866)629-1607


Eligibility
(866)896-6625


Prior Authorization
(877)804-6564


Medicaid UM
(866)896-6580


Admission
Notification (866)896-6580


 



Provider Service Centers


Telephone Numbers


Member ID Number Prefixes Handled by Service Center


Provider Call Center


(800) 332-6558


YGA, YGC, YGF,
YGG, YGK, YGM, YGX


(local Anthem
plans)


New England Health Plan (NEHP) and *Empire HMO plans


(800) 238-2465


CTN, CTP, EHF,
EHG, EHH, EHJ, MEN, MEP, MTN, MTP, NHN, NHP


Claim inquires


*Empire prefixes -BJY,
YLF, YLL, YLQ


 



Anthem Connecticut


XG**, ATM, CKC,
HJB, INF, LBG, LGI, LOS, MCK, MGG, OTW, PHT,   TLD, TUV, URI, URR


Professional


(800) 922-3242


Institutional


(800) 345-2227


Anthem Maine


(800) 832-6011


XVA, XVB, XVG,
XVH, XVP


BlueCard® Service Center


(877) 417-8489


All prefixes not
listed elsewhere in this grid


Federal Employee Program® (FEP)


(800) 852-3316


R (followed by 8
digits)


Medicare Advantage


(866) 364-2374


JQQ, JWI, VZI,
XDV**, XFQ, XGA, XKB, XPI, XTI, XVD, YFE, YGB,   YLI, YRF, YRI, YTL


SmartValue


(private fee for
service (PFFS)) plans


Medicare Advantage other HMO and PPO plans throughout the United States


see member’s ID
card


JQV#, JWJ#, VXA#,
VZJ#, XDG, XDK, XDT, XFU, XFV#, XGD#, XKD#,   XPJ#, XTJ#, XVE#, YFQ#,
YGD#, YLO#, YLQ, YLR, YLV, YRA, YRE, YRJ#, YTN#


MediBlueSM HMO


(866) 673-4157


XGH


Taft-Hartley / Teamsters


(888) 287-0032


CCU, ELH, IUP,
NEF, NEH, PSH, PTH, SVL, TLH, TSJ, NIW, CWV, IRU,   IUB, EWU

 

 


Carefirst BCBS


 



Provider Services


Phone Number


Maryland Indemnity
– XW Prefix


410-581-3581
  / 800-437-2332


NCA Indemnity –
XIA, XIJ and XWY Prefixes  BlueChoice – XIC, XIK and XWR Prefixes  
BluePreferred – XIP, XIL and XWV Prefixes BlueChoice Advantage – XIH Prefix
  MHIP


202-479-6560
  / 800-842-5975


BlueChoice – XIC,
XIK and XWR Prefixes


202-479-6560
  / 800-842-5975


BluePreferred –
XIP, XIL and XWV Prefixes


202-479-6560
  / 800-842-5975


BlueChoice
Advantage – XIH Prefix


202-479-6560
  / 800-842-5975


MHIP


202-479-6560
  / 800-842-5975


Maryland Point of
Service (MPOS) Referral Line


410-998-5741
  – Fax for referrals


State of Maryland
– All Products


877-228-7268


Care Management


866-PRE-AUTH
  (773-2884)


Authorization


410-781-7661
  – Fax for authorization


Case Management


410-605-2413
  / 888-264-8648


Northrop Grumman –
NRG Prefix


877-228-7268
  / 800-972-8088


Northrop Grumman –
ESS or NGC Prefix


800-516-1269


All Other NASCO
Accounts


877-228-7268


AVRU NCA Region:
Eligibility, Claim and Benefit Inquiry for   CareFirst BlueChoice,
BluePreferred and NCA Indemnity


202-479-6560
  / 800-842-5975


AVRU MD Region:
Authorizations, Eligibility and Claim and   Benefit Inquiry for PPO,
MPOS, PPN and MD Indemnity


410-581-3535
  / 800-248-8410


BCBS of Michigan


BCBS of MI – Facilities


Area Code 248, 313,
517, 586, 734, 810, 947 or 989


1-800-228-4599
(hospitals) 1-800-437-3804 (facilities)


 


Area Code 231, 269,
616, 989*


1-800-643-2583
(hospitals and facilities)


 


 


Area Code 906


1-866-872-5837 (hospitals
and facilities)


 


Outside Michigan
1-800-482-0898 (hospitals and facilities)


BCBS of MI – Professional Providers 800-344-8525


 BlueChoice PPO
877-285-0172


BCN and BCN
Advantage 800-255-1690
(BCN)


Blue Cross Complete 1-800-688-3290


 


BCBS of Mississippi


Provider Services 


1-800-257-5825


Provider Service Coordinators


601-664-4258


Federal Employee Program


601-932-4252 or
1-800-932-7724


State and School Employees’ Health Plan


Benefits, Eligibility and Claims Status 1-800-709-0973

Pre-Certification (through ActiveHealth) 1-866-939-4721


Horizon BCBS of New Jersey



Prefix or Suffix


Service #


YHC, YHI, YHJ,
YHK, YHS, YHU, JGA, JGD, JGG


1-800-624-1110


R, 8-digits and
PPO logo Federal Employee Program (including   behavioral health claims)


1-800-624-5078


FMA, FMR, NCH,
YHF, YHN, HIF, HSG, HWA, HWW and all other   National Accounts


1-800-624-4758


HSE, NFW, YHD,
YHG, YHM, YHP, YHT, YHV, and all other Point of   Service members


1-800-624-1110


ATT, AT&T
members


1-800-624-1110


JGE, JGB, JGH,
YHO, YHX Horizon Direct Access members


1-800-624-1110


YHA  NJ State
Health   Benefits Program (SHBP)


1-800-624-1110


NJP  NJ State
Health   Benefits Program


1-800-624-1110


YHR, All Medigap


1-800-624-1110


DEH, DMM, DTP,
NGM, General Motors / Delphi Auto


1-800-452-9336


 


BCBS of Western New York


Provider Services


1-800-950-0051 or
1-716-884-3461 (Traditional)


1-800-950-0052 or
1-716-882-2616 (Managed Care)


1-877-327-1395
(Government Programs)


 


Empire BCBS of New York




Direct HMO1,
HMO

Child Health PlusSM1

MediBlue1

POS1, DirectShare POS

EPO, PPO1, Empire Total BlueSM


Managed Care
Physician Services

1-800-552-6630


BlueCard PPO2
(For Out-of-Area Members Only)


Claim
Status/Review:

1-800-713-4173

Eligibility:

1-800-676-BLUE (2583)


Traditional
Indemnity


Empire Physician
Services

1-800-343-7283



 


Medical Managment



Direct HMO1,
HMO Child Health PlusSM1 MediBlue1


Empire Medical
Management Phone: 1-800-441-2411 Fax: 1-800-241-5308


POS1,
DirectShare POS


Empire Medical Management
Phone: 1-800-845-4741 Fax: 1-800-241-5308


EPO, PPO1,
Empire Total BlueSM


Empire Medical
Management Phone: 1-800-982-8089


 


Anthem BCBS of Nevada


HMO Nevada

Member IDs beginning with YFD:

800-332-3842

Member IDs beginning with YFN:

877-833-5742


HMO Nevada Guest
Membership/Away From Home Care 800-827-6422


Anthem Blue Cross and Blue Shield PPO/Indemnity Plans

Member IDs beginning with YFA, YFS or YFC:

800-332-3842

Member IDs beginning with YFK, YFL, YFP, YFT or YFW:

877-833-5742


Medicare Supplemental
Plans Member IDs beginning with YFB:

800-332-3842

Member IDs beginning with YFG:

800-928-6201


Anthem Associates
and Retirees

Member IDs beginning with YFH:

800-392-6117

Member IDs beginning with ANT or ANB:

303-861-7799

800-433-5447

Member IDs beginning with XFY, WEP or ANJ:

800-234-0111


Federal Employee Health Benefit Program

Eligibility/Benefit/Claim information:

800-727-4060




BCBS of Northeastern PA


BlueCare HMO –
1-800-822-8752


BlueCare Traditional
(Blue Cross & Blue Shield) – 1-888-827-7117


BlueCare PPO –
1-866-262-5635


BlueCare EPO –
1-888-345-2353


Blue Cross of NEPA
Precertification (FPLIC Traditional, Special Care and FEP) – 1-800-638-0505


FPLIC PPO
Precertification – 1-866-262-5623 (includes all PPO products)


FPLIC EPO
Precertification – 1-888-345-2360 (includes all EPO products)


 


Highmark BCBS


ClassicBlue,
PPOBlue, EPOBlue, DirectBlue, ShortTermBlue, SpecialCare, PPOPlus –
866-731-8080


MedigapBlue,
Signature 65 – 866-763-6695


FreedomBlue PPO
(FER, FEM, HQM, TDM) 800-550-8722


 


Independence BCBS


HMO — Keystone
Health Plan East 1-800-ASK-BLUE


PPO — Personal
Choice® 1-800-ASK-BLUE


Federal Employee
Program (FEP) 215-241-4400


Keystone 65 HMO
1-800-645-3965


Personal Choice 65SM
PPO 1-888-718-3333


MedigapSecurity
1-888-926-1212


 


BCBS of Tennessee


Commercial


Eligibility and
Prior Authorization: 800-924-7141


Blue Advantage :
800-841-7434


 


BlueCare (East and
West Grand Region)


Provider Service
Line 800-468-9698


Precert :
888-423-0131


TennCare Select (Statewide)


Provider Service
Line 800-276-1978


Precert: 800-711-4104


 


BCBS of TX


Blue Choice PPO/POS,
HealthSelect POS, TRS Active Care  800-451-0287


HMO Blue
877-299-2377


Utilization
Management – 800-441-9188


 


Anthem BCBS of Wisconsin


Blue Access, Blue
Preferred, Blue Traditional

Group and Individual Policies:888-571-9055

Precert: 800-242-1527

VZF, VZG, AYUVZR, VZT, AUJ, AYX, VZD


Blue Access
PPO(Anthem Associates)

Customer Service 800-676-2583

Precert: 888-896-8027

2012-WUK


Blue Preferred
HMO(Anthem Associates)

Customer Service: 800-234-0111

Precert: 800-234-0111

VZY (Prior to 2012)


Lumenos Consumer
Driven Health Plan (CDHP)HRA, HSA, HIA, HIA Plus

Customer Service: 800-972-6359

Precert: 866-398-1922

VZZ


Health Reimbursement
Account (HRA)(Anthem Associates)

Customer Service: 877-875-1223

Precert: 888-896-8027

2010 – WLU


Self Funded Groups
Administered by Anthem

Anthem ID card (Back of card indicates “Benefits administered by BCBS of WI…”)

Precert: 866-643-7087


Fax: 866-959-2154


CM: 866-216-4091


Diocese of
Evansville Prefix CLJ Precert 866-643-7087 Customer Service (855) 220-1282









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