Bcbs of south carolina provider phone number. Contact Provider Education Commercial Territory Map Healthy Blue Territory Map {} Navigation. Please reference our Call Flowchart (PDF, 304 KB), IVR User Guide (PDF, 163KB), and IVR Conversion Tool for additional guidance. , and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Call us at 800-760-3690 to speak with one of our experienced counselors Calling this number will direct you to a licensed sales agent. BlueCross BlueShield of South Carolina offers more plan options, value and service. BlueCross BlueShield of South Carolina Get started now! It’s easy to get started with Blue CareOnDemand. , Suite 100, North Charleston, SC 29405 Find the phone numbers and email addresses of provider representatives for different lines of business and services offered by BlueCross BlueShield of South Carolina. Notes * Columbia, South Carolina 29203 TEL (803) 735-1034 info@palmettogba. To use the fax-back option, choose it from the Revised Feb. Open 8 a. , Monday-Friday Alexandria Phone (group sales): (318) 448-1660 Phone (individual sales): (318) 442-8107 Physical Address: Contact Information. Email. Phone: (800) 468-9935 BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Prior Authorization. 3405 W. sc. Access user guides for cancer and specialty authorizations in MBMNow’s Contact Us page. Our Provider Contact Center representatives are here to assist you with general inquires, provider enrollment, EDI, eServices, and more. Yes. Claims Tools. Medicare Advantage. From My Health Toolkit mobile, select Find Care, then Video Visit. More than 17,000 providers (nearly 94% of South Carolina physicians) 64 hospitals; Phone: 800-768-4375. Claims Submission BlueCard Claims Payments and Remittance Advices My Insurance Manager State Health Plan Fee Schedules Contact Description: Name: Email: BlueDental Operations: Sarah Turner: Sherry Lawson: Sherry. Use the Drug Price Estimating Tool to find out how much you can expect to pay out-of-pocket for a specific drug, plus lower cost options, if available. Contact Network Consultant by email. Contact your provider relations representative with questions. Checklists and Signature Requirements. Log in or register with Availity Provider Portal for information about benefit plans. -4:30 p. Call Us Now. EST. BlueCross ® BlueShield ® of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Submit and track claims. BlueCross BlueShield of South Carolina Attn: EFT Coordinator (AF-326) I-20 at Alpine Road Columbia, S. The COVID-19 public health emergency (PHE) ended May 11, 2023. Webinars! Join us for online presentations that focus on the many tools we offer and the best ways to communicate Check the back of your membership card for your specific customer service phone number . From your desktop, visit www. Box 24011 Columbia, SC 29224-4011 Did you know there are four elements of fraud? The four elements of fraud include intent to 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. To submit your request online, go to www. Contact My Insurance Manager for assistance or access the provider enrollment portal. Blue Cross and Blue Shield of Oklahoma 1400 S. 1 BILLING PROVIDER NPI NUMBER BILLING PROVIDER CONTACT NAME/TITLE (PLEASE PRINT) BILLING PROVIDER NAME BILLING PROVIDER CONTACT SIGNATURE Financial and Provider Reconsiderations. to 8 p. The COVID-19 national emergency ended April 10, 2023. 803. Read More Check the back of your membership card for your specific customer service phone number . Without the prefix, we cannot route the claim Contact Us; Find a Doctor; Member Login; Blog. 202 Arbor Lake Drive, Columbia, SC 29223 803. The easiest way is through one of these online forms: BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. We look forward to hearing you loud and clear! Recredentialing for our providers occurs every three years. BlueCross BlueShield of South Carolina and BlueChoice HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. BlueCross BlueShield of South • Phone * Preferred methods. 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 Check out ICHRA for Employers or contact us to learn more. You can also log into My Insurance Manager SM to file claims, check eligibility, submit HIPAA transactions and more. State Accident Fund South Carolina's Workers' Compensation Insurance Provider www. 1-800-676-BLUE (2583) (toll free) Blueline voice response unit. You can search our online provider directories by provider name, location and specialty. Important Announcements Training opportunities. If you need to submit your own claim, look for File a Health Claim under the Claims & Authorizations tab. BlueChoice ® HealthPlan of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Facebook; Twitter; Instagram; BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. For BlueCross BlueShield of South Carolina member information, call: South Carolina - 800 Providers; Employers; Agents; Organization. Learn how to access and use the My Provider Enrollment Portal (MyPEP) Find the phone number, address and mail options for BlueCross BlueShield of South Carolina, the provider for PEBA State Health Plan members. — 4:30 p. There is a $1,000 lifetime benefit for each covered child. Request prior authorization. My Plan; Find a Doctor; Member Resources; Contact your local Blue Cross and Blue Shield company Find My Growing the number of trauma-informed staff. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies It is one of the requirements of the Deficit Reduction Act of 2005 that the Secretary of Health and Human Services (HHS) identify a limited number of high-cost and/or high-volume conditions that are reasonably preventable through application of evidence-based guidelines, and pay at a lower rate when Medicare claims show these conditions as Hide Related Pages. until 5 p. Complementary Content $Bcbs of south carolina provider phone number. Contact Provider Educat ${badge} Our general phone number is: 803-788-0222. Lawson@bcbsa. Shop Plans. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies If your insurance plan includes dental coverage, this coverage is separate from your health plan. Healthy Blue of South Carolina. Limited Benefits Customer Service Numbers. Toll-free: 800-288-2227 Contact your provider advocate. Toolkit Login. (CST) 4510 13th Avenue South Fargo, ND 58121 Do not enter BlueCross BlueShield of South Carolina if the secondary coverage is with another Blue Plan. Fax: 305-620-5873: Health Dialog: Care Navigation Capability: Florida Blue is an independent licensee of the Blue Cross and Blue Shield Association. Availity. ET, Monday through Friday. Blue Shield of California Pharmacy Services P. com PEER TO PEER REQUEST FORM Peer to Peer Discussions are routinely available for Concurrent Denials within 2 business days from the To request prior authorization, contact Companion Benefits Alternatives (CBA) using one of the below options: Calling 800-868-1032 Forms Resource Center – This online tool makes it easy for behavioral health clinicians to submit behavioral health prior authorization requests. com: BlueCross BlueShield of South Carolina is an Provider Disputes. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all BlueCross Total SM — Medicare Advantage preferred provider organization (PPO) Contact Us. to 4:30 p. So, if you need to see a specialist, your first step would be a visit with your PCP to get a referral. Contact Us. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies BlueCross BlueShield of South Carolina; BlueCross BlueShield of Tennessee; Buckeye Health Plan; Capital Blue Cross; Care1st Health Plan Arizona; CareSource Georgia; Authorization Call Center Phone Numbers. Phone: 800-288-2227 or 803-788-0222 BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Maintain enrollment. Let us know how we can help Our Network. 1 Cameron BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Contact Healthy Blue for provider service, BCBS Provider Phone Number. Zip Code. For members with annual plans, including Affordable Care Act (ACA) plans. Then follow the instructions to register. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. AUTHORIZATION. Prior Authorization Phone Number * Service Interested In . Prior authorization is a process used to determine if a requested service is medically necessary. In some cases, you may just need clarity on why we processed a claim a certain way. Here's what you need to know about the Blue Cross and Blue Shield of North Carolina specialty pharmacy network. Date Submitted: _____ Complete this form to request precertification for a specific procedure/service. About Us; BCBS Provider Phone Number. First Choice by Select Health of South Carolina knows the importance of establishing and maintaining outstanding relationships with South Carolina’s physicians, hospitals, and health care providers. Log in to the provider library to view guides, bulletins and alerts. USC Benefits Office Phone: 803-777-6650 Email: benefits@mailbox. Your best BlueCross BlueShield of South Carolina phone number is on the back of your member ID card. Find online resources, provider education, and territory maps for providers. The claims recovery report provides payment recovery details by your member’s account number, claim number, provider tax ID, payee This includes out-of-pocket costs you pay when you see your doctor or other health care provider, such as your deductible, copays or coinsurance. Feb. When you make your election, you’ll choose either Dental Plus or Basic Dental, not both. Claims Mailing Address. Find information on policies, authorizations, claims, enrollment, and more for providers. 9430 Monday-Friday, 8:30 a. Effective January 1, 2016, BlueCross ® BlueShield ® of South Carolina and BlueChoice HealthPlan of South Carolina require Avalon Healthcare Solutions to precertify certain lab procedures when performed in an office, outpatient or independent lab location. Check Updates. After going to MIM , choose a specialty drug authorization which will sign you into MBMNow. Other Forms {} Navigation. Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 1 202 Arbor Lake Drive Columbia, SC 29223. Get immediate member information by phone or fax. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. Your plan includes the following features and benefits: Coverage for routine and more complex dental For Providers; Contact Us; Shop Medicare Plans; Shop Individual & Family Plans; Shop Business Plans; (South Florida) Phone: 800-329-1152. Each drug in the formulary is assigned a tier under your benefit plan. 6800 | 888. 28 . Additional Resources Health Care Effectiveness Data and Information Set Find Care. Provider Resources. Equal employment opportunity statement. We are a part of the BlueCross BlueShield of South Carolina family, an independent licensee of the Blue Cross Blue Shield Association. The BlueCross original claim number (“ICN” or “DCN”) should be placed in Box 22 of the CMS-1500 form (Original Ref. , an Independent Licensee of the Blue Cross Blue Shield Association. These tools are offered for your convenience and should be used only as reference tools. {} Navigation. About Us; You can request training or a live demonstration by contacting Provider Relations and Education using the Provider Advocate Training Request Form or view the MFRC User Guide. Members and providers can also send secure messages via the My Benefits Manager portal. BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Provider Training. About Us; Find contact information and hours of operation. Use our library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. com We have many phone numbers, fax numbers and addresses BlueCross BlueShield of South Carolina Anti-Fraud Unit, Mail Code AX-E01 P. Learn about the tools you have to submit claims and receive payments. Use secure mail to send messages with PHI and other sensitive data. Always check benefits through the Voice Response Unit (VRU) or My Insurance Manager SM to determine if prior authorization is required. If you’ve recently had medical care, you may wonder about the status of your health insurance claim. 8 . contact Healthy Connections at 877-552-4642 or TTY 877-552-4670. for BlueCard members. inpatient stay that is managed through the BlueCross BlueShield of South Carolina Medical Management Department. BlueCross BlueShield of South Carolina; BlueChoice HealthPlan; State of South Carolina Health Plan; CareFirst BlueCross BlueShield; Excellus BlueCross BlueShield; Blue Use this form when sending BlueCross BlueShield of South Carolina unsolicited/voluntary refund checks: Provider Contact Name: Phone Number: Provider Address: Provider Fax Number: To Be Completed by Provider/Physician/Supplier Please complete and forward to BlueCross BlueShield of South Carolina at the address For Blue Shield providers. 800-652-3076. 800-768-4375. We welcome you to our family of healthcare coverage through BlueCross and look forward to meeting your dental care needs. If you’re a member or healthcare professional, please call the number on your member ID card or Log In to start a Live Chat. gov Columbia Area: 803-896-5800. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield The VRU is a fully automated tool that offers quick and easy information over the phone. com: Dental Provider Contracting: Marylou Stinson: Marylou. – 6 p. EST Learn more about Healthy Blue or get an interpreter. My Remit Manager and Electronic Remittance Advice Financial and Provider Reconsiderations. Contact Us; Disclaimer; Check the back of your membership card for your specific customer service phone number. 29219. Call Provider Services at 800-868-2510 and select option 5. ®Registered Marks of the Blue Cross and Blue Shield Association. Box 6000 Greenville, SC 29606. 800-368-2312. (TTY: 866-773-9634) Monday – Friday, 8 a. For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide. C. Please contact the Richland County Clerk of Court or a local South Carolina attorney about getting a South Carolina subpoena for an out-of-state action. January 2014 2 This guide will give you an overview of the new BlueCross BlueShield of South Carolina and BlueChoice HealthPlan Exchange member identification (ID) cards, Web Tools: First-time Users ; Please use the Authorization Table to determine if a pre-service review requirement exists. For questions regarding this bulletin, please contact Provider Education at 803-264-4730 or Provider. 11. Labs. After hours phone number: Handicap access: Yes . You can also use it to pay health-related costs that traditional health plans don’t cover. There are two available options. com. Why did Blue Cross NC establish a Specialty Provider Network (SPN) for specialty medications? please contact Blue Cross NC at 800-214-4844 or Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Simply have your BlueCross BlueShield of South Carolina ID number handy and give us a call at 855-404-6752. com to log in. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue and Shield To view an out-of-area Blue Plan's medical policy or general prior authorization information, please select the type of information you need, enter the first three letters of the identification number on the member's Blue Cross BlueCross BlueShield of South Carolina Fraud Hotline Phone: 800-763-0703, Fax: 803-264-4050 Write us at: BlueCross BlueShield of South Carolina Anti-Fraud Unit, Mail Code AX-E01 P. SouthCarolinaBlues. How to handle your provider enrollment inquiries: For case-specific provider enrollment questions, submit a case comment within the case and someone from the enrollment team will assist. And more! If you cannot locate information on our website or through MIM, you can also call Provider Service at 866-757-8286 to speak with a representative. Your go-to resource. Reach a licensed agent to compare your options. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies ©2024 Blue Cross and Blue Shield of North Carolina. Todd@bcbssc. Call us at 800-930-2836 to speak with one of our experienced counselors, or schedule an in-home appointment with a licensed agent. Please Select Your State. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies Explore a range of health insurance plans for members of BlueCross BlueShield of South Carolina. Press 1 for Find the phone numbers, emails and fax numbers for Healthy Blue and Healthy Connections providers in South Carolina. Virtual visits through Blue CareOnDemand SM Blue Dental℠ is your dental coverage administered by BlueCross BlueShield of South Carolina. This is the amount you pay when you get a Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. To receive electronic remittance advices (ERAs) through our EDI Gateway (EDIG), complete one of the following forms: PAI is a separate company that offers third party administration on behalf of BlueCross® BlueShield® of South Carolina, an independent licensee of the BlueCross and BlueShield Association. NPI Provider Notification Form . Skip to main content. Title: PowerPoint Presentation BlueCross BlueShield of South Carolina and BlueChoice HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. For contracting providers, please use the online Utilization Management Tool or method as directed via the Authorization Table. Dr. Medical; Dental; BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue does not present themselves as a BlueCross BlueShield South Carolina member Lack of authorization for non-emergent services when the member presents themselves as a BlueCross BlueShield South Carolina member *For the reasons listed in this column, please contact the Provider Services phone number on the back of the member’s ID Providers My Insurance Manager Prior Authorization Medical Policies Employers BluesEnroll My Health Toolkit for Employers Products & Services Agents For Individuals and Groups Up to 50 Lives For Groups with 50+ Lives My Business Manager BlueCross BlueShield of South Carolina and BlueChoice®HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. . Home BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Claims Submission BlueCard Claims Payments and Remittance Advices My Insurance Manager State Health Plan Fee Schedules If you need further assistance, please contact the provider education team using the request form. C Public Employee Benefit Authority Prescription Drugs . There are several types of Medicare Advantage plans. Once you’ve registered, you can log in to: Check benefits and eligibility in real time. Contact Information. Thank you for your interest in becoming a part of our professional mental health network. BCBS Federal Phone Number; Ambetter Claims address and Phone Number; South Carolina (800) 444-0025 (Columbia) To request prior authorization, contact Companion Benefits Alternatives (CBA) using one of the below options: Calling 800-868-1032 Forms Resource Center – This online tool Need help? Select one of the available resources. Medicare Advantage networks. My Remit Manager. Email provider. BlueCross ® BlueShield ® of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. saf. Please enclose all information and allow at least 30 days for processing before checking on the application status. , Eastern Time, seven days a week. Go Now Use the Find Care tool to locate health care providers and facilities, and get cost estimates, where applicable. Orthodontics 2 (limited to covered children ages 18 and younger): You do not pay a deductible. ; For billing questions or to pay by phone, please call us Monday - Friday: 8 a. Revised: Aug. My Health Toolkit Access your digital ID card, check claims status, view plan details and check your benefits. Providers; Contact; Medicaid; Search Terms Search Site. Contact us Call us at 800-760-3690 to speak with one of our experienced sales counselors. RadMD. Phone: (800) 535-9481. edu South Carolina and have claims questions, reviews, or appeals, please direct them to your local Blue® plan. Filing a professional claim adjustment. Dental Plus pays more and has higher premiums and lower out-of-pocket costs. ®Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc. Specialists. BlueCross BlueShield of South Carolina Provider Representative Territory Map Catawba Lowcountry Upstate Midlands New Provider Numbers Press 6 To Repeat Menu Options Press * 6. loading = true;"}],"done":[{"statement":"model. Boston Tulsa, OK 74119-3613 (918) 560-3500. Excellus BlueCross BlueShield is a 1-800-327-3238. Martin Luther King Jr. Complementary Content $Bcbs of south carolina provider phone number. Contact Provider Educat ${badge} Provider Enrollment Application . 260. Your PCP oversees your care and coordinates your care with other doctors. Call 1-800-930-2836 (TTY 711) we are available 8 a. Currently, Medicare Advantage requires prior authorization for these services. Box 100300 Columbia, SC 29202-3300 Out-of-state subpoenas aren’t valid in South Carolina. We have several resources we've developed to help you get the information you need quickly. Different health plans manage pharmacy benefits in different ways. BlueCross Secure SM Health Maintenance Organization (HMO) plans provide in-state coverage, with out-of-state We encourage you to contact Provider Services any time you have questions about how a claim was processed. About Us; www. 9, 2021. Basic Dental pays less and has lower premiums and higher out-of-pocket costs. Hide Related Pages. Avalon is an independent company that provides benefit We have a large network of providers. Box 600601 Columbia, SC 29260. BCBS Federal Phone Number; Ambetter Claims address and Phone Number; South Carolina (800) 444-0025 (Columbia) (800) 444-4325 (Charleston) (803) 264-3100 (800) 868-1032: South Dakota (800) 532-1537 (800) 552-3993 (800) 522-3993: Tennessee (800) 572-1003 BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Medical; Dental; Behavioral Health; Resources; About. How to reach the VRU. That’s because we have dedicated call centers for our specific health plans. Go back to start of modal. Providers can use either number to track the status of their request online or through an Interactive Voice Response (IVR) Check the back of your membership card for your specific customer service phone number . ). So you’ll more quickly and easily reach a Contact BlueCross BlueShield of South Carolina Technical Support; Contact BlueChoice HealthPlan Technical Support; Contact HealthyBlue Medicaid Technical Support; BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. Find A BlueCross BlueShield of South Carolina Piedmont Service Center P. Use the portal to: Become a network provider. Search for network providers, sign up for paperless, check claims status and more. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Blue e is the provider portal for Blue Cross NC. Select Providers & Services, then Telehealth. Self Service available 24/7 through this phone number. It has its own deductible and cost share structure. BCBS Prefix List 2024 - Alpha State Lookup Michigan: Blue-Cross Blue-Shield of Michigan: AAC: Illinois: Blue-Cross Blue-Shield of Illinois: AAD: South Carolina: Blue-Cross Blue-Shield of South Carolina: AAE: Nevada: Anthem {"submission":{"method":"get","action":"/cwbe/mail","redirect":false,"beforeSubmit":[{"statement":"model. Find doctors, dentists, hospitals and other health care providers. Assistance Providers; Employers; Agents; State Health Plan; Federal Employee Program (FEP) Organization. Education@bcbssc. com Phone 800-288 BlueCross BlueShield of South Carolina Attn: EFT Coordinator (AF-326) I-20 at Alpine Road Columbia, S. The resources on this page are specific to your state. With My Health Toolkit, checking on your claims is easy. Prior Authorization Some plans require you to choose a primary care provider (PCP). Some plans require you to choose a primary care provider (PCP). If you have questions about your plan or bill, you can: BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. No. You can reach us by calling the Customer Service number on the front page of your Explanation of Benefits (EOB). To learn more about the credentialing process, please refer to your provider manual (PDF). Federal Employees Plan (FEP) Mon, Tues, Thurs, Fri 8 a. 29219 View information categorized by check numbers or by patient – My Remit Manager clearly lists the name of each patient whose EOB is associated with an individual check You have two options for dental coverage: Dental Plus or Basic Dental. Electronic Data Interchange. Register your National Provider Identifier (NPI) with BlueCross BlueShield of South Carolina and BlueChoice HealthPlan using this form. HealthyBlue is If you're a South Carolina provider, submit claims to BlueCross BlueShield of South Carolina. We'll collaborate to support how you work with flexible service models and empower your team with unique, proven ASO expertise. Each tier is associated with a copayment or coinsurance amount. BlueCross BlueShield of South Carolina Provider Representative Territory Map TBD Provider. Send the form and supporting materials to the appropriate fax number or address noted on the form. BCBS Federal Phone Number; Ambetter Claims address and Phone Number; Molina Healthcare of South Carolina - Medicaid: 46299: PO Box 22664 Long Beach, CA 90801: Provider Services: 855-237-6178 Member Services: 855-882-3901: 12 months from the DOS: My Provider Enrollment Portal (MyPEP) is our new provider enrollment tool. It offers a web-based solution for providers who are credentialed or interested in credentialing with BlueCross BlueShield of South Carolina to complete the enrollment process. Call 855-229-5720 for help. The centers of excellence are staffed by qualified clinical pathologists and genetic counselors prepared to answer your inquiries both before and after you perform testing. Facebook; Contact Blue Cross Blue Shield health insurance in ND for answers on how to use your health insurance plan, how to choose a health care plan and more. Avalon is an independent company that provides benefit Delta Dental of Missouri, operating in South Carolina as Delta Dental of South Carolina, is a dental benefits provider and a 501(c)(4) non-profit organization. - 6 p. CBA is a separate Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711) To receive electronic funds transfers (EFTs), complete the following form: Electronic Funds Transfer Application; The completed form should be returned to Provider. When requested, submit the following application and required documents to our credentialing team. Provider Recredentialing. Phone Number. Behavioral health providers. Complementary Content $Bcbs of south carolina provider phone number. Contact Provider Educat ${badge} Forms and Manuals Reconsideration Form Other Health Insurance Questionnaire Other Health Insurance Questionnaire (Spanish) 2020 Dental Provider Administrative Office Manual We want to make it easy for you to contact the right office or person. Medical@BCBSSC. Stay up to date with the latest information and announcements for Blue Cross NC dental providers. Footer Social Links. 6, 2021. Other times, you may want for us to reconsider a Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Receive automated By submitting your contact information you authorize a representative of BlueCross BlueShield of South Carolina or its contractors, subsidiaries or affiliates to contact you about health insurance and other products and services at the telephone number provided, including your wireless number, if applicable. Compare health plans to find the benefits that fit your needs. We have a technical team ready to assist with your STATchat conversion. For Blue Shield Promise providers. My Health Toolkit Access your digital ID card, check claims status, view Find your specific customer service phone number on the back of your membership card or use My Health Toolkit® to send a secure message. Or you may have a different provider. Please contact your Provider Network account executive for the additional documents required. Resources. BCBS Provider Phone Number. Form We work with NIA Magellan to manage radiology prior authorizations on behalf of BlueCross BlueShield of South Carolina. 877-774-8592. BlueCross BlueShield of South Carolina P. Log in to your My Health Toolkit ® account. That translates to more claims paid in network and significant cost savings. BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, Other individual and family plans. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. * STATchat can be accessed with Google Chrome Find out how to contact the provider education team for case-specific or general enrollment questions. My Provider Enrollment Portal (MyPEP) is our new provider enrollment tool. Electronic Funds Transfer Authorization Form. Revised 06/2023. Find an Agent {} Navigation. 9430 8:30 a. Billing and Payments: Learn about convenient bill pay options. Learn More. All other marks and names are property of their respective owners. For other language assistance or translation services, please call How Can We Help? If you're a member: You can call us at 800-868-2528 8:30 a. ET Provider services. Learn how to access your You can easily contact our Provider Education team to connect with a consultant or to request training. This is the Health Care Financing Administration You can easily contact our Provider Education department to connect with a provider education consultant or to request training. You can also call Provider Services at 1-800-741-6605. , Suite Check the back of your membership card for your specific customer service phone number . What you need to know. Network Savings & Benefits Check the back of your membership card for your specific customer service phone number . You can submit electronic claims to BlueCross BlueShield of South Carolina directly, through a clearinghouse or by using My Insurance Manager. You can find one that meets your needs with our Find a Doctor tool. To request a claim review, please complete this form for BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan members. Medical; Dental; Behavioral Health; Resources After submitting a claim to BlueCross BlueShield of South Carolina, you may notice that a change is needed. Monday through Friday My Insurance Manager SM is a unique online tool for providers. Palmetto GBA is one of the nation’s largest providers of high volume claims and transaction processing, contact center operations and technical services to the federal government and other commercial customers. 00400 – State Health Plan; 00401 – BlueCross BlueShield of South Carolina; 00402 – Federal Employee Plan BlueCross; 00403 My Provider Enrollment Portal (MyPEP) is our new provider enrollment tool. If you are a provider and would like access to PAS, you will require a user account. Apr 23, 2020 Phone: 800-476-8231 or 843-571-5503 Fax: 843-554-4879 Address: 4400 Leeds Ave. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Always check benefits through the Voice Response Unit (VRU) or My Insurance Manager SM to determine if prior authorization is required. What if you still have questions or need help completing this form? Please contact us at 1-800-288-2227, extension 43060, for more assistance. Updated May 12, 2023. BlueCross BlueShield of Tennessee is a Qualified Health Plan issuer in the Health Insurance Marketplace. Navigation must reimburse BlueCross BlueShield of South Carolina for any medical benefits that we have paid for this injury or illness. to 5 p. Use our Participating Dental Provider Nomination Form. Choose your state below so that we can provide you with the most relevant information. Box 24011 Columbia, SC 29224-4011 Did you know there are four elements of fraud? The four elements of fraud include intent to Claims Tools. m. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies Provider News. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Blvd. of your plan benefits today by using our tools and resources, created just for you. Box 7168 San Francisco, CA 94120-7168. 23, 2022 . Our Preferred Blue network is the largest network of physicians, hospitals and other health care providers in the state — with more than 10,000 physicians and every South Carolina hospital. See the benefits your plan offers. com BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Is prior authorization required for medical specialty solutions request is not approved at the time of initial contact. Hospitals and facilities. PEBA BlueCross BlueShield of South Carolina PEBA Press Room Contact Us Insurance Information 2023 Insurance Benefits Guide 2024 Insurance Benefits Guide 2024 Insurance Summary S. Find the phone number and other contact information for BlueCross providers in South Carolina. Filing an institutional claim About S. Receive automated status updates. For non-contracted providers or providers outside of Iowa and South Dakota, please call 800 HealthPlan and BlueCross ® BlueShield ® of South Carolina. Payment and Remittances. Verify the Blue Plan name by contacting 800-676-BLUE (2583). 737. Send us a secure message through the “Ask Provider Services” feature. Pay online. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Drug pricing. Jump to: Medicare Advantage | Stand-Alone Prescription Plans | Fraud, Waste & AbuseFor Medicare Advantage PlansI don't have coverage yet. If you are changing a pay to address, the provider or the CEO, CFO, director of finance , or director of billing must sign Tax ID Number: _____ NPI Number: _____ Effective Date : _____ Phone Number BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Stinson@bcbssc. Otherwise, please call 800-331-1476 (TTY: 711) Mon-Fri, 8 a. This link leads to a third party site. Line of Business Phone Number; benefits 4 Today: 1-800-440-3068: Essential StaffCARE: 1-866-798-0803: We work with NIA Magellan to manage radiology prior authorizations on behalf of BlueCross BlueShield of South Carolina. Medical; Dental; Behavioral Health; Resources CBA is a separate company that offers behavioral health benefits on behalf of BlueCross BlueShield of South Carolina. be sure to contact Provider Education using the Provider Education Contact Form located on . Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies CBA is a separate company that provides these services on behalf of BlueCross BlueShield of South Carolina. Select option 1. South Carolina and have claims questions, reviews, or appeals, please direct them to your local Blue® plan. State Health Plan State Claims P. Reminders . Find a Doctor. Use the request form, the portal, or the For training or assistance with using My Insurance Manager, please contact us at provider. Healthy Connections. Check claims. Use this form as the cover transmittal sheet for all supporting documentation. Free or discounted youth club memberships and tutoring support for children. Phone: 800-777-1643 Fax: 919-765-4349 BlueCross BlueShield of South Carolina is your go-to for Medicare Advantage and Medicare prescription drug plans in SC. Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Please be sure to use the member’s ID card number to include the prefix when submitting or inquiring about these claims. **We do not accept group NPI numbers and would need all the individual provider NPI numbers submitted on an excel sheet** Send. Request preauthorization information or peer to peer or provider to provider consultation. Medical Case Management Provider Phone: 877-709-2667 Fax: 877-710-2667. Schedule an appointment Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. Call the VRU or send a secure message through Ask Provider Services in MIM for questions or assistance. Call to check: Coverage and benefits You won’t need to speak with a representative. What information is required when requesting prior authorization? When requesting prior authorization, the following information should be included: • Patient details – Name, ID Number, and Date of Birth • Service details – CPT/HCPCs codes with correct units, diagnosis codes, and MD orders BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Providers can use either number to track the status of their request online or through an Interactive For Blue Cross Blue Shield of South Carolina Providers Question Answer GENERAL Why did Blue Cross Blue Shield of South Carolina implement a Medical Specialty Solutions the time of initial contact. Call us at 866-781-5094. Our pay-by-phone service accepts secure payments any time, day or night. Demographic and contact information . 6800 888. ) directly, please use the appropriate toll-free number Contact Us; Find a Doctor; Member Login; Blog. loading Office Hours 8 a. No BlueCross BlueShield of South Carolina and BlueChoice®HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. Access the MFRC Navigation Medical Forms Center. It offers a web-based solution for providers who are credentialed or interested in credentialing with BlueCross ® BlueShield ® of South Carolina to complete the enrollment process. This includes BlueEssentials SM, BlueExclusive SM, BlueExtend SM, Blue Secure Dental and Blue VirtuConnect SM plans. Or write us at: Member & Guest Services BlueChoice Contact Information. Contact us with questions. Welcome Providers Access resources to help health care professionals do what they do best—care for our members. Explore dental network resources through Blue Cross and Blue Shield of North Carolina, including filing claims, benefit eligibility and information, and provider news. BlueCross BlueShield of South Carolina has considered this issue and has included specialty labs and centers of excellence within the network of laboratory providers. ©1998-BlueCross BlueShield of Tennessee, Inc. The BlueCross Total SM and BlueCross Total Value SM Preferred Provider Organization (PPO) plans provide in-state and out-of-state coverage. (PAI). For help selecting a behavioral health provider, call us at 1-800-868-1032. BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan use Avalon Healthcare Solutions to administer a comprehensive suite of laboratory benefit management services to promote patient access to affordable, high-quality health care. If you need claim filing assistance, please contact your provider advocate. Agency Sales — Leadership . Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. Provider Enrollment FAQs. Technical Assistance. Blue Secure Dental Network For individual and family consumers with our stand alone dental plan, use our 2023 Blue Secure Dental Find a Dentist tool or our 2024 Blue Secure Dental Find a Dentist tool . View drug lists and other pharmacy information. Assistance. There’s value in Blue Medicare Solutions plans. Simply having a CAQH record does not initiate the credentialing process with Select Health. Find out how to contact the provider enrollment team, the authorizations, benefits, claims, or eligibility team, and the EDI services team. On the secure website, look for Health Claims Status under the Benefits tab. 866-781-5094 (TTY: 866-773-9634) Monday - Friday, 8 a. Medical; Dental; Behavioral Health; Resources ©2024 Blue Cross and Blue Shield of North Carolina. Get Started Health Insurance, Medicare & Group Health Plans | BlueCross BlueShield of South Carolina For enrollment questions on applications or forms submitted through our historical processes (fax or email), contact the enrollment team at 800-868-2510, option 5 or use one of the available contact forms under the Provider Enrollment section of the website. In some cases, we may be able to resolve the issue simply by clarifying how the decision was made. For faster processing, we recommend you submit BlueCard claims electronically. education@bcbssc. 212450-3-2021 I, (member name), authorize the individual or entity listed below to act on my Provider Additional Claim Number (if applicable) Additional Claim Number (if applicable) Member Signature: Date: Providers My Insurance Manager Prior Authorization Medical Policies Employers BluesEnroll My Health Toolkit for Employers Products & Services Agents For Individuals and Groups Up to 50 Lives For Groups with 50+ Lives My Business Manager We combine the strength and scale of BlueCross BlueShield of South Carolina with the dedication and edge of an independent innovator. Archived Presentations {} Our Preferred Blue network is the largest network of physicians, hospitals and other health care providers in the state — with more than 10,000 physicians and every South Carolina hospital. Both will allow you to speak with a representative. O. Learn more about prescription medications and options that can help you save money. ® Registered Marks, Laboratory Prior Authorization. com . Self-Funded Customer Service Number. Fax: (888) 697-8122. com: Dental Provider Contracting: Jonathan Todd: Jonathan. 5. Box 24011 Columbia, SC 29224-4011 Drug Lists and Resources. Laredo. Print this guide. About Us; Careers; Media Center; Blog BlueCross BlueShield of South Carolina Fraud Hotline Phone: 800-763-0703, Fax: 803-264-4050 Write us at: BlueCross BlueShield of South Carolina Anti-Fraud Unit, Mail Code AX-E01 P. . Blue Cross and Blue Shield of Texas 1800 West Loop South, Suite 600 Houston, TX 77027-3279 800-637-0171, press 3 1-713-663-1149 Fax: 713-663-1227 Email to submit provider inquiries and questions. See "San Antonio and Laredo" Lubbock. Providers not in the Avalon Network are able to submit fax and/or phone requests. In network, a provider cannot charge you for the difference in its cost and the allowed amount. Get informed of any changes or updates taking place. – Call the provider services number on the back of the ID card Provider Education Contact Form. The standard terms of your health plan or policy now apply to any COVID-19 related services. Calls to this number are As of July 1, 2024, South Carolina Department of Health and Human Services (SCDHHS) offers a single Preferred Drug List for all providers within the Healthy Connections program. Check the back of your membership card for your specific customer service phone number . Qualified Healthy Blue members can access free extra benefits like: Transportation gift cards and education assistance for adults. If the determination of this review will influence You can easily contact our Provider Education department to connect with a provider education consultant or to request training. With 43 plans to choose from with Business BlueEssentials SM , each plan has the required minimum essential health benefits with the copays, coinsurance and deductibles varying, depending on the plan. com Phone: (803) 264- 8114 Fax: (803) 264-9175 E-Mail: Peer. Make the most of your coverage and save money, by choosing a We encourage you to contact Provider Services any time you have questions about how a claim was processed. Through this tool, you are able to search by location, name, specialty and more. 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. These learning opportunities will assist you in administering Preferred Blue ®: The most extensive provider network in the state. Drug Lists and Programs State Health Plan Prescription Drug Coverage Medicare Part D NDC Drug Rebate Program Why buy a Medicare plan from BlueCross BlueShield of South Carolina? Not all health plans are alike. Search for the type of provider you need such as: Primary care provider (PCP). Drug tiers. Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. EFT@bcbssc. Submit CMS1500 and UB04 claims electronically through Blue e. If you wish to contact Evolent (formerly National Imaging Associates, Inc. The quickest way is by emailing Provider. Our network covers plans for BlueCross ® BlueShield ® of South Carolina's Preferred Blue ®, BlueChoice ® HealthPlan of South Carolina, the Federal Employees Program (FEP) and Planned Administrators, Inc. Providers; Employers; Agents; Organization. zlfaw upmvr cpfyy gbzx rwsdnn nnqo txgd jdrhz kuq ggkhd