Close. In the United States, Puerto Rico and U.S. Virgin Islands. Provider Network Application . Experience Health Providers. Some information on our site is secure; log in to ensure you’re seeing all the news. When you need more help. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. To get started, select Save and Continue. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or gender. Apply online to be an Anthem healthcare provider. The resources for our providers may differ between states. We value you as a member and look forward to working with you to provide quality services. This document will be updated as BCBS Medicaid Plans provide updated … Please call the provider prior to scheduling an appointment to verify that the provider continues to be part of the network. Explore resources that help healthcare professionals care for Empire Blue members. Language assistance available:Español, Kreyol Ayisien, Tiếng Việt, Português, 中文, français, Tagalog, русский, العربية, italiano, Deutsche , 한국어, Polskie, Gujarati, ไทย, 日本語, فارسی. We currently don't offer resources in your area, but you can select an option below to see information for that state. Our online provider enrollment is split into two sections: one for hospitals and facilities and one for physicians and professionals, also called practitioners. box 41109 jacksonville, florida 32203-1109 all references to licensure must be to a current florida state license with the license number and effective date clearly readable. Call (888) 902-5707 or TTY 800-955-8770. Outside the United States. Shopping Cart Adjustment Notification. Become a Blue Cross Provider. United Concordia Companies, Inc. and DenteMax are independent companies. Apply online to be an Anthem healthcare provider. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Explore resources that help healthcare professionals care for Anthem members. Whether you have questions about enrollment, contracts or fee schedules or need technical assistance with Availity and other online tools, we can help. Outside the United States. signature. We currently don't offer resources in your area, but you can select an option below to see information for that state. It seems you're using a browser version we no longer support. Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Please call Florida Blue at the help number listed on this website and read them the message on your screen, including the Application ID. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Explore our medical, dental, and Medicare health care plans. ction B: Employee Information Se. You can also visit bcbs.com to find resources for other states. Web Content Viewer. InterPlan Programs (BlueCard) Resources for providers who service out-of-state Blue Cross/Blue Shield members. Home Contacts Provider enrollment: Contact information -- Florida, Part B. You can also visit, Life, Disability & Supplemental Health Insurance. The Council for Affordable Quality Healthcare (CAQH), an alliance of the nation’s leading health plans and networks working to simplify healthcare administration, announced today that Blue Cross and Blue Shield of Florida (BCBSF) will now use the CAQH Universal Credentialing DataSource® (UCD) service to streamline credentialing for its 36,000 participating providers. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or gender. To get care, simply call the provider’s office to set up an appointment. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. Skip to Main Content Skip to Navigation Skip to Footer. for one or more networks, check the appropriate box on the. If you are not registered with CAQH and are a first-time user, when you apply for network participation, we will add your name to our roster with CAQH. Visit Blue Cross Blue Shield Global® Core to locate healthcare providers outside of the U.S. Search For Doctors In the case of a life-threatening emergency, always call 911 or your local emergency services. Explore resources, benefits and eligibility requirements. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. BCBS Provider Phone Number April 23, 2020 April 23, 2020 Channagangaiah United States List BCBS Provider Phone Number; Alabama: 800-517-6425 (Benefits/Eligibility) ... Florida: 800-7272-2227 800-676-2583 (Blue Card Eligibility) 866-730-5006 (Federal Employee Program) 888-223-4892 (Dental) Georgia: HourlyR c OSalary c pen Enrollment I am Refusing all Health Coverage at this time. Learn more about the administrative, clinical and financial self-service tools available to you. Prepare to Enroll. Add Users or Providers to Your Blue e Account Provider Classification. That verification process is called credentialing. Future Blue Cross NC Providers. bcbsf provider number: hcfa upin #: npi #: incomplete applications will be returned pdsi p.o. If applying to network, complete the application signature document for each network. Florida Blue Medicare Mail P. O. Ambulatory Infusion Center (AIC) Liability/Malpractice Insurance verification Are you new to Blue Cross? © 2018 Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. Sydney Care is offered through an arrangement with CareMarket, Inc. Sydney Health and Sydney Care are service marks of CareMarket Inc., © 2021. Purpose of Credentialing: Blue Cross NC credentials all practitioners of care, ancillary and facility providers applying for membership in the network(s) and re-credentials the applicable contracted practitioner, ancillary and facility providers every three years. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Depending on the type of provider you are, we want to know you have the appropriate license, education, insurance and other qualifications. Outside the United States. Visit Anthem.com today for more information. ... FL Business: Part B. Check Eligibility and Benefits for Nationwide BCBS Members Member Prefix List Claims & Payments. Network Participation Find out how to become part of the Blue Cross NC network of providers. Some states may accept a provider's Medicaid enrollment in the state where they practice to fulfill this requirement. Info for new providers. Florida Blue Medicare is an HMO plan with a Medicare contract. Give us … Fax form for Applied Behavioral Analysis/Adaptive Behavioral Treatment for Autism Spectrum Disorder (ABA/ABT) PLEASE NOTE: Prior authorization is only required for Federal Employee Program members. Start the contracting application and credentials verification processes.. Credentialing. Be sure to confirm that your provider(s) are in your network. Info for new providers. Here's how to enroll with us. © 2005 - 2021 copyright of Anthem Insurance Companies, Inc. Visit Anthem.com today! It looks like you're outside the United States. However, where appropriate, the content may identify a particular company; there, any pronouns refer to that specific entity. All rights reserved. Provider Enrollment and Change Process Required Document Checklist. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. All BCBSOK providers must have a CAQH Provider ID to register and begin the credentialing process. Log In Chat Chat . Here's how: Check our credentialing guidelines to make sure you meet our requirements. Box 1798 Jacksonville, FL 32231-0014 To avoid processing delays…gather these items before you get started. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Facility Enrollment Required Document Checklist Facility Classification To avoid processing delays, gather these items before you get started. To find out about premiums and terms for these and other insurance options, how to apply for coverage, and for much more information, contact your local Blue Cross Blue Shield company . First time CAQH users. Home > Office Resources > Enrollment > Become a Blue Cross Provider {} Web Content Viewer. We Stand Together Against Racial Injustice. Locate Doctors Worldwide. To get the best online experience, please consider upgrading to one of the following newer browsers. Internet Privacy Statement  |  Terms of Use. To be eligible for enrollment, your practice must have its primary location in Alabama or in a qualifying county in an adjacent state. We value you as a member and look forward to working with you to provide quality services. CONTACT US Web Content Viewer Display content menu Display portlet menu. Se. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to date and accurate. Anthem Blue Cross of Florida Phone Number 800-727-2227 FEP 800-333-2227: Anthem Georgia: Georgia: Phone Number 855-295-5840 Facility 800-284-2609 FEP 800-282-2473 Blue Card Eligibility 800-676-2583 HMO USA Away From Home Care Guest Membership 800-535-8291: Blue Cross Blue Shield of Hawaii: Hawaii: 800-790-4672 FEP 800-966-6198: Blue Cross of Idaho: Idaho: 866-482-2250 FEP 800 … Login to check patient eligibility, benefits, deductible information and more. You may access the Nondiscrimination and Accessibility notice. You can use a free-of-charge online/fax service or manually email, fax or mail your application and documents to us. Join Our Medical Networks. document before submitting. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). Blue Cross & Blue Shield of Mississippi is proud to partner with you to help your patients be healthy. Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. Step . I am interested in becoming a network provider and my specialty is network eligible. Complete an enrollment form. Box 64560 St. Paul, MN 55164-0560 . Your browser is not supported. Florida Blue offers affordable health insurance plans to individuals, families, and businesses. Cut costs on prescription meds The State Employees’ Prescription Drug Plan, administered by CVS Caremark³, is designed to provide Blue Cross & Blue Shield of Mississippi network provider, and a member of the Advanced Health Systems, Inc (AHS) network, join us as a partner in our shared commitment to a healthier Mississippi. Practitioner Enrollment New Mental Health State license number Type 1 National provider identifier Type 2 National provider identifier WF 10575 JUL 20 licensed marriage and family therapist limited licensed psychologist clinical licensed master’s social worker DO - psychiatrist clinical nurse specialist certified licensed behavior analyst Visit Anthem.com today for more information. Blue Cross Blue Shield providers are a part of the largest network in the state, with tools that let you check benefits, submit claims and process payments. Get answers to frequently asked questions about the enrollment process—including credentialing questions, how to apply for a contract, and more. Join Our Dental Networks . Quick Links. Review Blue Cross and Blue Advantage medical and pharmacy policies and guidelines or comment on draft policies. Pharmacy Program. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Print Join Our Network. If your state isn't listed, check out bcbs.com to find coverage in your area. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Learn how to check member benefits and eligibility, submit claims, find your fee schedules, and much more. If so, this information is for you! Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. To submit a new enrollment or make changes to your existing information, select your classification type below. Blue Cross and Blue Shield of Minnesota Credentialing Department R315 P.O. Info for billing agencies. Whether you have questions about enrollment, contracts or fee schedules or need technical assistance with Availity and other online tools, we can help. AS OF MARCH 1, 2016 . Please update your browser if the service fails to run our website. OR. Find doctors, hospitals, facilities, and other providers in Florida Blue's networks. Find drug lists, pharmacy program information, and provider resources including the prior authorization process. Providers with multiple office locations can now have funds automatically routed and deposited into multiple bank accounts. Availity is our trusted information exchange partner enabling the movement of business and clinical information in real-time. Become a Blue Cross NC Provider Blue Cross NC Providers. FB OPD Plan 001 102018. Dental Provider Resources We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. Blue Cross NC credentials all practitioners of care, ancillary and facility providers applying for membership in the network(s) and re-credentials the applicable contracted practitioner, ancillary and facility providers every three years. (Check your specialty.) Need Help? Become a participating provider Use this form to add a new practice or a new provider within a practice. Blue Cross NC and Duke Health, two of the most trusted and innovative names in health care, have come together to create Experience Health, a locally owned and operated, non-profit health plan for seniors. Appeals forms, enrollment applications and credentialing forms. Give us a call at 1-800-924-7141 1-800-924-7141 or click the link below. Provider enrollment: Contact information -- Florida, Part B. Employee Enrollment Application. Excellus BCBS offers providers information and tools online 24/7. Search our Provider Directory to see if your doctors, hospitals or other facilities are in-network and accept our plans. ; Follow the credentialing steps we outline so we can review and approve your credentials as part of your enrollment with us. next Hospitals and Facilities . Purpose : The purpose of this document is to provide information on state specific provider enrollment requirements for states where BCBS Plans offer Medicaid products. outpatient and professional health care providers. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Now that you have everything on your checklist, you'll answer a series of questions to put together the forms you'll need to enroll. To join the Blue Cross NC provider network, we’ll need to check your credentials. *Blue Cross Blue Shield of Michigan and Blue Care Network use leased provider networks offered by United Concordia Companies, Inc. for its dental plans. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Neither the Blue Cross and Blue Shield Association nor any of its Licensees shall be liable for any losses, damages, or uncovered charges as a result of using this provider locator website or receiving care from a provider listed in this website. Contracting. The resources for our providers may differ between states. In the United States, Puerto Rico and U.S. Virgin Islands. We will review your request and send the appropriate Participating Agreement. To search again, click Back. It looks like you're in . We currently don't offer resources in your area, but you can select an option below to see information for that state. For providers: Use the provider enrollment checklist (PDF). We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Also, you’ll typically need to reapply every three years to be recredentialed. A licensed agent will call the Marketplace with you to help finish your enrollment. If you need care after hours, call your doctor or go to an in-network urgent care center. Verify eligibility and benefits, request authorizations and referrals, submit claims, check claim status and more – all online and at your fingertips. Florida has the highest exchange enrollment of any state in the country, with more than 1.9 million people enrolled for 2020. You do not need a referral. ction Level and PlanC: Inf ormat i n Effe. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. Your dashboard may experience future loading problems if not resolved. Inequity and injustice are a devastating sickness. I am a Behavioral Health provider. View the latest provider news. 64243 1107r sr page 1 of 6 I understand that if I decide to apply later coverage may not be available unti Signature: BlueCare (HMO) Plan # Please type or write clearly in black or blue ink. Please be sure your application is correct and complete so we can process it promptly. If you are unable to complete the CAQH application for any reason, complete our enrollment and credentialing process. Visit EmpireBlue.com today! Primary Practice State: * Primary Practice County: * Not Required for AL (Please provide all of the following values so that we can verify your current enrollment status.) Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. The system is a national provider credentialing application initiative from the Council for Affordable Quality Healthcare. Anthem Blue Cross and Blue Shield is a DSNP plan with a Medicare contract and a contract with the state Medicaid program. Helpful tips. We stand alongside our Black members, employees, providers, partners and communities—committing ourselves to take action to ensure equity for each and every person in our society. It will not meet eligibility criteria for participation and will be returned to you if it's incomplete. AvMed has joined the exchange for 2021, and five of the existing insurers have expanded their exchange coverage areas. Nondiscrimination and Accessibility notice. Throughout the provider application process, you will be prompted to apply for a specific provider network. Contact Us; English; Español; Accessibility Florida Blue. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. Florida Blue Medicare is an HMO plan with a Medicare contract. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. However, in nine states — Arkansas, Florida, Hawaii, Kansas, Michigan, New Jersey, Pennsylvania, Tennessee and West Virginia — BCBS plans have the majority of enrollment… Contracting Q & As. View Your Provider List. If applying . We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. The average rate increase for 2021 is 3.1%. Medicaid Provider Enrollment Requirements by State . In order to become a provider for Blue Cross Blue Shield of Michigan you need to be credentialed. Thank you for considering participation with Blue Cross Blue Shield of Massachusetts! Become a Blue Cross Provider. In the United States, Puerto Rico and U.S. Virgin Islands. Our innovative health and wellness benefits are designed to help Mississippians be healthy and better manage their healthcare costs. EFT transactions are faster than transferring funds by check and available for all Florida Blue products. Box 45296 Jacksonville, FL 32232-5296 Individual Florida Blue P. O. To find participating doctors and hospitals outside of Florida, call 1-800-810-BLUE (2583) or visit bcbs.com and click on Find a Doctor or Hospital. Blue shading indicates states in which provider enrollment is required. Once you reach the Plan page, expand View My Providers to see if your doctors are in-network. As a Service Benefit Plan member, you can choose your own physician, hospitals, and other healthcare providers. Quality-Based Programs Programs that recognize doctors and facilities for excellence in care. For hospitals and facilities: Use the facility enrollment checklist (PDF). Explore resources, benefits and eligibility requirements. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. You can apply to be a part of the largest network of healthcare providers in Mississippi. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Choose your provider from the list below and click Save Selected Provider. Forms for Facility Provider Enrollment Tutorial - Facilities can learn how to join the Blue Cross provider networks by viewing this web-based training.. Focus Telephone numbers Addresses; All enrollment applications, requests, and general provider enrollment … View Your Provider List. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Enrollment in these plans depends on the plan’s contract renewal with Medicare. As a Blue Cross & Blue Shield of Mississippi network provider, and a member of the Advanced Health Systems, Inc (AHS) network, join us as a partner in our shared commitment to a healthier Mississippi. Search Now. FEP Standard Option Dental, FEP Basic Option Dental, BCN Advantage SM and Medicare Plus Blue PPO use the DenteMax networks. Complete the CAQH Application. I am new to Blue Cross and Blue Shield of Alabama. Blue Cross and Blue Shield of Illinois (BCBSIL) contracts with physicians, facilities and other health care professionals to form our provider networks, which are essential for delivering quality, accessible and cost-effective health care services to our members. Highest exchange enrollment of any state in the case of a life-threatening emergency, always call 911 or your emergency..., but you can select an option below to see if your state is n't listed, out! Prompted to apply for a specific provider network where they practice to fulfill requirement... Online/Fax service or manually email, fax or mail your application is correct and complete we. Find drug lists, Pharmacy program information, and other providers in Blue... Providers who service out-of-state Blue Cross/Blue Shield members can search for doctors, hospitals and Dentists.! You 're using a browser version we no longer support look forward to with. Value you as a member and look forward to working with you to provide quality services fax or mail application! Caqh provider ID to register and begin the credentialing steps we outline so we can review approve! Area, but you can Use a free-of-charge online/fax service or manually email, fax or mail your is! Expand View My providers to see information for that state online to be an Anthem healthcare provider provider! Pronouns refer to that specific entity below to see information for that state BCN! Check our credentialing guidelines to make sure you meet our requirements Insurance plans to individuals, families and! Shield of Massachusetts sure to confirm that your provider ( s ) are your! This requirement your state is n't listed, check out bcbs.com to find care outside the United States,. On the plan ’ s office to set up an appointment to verify that the information displayed is up date. Contained in this directory is refreshed nightly with the state Medicaid program qualifying county in an state. A Medicare contract facility Classification to avoid processing delays, gather these items before you get started a for! 1-800-924-7141 or click the link below ambulatory Infusion Center ( AIC ) Liability/Malpractice Insurance Florida. Navigation Skip to Navigation Skip to Main Content Skip to Footer Michigan you care! Upin #: npi #: incomplete applications will be prompted to apply for a specific provider.! Free-Of-Charge online/fax service or manually email, fax or mail your application and documents to us bcbsf number... 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Every three years to be credentialed, simply call the provider continues to be....