Continue to shop our Medicare plans on this page. Search Revenue Performance Advisor's online payer list for transactions by payer name, payer ID or state. Call Now: 833-955-1460 (TTY: 711) 7. BANKERS CLAIM SER.… (Read more) 2020 benefits – City of Long Beach. Filing your claims should be simple. Electronic Data Interchange allows health care professionals to submit claims and other transactions electronically, saving you time. Provider: Dual member cost share Should be verified and billed to Member's Medicaid. Full Payer List. The Anthem MediBlue Dual Advantage (HMO D-SNP) Plan is a dual-eligible special needs plan available only to people that have both Medicaid and Medicare. That includes your prescription coverage, as well. (+) Indicates the payer has requested a front-end taxonomy code edit. Anthem MediBlue Dual Advantage (HMO D-SNP) EA-H5854 is a Dual Eligible Special Needs Plan (D-SNP). 87726. Thank you for requesting an Anthem Medicare Advantage Plan comparison. BCBS of Ohio Other ID's: SB338. Anthem MediBlue Coordination Plus's monthly premium in Clark County is $5.30. Answer a few questions and we'll give you some recommendations that may fit your needs. 1 Jan 2020 … 2020 BENEFITS. CMS H8552-030-000 PCP: Dental - LIBERTY X475159700056 Anthem MediBlue PPO is one type of Medicare Advantage plan that combines the benefits of a Medicare Advantage plan with the choice of a PPO. Plus, you must continue to pay your monthly Medicare Part B premium. Payer returns ERA's automatically once electronic claim submission begins. Legacy identifiers include OSCAR, NSC, PINs, UPINs, Blue Cross provider numbers, and other payer-designated identifiers. YES. Inc. … It offers extras that Medicare does not cover. Payer to be deactivated in 2019 - please use Payer ID 37283 for claim submissions. This information also is printed on the back of the member’s ID card. Plan year: January 1, 2018 – December 31, 2018 In this section, you’ll learn about some of the benefits and services we cover and other important details to help you choose the right Medicare Advantage plan for If you received unemployment benefits this year, you may qualify for health insurance for as little as $1 a month. AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Co. COMMERCIAL. YES. Enter Account #, NPI or Tax ID: Enter Email Address: Enter Username: Electronic Attachments. DENVER. AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Co. COMMERCIAL. 2. Log in to Availity. Summary of Benefits for Anthem MediBlue Essential (HMO) and Anthem MediBlue Plus (HMO) Available in: Select Counties* in Ohio *See Page 2 for a list of counties. A licensed agent will call you at the phone number you provided. Anthem MediBlue Essential (HMO) Location: Fayette, Ohio : Plan ID: H3655 - 032 - 0 Click to see other plans: Member Services: 1-855-690-7796 TTY users 711 — This plan information is for research purposes only. Coverage. Anthem MediBlue Dual Advantage is a 2021 D-SNP Medicare Special Needs Plan, from Anthem Blue Cross, available in San Joaquin County, California. Anthem MediBlue Plus ... (payer link from previous article). November 2020 4 *For use only by those who use Emdeon as their clearinghouse. This plan includes additional Medicare prescription drug (Part-D) coverage. 11120005. Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. Alpha Care Medical Group NMM04 837 Former payer code MPM32. Anthem MediBlue Access Basic (Regional PPO) 2019 Formulary (List of Covered Drugs) Please read: This document contains information about the drugs we cover in this plan. Alpha Care Medical Group NMM04 835 Alta Bates Medical Group A0701 837 AltaMed ALTAM 837 Effective 3/27/19, the new payer ID is ALTAM Always Care Vision ATR01 837 Visit EmpireBlue.com to register for our EDI gateway, get payer codes, and access helpful EDI resources. Anthem Payer ID: 00265 Anthem Blue Cross and Blue Shield Healthcare Solutions Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. A licensed agent will call you at the phone number you provided. Real Time (SOAP) REST (API) Enrollment Required. Payer ID Claim Office # Type Name Address City State Zip 98999 2691 X A.B.S. Portal. New Payer ID o The Payer ID for the Blue Cross Medicare Advantage plans will change to 66006 for claims submitted on and after Jan. 1, 2017. Payer Name State Payer ID LOB Transaction Method Info Updated (NLH) Netcare Life and Health Insurance: 66055: Dental: Claims: 7/25/2016: 1199 National Benefit Fund: 13162: Medical: Claims: 7/22/2016: 3P ADMIN: 20413: Medical: Claims: 7/22/2016: 3P ADMIN: 20413: Dental: Claims: 7/25/2016: A & I Benefit Plan Administrators: 93044: Medical: Claims: 7/22/2016: A & I Benefit Plan … 8. *A legacy identifier is any identifier that payers used to identify a provider as a health care provider before the NPI mandate. BCBS of Virginia. Payer ID provider number reference — Professional Rev. Tech ID. Anthem MediBlue Plus (HMO) Anthem MediBlue Dual Advantage (D-SNP) Anthem MediBlue Select (HMO) Members who have selected a PCP who is part of the OptumCare IPA will be issued new ID OptumCare IPA electronic payer ID: E3287 Administrative functions previously delegated — effective July 1, 2018: Precertification requests The Anthem MediBlue Plus (HMO) (H3447 - 021) currently has 11,648 members. Electronic Data Interchange (EDI) Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. 36273. Batch. BANKERS PO BOX 37511 OAK PARK MI 48237 98999 0248 X A.B.S. Providers should submit all claims for services provided to OptumCare IPA attributed members to the address or electronic payer ID below. Details drug coverage for Anthem Blue Cross and Blue Shield Anthem MediBlue Connect (HMO D-SNP) in Nevada. You can use Availity to submit and check the status of all your claims and much more. 058916206CMSCOS. Box 70032 Anaheim, CA 92825 Electronic Claims Office Ally Payer ID: AGL02 Change Healthcare Payer ID: 52352 Anthem … He views these types of agreements as highly beneficial to elderly patients that don’t have a lot of healthcare resources. 6. Anthem MediBlue Essential (HMO) Offered by: Anthem Blue Cross and Blue Shield Select Counties in Ohio This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2020. Anthem MediBlue Access Core (RPPO) Anthem MediBlue Access Basic (RPPO) -new name 1/1/18 Anthem MediBlue Dual Advantage (HMO SNP) 1-844-421-5662 Refer to ID Card 1-844-421-5662 1-844-421-5662 1-844-421-5662 JRI JRI VOC VOD JRG Eligibility, Benefits, Claims, Links to Secure Messaging and Remits Anthem BCBS P.O. Payer ID. Clearinghouses may update submission rules, so always confirm specific submission requirements with your clearinghouse. Real-Time Payer List. COMMERCIAL. State Payer … (800) 685-2020 PO BOX 950. The Anthem MediBlue Dual Advantage (HMO D-SNP) EA-H5854 is available to residents in Connecticut, and all Medicare SNPs must provide Medicare additional prescription drug (Part-D) coverage. Anthem MediBlue Dual Advantage (HMO D-SNP) is a Local HMO. 1. Payer ID Listing – State of Michigan. EDI, including electronic remittance advices (ERAs) and electronic funds transfers (EFTs), allows for a faster, more efficient and cost-effective way for providers and employers to do business. CO … ANTHEM LIFE INSURANCE CORP. 04734015 … MEDICARE-ELIGIBLE FOR,NOT ENROLLED. It offers the same health insurance benefits as Original Medicare. Secondary Claims. Besides covering medical services, the plan includes Medicare prescription drug coverage, so members do not need to select a separate drug plan to get their prescriptions. A Dual Eligible SNP is for beneficiaries who are eligible for both Medicare and Medicaid. 4/12/2021 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type Name Address City St Zip 62111 E HEALTH COST SOLUTIONS ALL CLAIM OFFICE ADDRESSES 56144 E Health Keepers Plus Other ID's: SB923, 12002, 00923. Claim Payment/Advice (835) -. Electronic Remittance (ERA) YES. Claims Submission. Co-payments and/or co-insurances also apply with most healthcare services, except preventive care mandated by CMS (see H4346-018 Summary of Benefits ). AARP MedicareComplete through UHC / Oxford Medicare Network. Find out More. Payer Phone Street. Health Plan/Payer List 36273. It's a Local HMO health plan. This formulary was updated on November 1, 2019. 9. If you want to speak with a licensed agent now, please call. This is a 3-star Medicare Advantage plan with Part D (prescription drug) coverage. Type. Easy Search Payer List. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars. 87726 CMS Plan ID: H3655-040-000: Plan Organization: Anthem Blue Cross and Blue Shield: Plan Type: Local HMO: Plan Name: Anthem MediBlue Preferred (HMO) Plan Organization Type: Local CCP: Drugs Covered: Yes: Doctors Choice: Plan Doctors for Most Services: Benefit Type: Enhanced Alternative: Special Needs Plan: No: Overall Star Rating: 4 ... OptumCare IPA electronic payer ID: E3287 Administrative functions previously delegated — effective July 1, 2018: Precertification requests Plans Coverage Area. Visit our Help Me Find a Plan path anytime while you shop. City. It includes prescription drug coverage (Medicare Part D). Anthem will continue to pay some services; however, OptumCare IPA will automatically redirect those services to us for processing. 800-438-5356 (Commercial Plans Federal Employee Program) 844-421-5662 (Anthem MediBlue Dual Advantage) 833-607-6518 (Medicare Advantage Plans - Anthem Medicare Preferred PPO) Thanks to the American Rescue Plan, we can help more people than ever before find affordable coverage. There are 85 members enrolled in this plan in Carroll, Indiana, and 11,533 members in Indiana. Anthem MediBlue Select (HMO) H0544-091 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Anthem Blue Cross available to residents in California. Via Clearinghouse - Payer ID CX014 Include address on electronic claims - DentaQuest, LLC 12121 North Corporate Parkway Mequon, WI … 1-866-831-1126 | TTY 711, 24/7. 1-855-690-7796, TTY: 711 . Transaction Type. Payer Id: 1199 National Benefit Fund: 13162: Ohio BWC: 31147: 1st Medical Network – Atlanta GA: 29076: 1st MN–Atlanta GA: 29076: 21st Century Health and Benefits: 59069: 21st Century Insurance: 41556: 21st Century Insurance and Financial Services: 51028: 22125 Roscoe Corp: 41556: 3-Hab (Ohio BWC) 31147: 3P ADMIN: 20413: A & I Benefit Plan Administrators: 93044: A.G.I.A. 833-848-8730 (Anthem Medicare Advantage) 844-421-5662 (Anthem MediBlue Access) 844-421-5662 (Anthem MediBlue Plus) 844-421-5662 (Anthem MediBlue Dual Advantage) 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 ← You receive all the benefits of the Medicare Advantage plan and can choose from our complete network of doctors and facilities. Welcome. That’s why Empire uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. This insurance is also known as: Anthem Blue Cross and Blue Shield of Ohio. Individual Health Coverage As Low As $1. Not ready to shop? Anthem MediBlue Dual Advantage (HMO D-SNP) By Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP) is a 2021 Medicare Advantage Special Needs Plan plan by Anthem Blue Cross and Blue Shield. This plan from Anthem Blue Cross and Blue Shield works with Medicare to give you significant coverage beyond original Medicare. If you have Medicare and get help from Medicaid you can join any Medicare SNP you qualify for or switch plans at … The myNEXUS Payer ID for Anthem is 34009. myNEXUS, Inc. 105 Westwood Place | Suite 400 | Brentwood, Tennessee 37027 Business Office Phone: 866.828.0337 Provider Call … Anthem MediBlue Dual Access (PPO D-SNP) Member ID: Group: Plan: RxBIN: RxPCN: Issuer (80840): RxGRP: RxID: CAMCRWP0 332 020115 IS 9101000302 WM2A Most dual eligible members pay $0 for plan covered medical services. Box 105187 Atlanta, GA 30348-5187 Attn: Core Care Select P.O.