Effective November 1, 2021, the preferred formulary changes detailed in the table below will apply to Anthem Blue Cross and Blue Shield members enrolled in Hoosier Healthwise, Hoosier Care Connect, and Healthy Indiana Plan (HIP). myNEXUS, Inc. 105 Westwood Place | Suite 400 | Brentwood, Tennessee 37027 Business Office Phone: 866.828.0337 Provider Call Center Phone: 844.411.9622 Healthcare Eligibility Benefit Inquiry and Response (270/271), Healthcare Services Review and Response (278), Healthcare Services Inquiry and Response (278), Healthcare Claim Status Request and Response (276/277), For organizations with fewer than 10,000 monthly transactions, Submit batch files through the portal or Secure File Transfer Protocol (SFTP) using third-party software such as billing software, EDI clearinghouse for high-volume trading partners. Copyright 2022 myNEXUS Inc. All rights reserved. Contact will be made by an insurance agent or insurance company. School-based clinics help provide a convenient point of care site for underserviced children and adolescents throughout Indiana. - PDF (sex), the Age Discrimination Act of 1975, 42 USC 6101 et seq. Interested in joining our provider network? Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. We currently don't offer resources in your area, but you can select an option below to see information for that state. If you have a Medicare Supplement plan, you may want to consider purchasing a dental and vision combo plan. Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. Use Availity to register and manage ERA account changes with these easy steps: Note: If you use a clearinghouse or vendor, please work with them on ERA registration and receiving your ERAs. Your dashboard may experience future loading problems if not resolved. Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT). Box 94928 Cleveland OH 44101-4928 or P.O. At Availity, you can: Request authorizations Submit claims Confirm eligibility Log in to Availity Don't have an Availity account? You can choose a Medicare Advantage or Medicare Supplement insurance plan to help cover what Original Medicare (Parts A and B) does not. Medicaid pays for healthcare and related services provided through Indiana Medicaid and covered services specified in an Individual Education Plan (IEP) as outlined in the Disabilities Education Act (IDEA). Use Payer ID 87726 . 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. The payer ID is generally five (5) characters but it may be longer. Related Articles: We also support our providers with access to information about our plans and member benefits, news and updates, training materials and guides and other helpful resources. Use Payer ID 87726. $ 0.00 Monthly Premium Kentucky Counties Served Calloway Carter Christian Clinton Crittenden Daviess Estill Show More Basic Costs and Coverage Health Care Services and Medical Supplies The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more. Please Select Your State The resources on this page are specific to your state. That's why weve redesigned the provider site to make it more useful for you and easier to use. You can also visit bcbs.com to find resources for other states. We work collaboratively with hospitals, group practices and independent behavioral healthcare providers, community and government agencies, human service districts, and other resources to successfully meet member needs related to mental health, substance use, and intellectual and developmental disabilities. We look forward to working with you to provide quality services to our members. The resources on this page are specific to your state. Select your organization type and complete the registration process. You can also purchase a prescription plan in addition to your Medicare Supplement plan, but remember, most Medicare Advantage plans already cover medications. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Talk to a licensed agent: Medicare Advantage plans include coverage for dental, vision, and hearing, and usually prescription drugs. 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. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. Learn more about Medicare Supplement plans. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Explore your options in one easy call or click. Resources that help healthcare professionals do what they do best care for our members. Anthem offers a variety of Medicare plans to support member needs. With a Medicare Supplement plan, you can see any doctor who accepts Medicare patients. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. You can request a new Anthem ID card by calling 800-676-BLUE (2583) or print a new card online. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. Anthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Choose your location to get started. As of November 1, 2021, use 3.5 out of 5 stars Anthem MediBlue Plus (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Please click one of the links below to gain access to the relevant information. The Special Enrollment Period is an additional window of time to apply, add, drop, or change your Medicare coverage outside of enrollment periods. For costs and complete details of the coverage, please contact your agent or the health plan. Enrollment is open find the Medicare plan you need, at a price you like. COMMERCIAL. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. We look forward to working with you to provide quality service for our members. For registry questions, submitter/clients may contact Payer Connectivity Services at 1-877-411-7271. Type at least three letters and we will start finding suggestions for you. You can also purchase a prescription drug plan to help pay for medications. The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. Original Medicare: Part A (Hospital Insurance) and Part B (Medical Insurance). An individual shall not be excluded from participation in, be denied the benefits of, or be subjected to discrimination on the grounds prohibited under Title VI of the Civil Rights Act of 1964, 42 USC 2000d et seq. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. (age), or Section 504 of the Rehabilitation Act of 1973, 29 USC 794 - PDF (disability), under any health program or activity, any part of which is receiving Federal financial assistance, or under any program or activity that is administered by an Executive Agency or any entity established under Title I of the Affordable Care Act or its amendments. The resources for our providers may differ between states. Health care professionals, billing services and clearinghouses who are new to the EDI space can register to exchange 27x self-service and 837 claims electronic transactions with Anthem in Availity. Anthem Payer ID: Your Payer ID is 00660 (Professional ID) or 00160 (Institutional ID). Learn more about Medicare Advantage plans Anthem is committed to making healthcare simpler and reducing health disparities. Use the following guidelines when submitting claims for substance use disorder (SUD) services provided in a residential treatment center for Anthem Blue Cross and Blue Shield members. myNEXUS employs industry standard information security systems including, but not limited to: Unified Threat Management (UTM), Vulnerability Threat Management (VTM), Data Loss Prevention (DLP), and Security Information and Event Management (SIEM), Email Encryption, and Secure Sockets Layer (SSL) certificates. Claims should not be filed with Original Medicare. 855-949-3319 (TTY: 711) 7 days a week, 8 a.m. to 8 p.m. Home Medicare Understand Your Medicare Plan Options Medicare Advantage Plans Medicare Advantage plans include coverage for dental, vision, and hearing, and usually prescription drugs. Or We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. myNEXUS, Inc. 105 Westwood Place | Suite 400 | Brentwood, Tennessee 37027, Business Office Phone: 866.828.0337Provider Call Center Phone: 844.411.9622. Payer ID valid only for claims with billing submission address of P.O. We look forward to working with you to provide quality services to our members. Below are . Choose your state below so that we can provide you with the most relevant information. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield. The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Box 89476 . Register free now Receive email from Anthem Follow the steps to enroll as a trading partner. - PDF (race, color, national origin, sex, age, sexual orientation, gender identity, and disability), Title IX of the Education Amendments of 1972, 20 USC 1681 et seq. Anthem Blue Cross and Blue Shield Medicaid is the trade name of Anthem Kentucky Managed Care Plan, Inc., independent licensee of the Blue Cross and Blue Shield Association. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Medicare Complaints, Grievances & Appeals. The majority of Medicare Advantage plans include dental, vision, and hearing care. Box 44117 Jacksonville, FL 32231-4117. Box 27401 Richmond, VA 23279 When submitting paper claims, you must include the following provider information: Name Rendering provider group ID number/billing provider ID number TIN NPI number (excluding atypical providers) Medicare number (if applicable) Note: If you use a billing company or clearinghouse for your EDI transmissions, please work with them directly to determine which payer ID they want you to use. Here's how: Log in to your Anthem account Click on "Customer Care" Select "Request an ID card" and follow the instructions. Payer IDs route EDI transactions to the appropriate payer. P.O. Availity EDI connection services startup guide. Inquiries regarding myNEXUS information security and privacy policies, procedures or activities may be directed to the following individuals at 866-828-0337 or by email: Joe Thomas, Chief Information Security Officer, jrthomas@mynexuscare.com or Pamela Hursh, Privacy Officer, phursh@mynexuscare.com. Full Payer List. Or, if you prefer, come to a live seminar in your area where a Medicare licensed agent will be present to answer your questions. tel. OCR has enforcement authority with respect to health programs and activities that receive Federal financial assistance from the Department of Health and Human Services (HHS) or are administered by HHS or any entity established under Title I of the Affordable Care Act or its amendments. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. AARP MedicareComplete through UnitedHealthcare / Oxford Mosaic Network. We look forward to working with you to provide quality services to our members. Once account is verified, admin will agree to the disclaimer, set up security questions, and change password and set up authorized users. The 835 eliminates the need for paper remittance reconciliation. 6111. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation. Payer ID: 00630; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: . Admin should check email to verify account. Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. anthem blue cross member id lookup . We currently don't offer resources in your area, but you can select an option below to see information for that state. Not connected with or endorsed by the U.S. Government or the federal Medicare program. Providers may submit claims electronically using the electronic payer ID for the Blue Cross Blue Shield plan in their state or submit a UB-04 or CMS-1500 form to the Blue Cross Blue Shield plan in their state. Find out More. enrollsafe.payeehub.org to register and manage EFT account changes. It may also be alpha, numeric or a combination. No pressure just straight talk about what you need from your health care coverage. State: IVR # Claim mailing address: Appeal address: Online resource: Florida: FL: 1-877-847-4992: Medicare Part B Participating Providers P.O. To sign up, please go to: Change Healthcare Connect Center. Payer name Anthem Blue Cross and Blue Shield Payer ID Professional: 00950 Facility: 00450 Availity supports the following HIPAA transactions: Healthcare Claim: Professional (837P) Healthcare Claim: Institutional (837I) Healthcare Claim: Dental (837D) CLAIM.MD . If your state isn't listed, check out bcbs.com to find coverage in your area. National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs. Speed up enrollment and payment for employer groups benefits. Your insurance card will be delivered within 10-14 business days Box 2500 Rancho Cucamonga, CA 91729-2500 OptumCare IPA electronic payer ID: E3287 Administrative functions previously delegated effective July 1, 2018: Precertification requests Medical management Credentialing process for OptumCare IPA providers If you have any questions, please contact the Medicare Provider Services Unit at 866-673-4157. You may need a new health plan due to certain life circumstances, like a move or a recent diagnosis. For any other EDI transaction companion documents, please visit our ProviderTrainingAcademypage. Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. Payer ID: Payer IDs route EDI transactions to the appropriate payer. Large Group Special Needs plans are Medicare Advantage plans with extra benefits for certain needs. Medicare Advantage Providers Anthem offers a variety of Medicare plans to support member needs. Electronic remittance advice (835) The 835 eliminates the need for paper remittance reconciliation. You can speak with an experienced advisor about which benefits and savings are most important to you. Once your account is verified, agree to the disclaimer, set up your security questions and change your password. Process claims faster by submitting coordination of benefits electronically and fixing errors early with in-system notification and correction. At Anthem Blue Cross and Blue Shield (Anthem), we value you as a provider in our network. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Anthem Blue Cross and Blue Shield Medicaid (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, Register today: Exploring the intersection of race and disability, SUD instructions: residential services billing update, Quarterly pharmacy formulary change notice, Anthem Blue Cross and Blue Shield Member site. A Payer ID routes electronic data transactions to the appropriate payer. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve all Americans. COMMERCIAL. Search for up-to-date drug information, including hundreds of brand-name and generic medications. If you only need prescription drug coverage, Anthem offers standalone Part D plans. Call our Customer Service number, (TTY: 711). Your browser is not supported. 2021 copyright of Anthem Insurance Companies, Inc. As a leader in managed healthcare services for the public sector, Anthem Blue Cross and Blue Shield Medicaid helps low-income families, children and pregnant women get the healthcare they need. All PAs will be managed by MedImpact. When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. For Anthem in Availity, you can complete the following HIPAA transactions: Already have an Availity login but want to submit EDI transactions? The trading partner such as clearinghouse, billing company or vendor connects with Availitys EDI Gateway to send and receive EDI transmissions easily. Learn more about behavioral health resources. All Kentucky Medicaid managed care organizations (MCO), including Anthem Blue Cross and Blue Shield Medicaid, will be partnering with MedImpact* for pharmacy claims processing and pharmacy prior authorizations (PA). Our high-volume of direct connections help eliminate third-party errors and speed payment for providers in all 50 U.S. states, Puerto Rico and Guam. It looks like you're in . It looks like you're outside the United States. Need help finding the right plan? Sign up for a free Medicare event to learn how Anthem Medicare plans help cover costs that Original Medicare doesnt. 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. Call us or explore plans today. You can attend a virtual Medicare webinar. Type at least three letters and we will start finding suggestions for you. We currently don't offer resources in your area, but you can select an option below to see information for that state. Our resources vary by state. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. New to Availity and want to submit EDI transactions? 711. 11. Select your organization type and complete the registration process. The resources for our providers may differ between states. Anthem Payer ID: 00265 Thats why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. Direct questions regarding functionality of Connect Center should be directed to the Clearinghouse at 1-800-527-8133, option 2. 8,000+ payer connections can save time and money Benefit from thousands of electronic payer connections to streamline your claims processing and increase accuracy. You can also visit. Medicare Supplement plans, also called Medigap, help cover deductibles, coinsurance, and copays that Original Medicare doesnt cover. Anthem Blue Cross and Blue Shield Indiana Anthem Blue Cross and Blue Shield of Indiana BCBS of Indiana 630 Other ID's: SB630 Need to submit transactions to this insurance carrier? The purpose of this communication is the solicitation of insurance. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Upload files through file transfer protocol (FTP) or directly in Availity as a batch or single claim submission. The Insurance Payer ID is a unique identification number assigned to each insurance company. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Please contact Availity Client Services with any questions or for technical support at 1-800-AVAILITY(1-800-282-4548), Monday to Friday from 8:00 a.m. to 7:30 p.m. Eastern time. Learn more about Medicare Advantage plans. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section. We also support our providers with access to information about our plans and member benefits, news and updates, training materials and guides and other helpful resources. HealthKeepers, Inc. for Anthem HealthKeepers Plus P.O. Or, use your existing clearinghouse vendor: Work with your vendor to ensure connection with the Availity EDI Gateway. The first step is figuring out what type of Medicare plan best meets your health needs and budget. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. 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