Plan Name | Customer Service | Utilization Review |
Alabama, BCBS of Alabama | 800-760-6852 | Click here for full contact info |
Alaska, Premera BCBS of Alaska | 800-722-4714 opt 2 | 800-722-4714 opt 3 |
Arizona, BCBS of Arizona | 800-232-2345 | Click here for full contact info |
Arkansas, BCBS of Arkansas | 800-827-4814 | Click here for full contact info |
California, Anthem Blue Cross of California | 800-922-3242 (HMO) | Click here for full contact info |
California, Blue Shield of California | 800-541-6652 Option 6 | Click here for full contact info |
Colorado, Anthem BCBS of Colorado | 877-833-5742 | Click here for full contact info |
Connecticut, Anthem BCBS of Connecticut | 800-922-3242 (HMO) | Click here for full contact info |
Delaware, BCBS of Delaware | 800-572-2872 | 800-572-2872 |
District of Columbia, Carefirst BCBS | 800-842-5975 | Click here for full contact info |
Florida, BCBS of Florida | 800-727-2227 Option 2 | 800 955-5692 Option 3 |
Georgia, Anthem BCBS of Georgia | 800-441-2273 | 800-722-6614 |
Hawaii, BCBS of Hawaii | 800-790-4672 | |
Idaho, Blue Cross of Idaho | 866-482-2250 | 800-743-1871 |
Idaho, Blue Shield of Idaho | 866-227-0913 | Click here for full contact info |
Illinois, BCBS of IL | 800-972-8088 | Click here for full contact info |
Indiana, Anthem BCBS of USa | 800-282-1016 | Click here for full contact info |
Iowa, Wellmark BCBS of Iowa | 800-362-2218 | 800-552-3993 |
Kansas, BCBS of Kansas | 800-432-3990 | 800-782-4437 |
Kentucky, Anthem BCBS of Kentucky | 800-282-1016 | Click here for full contact info |
Louisiana, BCBS of Louisiana | 800-392-4076 (IVR) | 800-523-6435 |
Maine, Anthem BCBS of Maine | 800-832-6011 | Click here for full contact info |
Maryland, Carefirst BCBS | 800-248-8410 | Click here for full contact info |
Massachusetts, BCBS of Massachusetts | 800-882-2060 | |
Michigan, BCBS of Michigan | 800-344-8525 (professional) | Click here for full contact info |
Minnesota, BCBS of Minnesota | 800-262-0820 | |
Mississippi, BCBS of Mississippi | 800-257-5825 | Click here for full contact info |
Missouri, Anthem BCBS of Missouri | 888-571-9054 | 800-992-5498 |
Missouri, BCBS of Kansas City | 800-892-6048 | |
Montana, BCBS of Montana | 800.447.7828 | 800.447.7828 ext 6230 |
Nebraska, BCBS of Nebraska | 800‐635‐0579 IVR | 800‐247‐1103 Inpatient, SNF, Rehab |
Nevada, Anthem BCBS of Nevada | 800-332-3842 | Click here for full contact info |
New Hampshire, Anthem BCBS of New Hampshire | 800-332-6558 | Click here for full contact info |
New Jersey, Horizon BCBS of New Jersey | 800-624-1110 | Click here for full contact info |
New Mexico, BCBS of New Mexico | 888-349-3706 | 800-325-8334 |
New York, BCBS of Western New York | 800-950-0052 (managed care) | Click here for full contact info |
New York, Blue Shield of Northeastern New York | 800-444-4552 | Click here for full contact info |
New York, Empire BCBS of New York | 800-552-6630 | Click here for full contact info |
New York, Excellus BCBS | 800-920-8889 | Click here for full contact info |
North Carolina, Blue Cross and Blue Shield | 800.214.4844 | 800.672.7897 |
North Dakota, Blue Cross and Blue Shield | 800.368.2312 | |
Ohio, Anthem Blue Cross and Blue Shield | (800) 282-1016 | Click here for full contact info |
Oklahoma, Blue Cross and Blue Shield | (800) 496-5774 | (800) 672-2378 |
Oregon, Regence BlueCross BlueShield of Oregon | (866) 227-0913 | (800) 351-2370 |
Pennsylvania, Blue Cross of Northeastern Pennsylvania | BlueCare HMO – 1-800-822-8752 | Click here for full contact info |
Rhode Island, BCBS of Rhode Island | 1-800-327-6712 or 1-800-230-9050 (Providers) or | 1-800-637-3718, ext. 2273 |
South Carolina, BCBS of South Carolina | 800-868-2510 | 800-868-2510 opt 3 |
South Dakota, Wellmark BCBS of South Dakota | 800-774-3892 | 800-642-9273 |
Tennessee, BCBS of Tennessee | 800-924-7141 | Click here for full contact info |
Texas, BCBS of Texas | 877-299-2377 (HMO) | Click here for full contact info |
Utah, Regence BCBS of Utah | (866) 227-0913 | 800-351-2370 |
Vermont, Blue Cross and Blue Shield | (888) 222-9206 | 800-922-8778 |
Virginia, Anthem Blue Cross and Blue Shield | 800-533-1120 | 800-533-1120 |
Washington, Premera Blue Cross | 877-342-5258 opt2 | 877-342-5258 opt 3 |
Washington, Regence BlueShield | (866) 227-0913 | 800-351-2370 |
West Virginia, Highmark BCBS West Virginia | 800-294-9568 | 800-269-6389 |
Wisconsin, Anthem BCBS of Wisconsin | 888-571-9055 | Click here for full contact info |
Wyoming, BCBS of Wyoming | 800-442-2376 | 800-251-1814 Pre Admission |
Anthem Blue Cross of California
Provider Services: 877-526-3425
Referrals: (888) 613-1130
Transplant Oncology: (888) 613-1130
Maternity Management Program: (800) 769-4896
FEP – Hospitals – 800-322-7319
FEP – Professionals – 800-633-4581
Medi-Cal (inside LA County): (888) 285-7801
Medi-Cal (outside LA County): (800) 407-4627
Healthy Family Program/HMO/EPO: (800) 845-3604
MRMIP/Access for Infants & Mothers (AIM)/CalKids: (877) 687-0549
County Medical Services program (CMSP) (800) 670-6133 Utilization Management
Prior Authorization
Medi-Cal (statewide, inside & outside LA County): (888) 831-2246
AIM, MRMIP, HFP, CMSP: (877) 273-4193
Fax for all UM PAs: (800) 754-4708
Blue Shield of California
For Eligibility, Benefits or Claims information for Blue
Shield 65 Plus Group Plan members: Phone: (877) 654-6500
For Commercial HMO Phone: (800) 541-6652 option 6
For Medicare (HMO)and Blue Shield 65 Plus Group Plan Phone: (800) 786-7474
For Care Management (PPO) Phone: (800) 541-6652 option 6
For FEP (PPO) Phone: (800) 541-6652 option 6
For HMO Direct Contracting and CalPERS EPO Phone: (800)
541-6652 option 6
BCBS of Alabama
In-State General Provider Inquiry
Participating hospitals: 1-800-760-6852
Participating providers: 1-877-231-7239
Non-participating hospitals and providers (Automated VRU with Representative
availability): 205-733-7016
Automated Voice Response Unit (VRU): 205-988-2213
Automated VRU: 1-800-648-9807
Out-of-State General Provider Inquiry
Automated VRU: 1-800-517-6425
Group-Specific Provider Inquiry
Federal Employee Program (FEP – R prefix): 1-800-492-8872
NASCO: 1-800-548-0165
General Electric: 1-800-655-5392
Primary Care Network Referrals
Automated VRU: 205-733-4283
Automated VRU: 1-888-881-8668
Dental Provider Inquiry
PPO Dentists: 1-800-373-4879
Non-PPO Dentists: 205-985-5378
Out-of-State Dentists: 1-888-783-5113
Home Care Agency Provider Inquiry (not including Hospice and DME)
Participating Home Care Agency: 1-866-904-4130
Non-participating Home Care Agency: 205-733-7016
Pharmacy Inquiry
General Provider Inquiry: 1-800-216-9920
Blue Advantage/Part D Provider Inquiry: 1-877-878-8668
Other
Cahaba GBA (Medicare) Provider Inquiry: 1-877-567-7271
Other Blue Cross and Blue Shield Plans Outside Alabama: 1-800-676-2583
BCBS of Arizona
Phoenix: (602) 864-4400 (800) 232-2345
Tucson: (520) 745-1883 (800) 752-0193
Flagstaff: (928) 526-0232 (800) 423-6484
FEP: Phoenix: (602) 864-4102 (800) 345-7562
BCBS of Arkansas
Provider Service 501-378-2307 or 1-800-827-4814 (Arkansas
policies only)
BlueCard® Service 1-800-810-BLUE (2583) AAA + up to 17
additional alphanumeric characters
FEP Service 1-800-482-6655 (federal policies only) R
State and School Employee Service 1-501-378-2364 or
1-800-482-8416 (state and school
employee policies only) XCS followed by 960 and a six-digit number
Health Advantage Service 1-800-843-1329
(HMO policies only) XCH + K and eight numeric digits
BlueAdvantage Administrators
of Arkansas Service 1-888-872-2531 AAA + A + eight numeric digits + a two-digit
suffix
Integrated Health 1-800-451-7302 (precertification of
inpatient admissions only)
Anthem BCBS of Colorado
Customer Service:
877-833-5742, M-F: 8:00 am – 6:00 pm
Authorizations: 303-831-4115 or 800-832-7850
XFG, XFO Medicare
Supplement
Customer Support 866-438-9969, M-F: 9:00 am – 7:00 pm
XFU Medicare
Advantage HMO:Sure Value (Basic and Enhanced)
Customer Support: 866-438-9969, M-F: 9:00 am – 6:00 pm
Authorizations: 866-797-9884
YFV Medicare
Advantage PPO: Anthem Medicare Preferred : Core and Premiere
Customer Service: 866-408-7086, M-F: 9:00 am – 6:00 pm
Authorizations: 866-797-9884
BCBS of CT
HMO
XGE, XGG, XGN, XGL, XGT, XGP, XGR
(800) 922-3242 Professional
(800) 345-2227 Institutional
Business hours: Monday – Friday: 8:00AM – 5:00PM
PPO / Century 90
XGC, XGS, XGB
(800) 922-3242 Professional
(800) 345-2227 Institutional
Federal Employee
Program (FEP)
(800) 438-5356
Business hours: Monday, Tuesday, Wednesday, Friday: 8:00AM – 5:30PM and
Thursday: 9:00AM – 5:30PM
New England Health
Plans (NEHP)
CTN, CTP, MEN, MEP, MTN, MTP, NHN, NHP, EHF, EHG, EHH, EHJ
(800) 238-2465
Business hours: Monday – Friday: 8:00AM – 5:00PM
Carefirst BCBS
Provider Services | Phone Number |
Maryland Indemnity | 410-581-3581 |
NCA Indemnity – | 202-479-6560 |
BlueChoice – XIC, | 202-479-6560 |
BluePreferred – | 202-479-6560 |
BlueChoice | 202-479-6560 |
MHIP | 202-479-6560 |
Maryland Point of | 410-998-5741 |
State of Maryland | 877-228-7268 |
Care Management | 866-PRE-AUTH |
Authorization | 410-781-7661 |
Case Management | 410-605-2413 |
Northrop Grumman – | 877-228-7268 |
Northrop Grumman – | 800-516-1269 |
All Other NASCO | 877-228-7268 |
AVRU NCA Region: | 202-479-6560 |
AVRU MD Region: | 410-581-3535 |
Blue Shield of Idaho
Administrative
Services Only (ASO) 866-227-0913
Healthcare
Management Administrators (HMA) 800-700-7153
Regence Group
Administrators (RGA) 866-738-3924
TriWest/TRICARE
888-874-9378
BCBS of IL
IVR (800) 972-8088
Anthem Midwest – USa, Kentucky, and Ohio
Commercial
Provider Inquiry
Department
(800) 282-1016
Blue Product
Precertification and Referrals
(877) 814-4803
BlueCard Customer
Service (To verify claims status)
Indiana
(888) 800-2160
Kentucky
(800) 383-2538
Ohio
(800) 213-4908
BlueCard POS Provider Unit:
(800) 421-0405
Medicaid
Medicaid Customer
Service (866)629-1607
Eligibility
(866)896-6625
Prior Authorization
(877)804-6564
Medicaid UM
(866)896-6580
Admission
Notification (866)896-6580
Provider Service Centers | Telephone Numbers | Member ID Number Prefixes Handled by Service Center | |
Provider Call Center | (800) 332-6558 | YGA, YGC, YGF, | |
(local Anthem | |||
New England Health Plan (NEHP) and *Empire HMO plans | (800) 238-2465 | CTN, CTP, EHF, | |
Claim inquires | *Empire prefixes -BJY, |
Anthem Connecticut | XG**, ATM, CKC, | |||
Professional | (800) 922-3242 | |||
Institutional | (800) 345-2227 | |||
Anthem Maine | (800) 832-6011 | XVA, XVB, XVG, | ||
BlueCard® Service Center | (877) 417-8489 | All prefixes not | ||
Federal Employee Program® (FEP) | (800) 852-3316 | R (followed by 8 | ||
Medicare Advantage | (866) 364-2374 | JQQ, JWI, VZI, | ||
SmartValue | ||||
(private fee for | ||||
Medicare Advantage other HMO and PPO plans throughout the United States | see member’s ID | JQV#, JWJ#, VXA#, | ||
MediBlueSM HMO | (866) 673-4157 | XGH | ||
Taft-Hartley / Teamsters | (888) 287-0032 | CCU, ELH, IUP, |
| |
|
Carefirst BCBS
Provider Services | Phone Number |
Maryland Indemnity | 410-581-3581 |
NCA Indemnity – | 202-479-6560 |
BlueChoice – XIC, | 202-479-6560 |
BluePreferred – | 202-479-6560 |
BlueChoice | 202-479-6560 |
MHIP | 202-479-6560 |
Maryland Point of | 410-998-5741 |
State of Maryland | 877-228-7268 |
Care Management | 866-PRE-AUTH |
Authorization | 410-781-7661 |
Case Management | 410-605-2413 |
Northrop Grumman – | 877-228-7268 |
Northrop Grumman – | 800-516-1269 |
All Other NASCO | 877-228-7268 |
AVRU NCA Region: | 202-479-6560 |
AVRU MD Region: | 410-581-3535 |
BCBS of Michigan
BCBS of MI – Facilities
Area Code 248, 313,
517, 586, 734, 810, 947 or 989
1-800-228-4599
(hospitals) 1-800-437-3804 (facilities)
Area Code 231, 269,
616, 989*
1-800-643-2583
(hospitals and facilities)
Area Code 906
1-866-872-5837 (hospitals
and facilities)
Outside Michigan
1-800-482-0898 (hospitals and facilities)
BCBS of MI – Professional Providers 800-344-8525
BlueChoice PPO
877-285-0172
BCN and BCN
Advantage 800-255-1690
(BCN)
Blue Cross Complete 1-800-688-3290
BCBS of Mississippi
Provider Services
1-800-257-5825
Provider Service Coordinators
601-664-4258
Federal Employee Program
601-932-4252 or
1-800-932-7724
State and School Employees’ Health Plan
Benefits, Eligibility and Claims Status 1-800-709-0973
Pre-Certification (through ActiveHealth) 1-866-939-4721
Horizon BCBS of New Jersey
Prefix or Suffix | Service # | |
YHC, YHI, YHJ, | 1-800-624-1110 | |
R, 8-digits and | 1-800-624-5078 | |
FMA, FMR, NCH, | 1-800-624-4758 | |
HSE, NFW, YHD, | 1-800-624-1110 | |
ATT, AT&T | 1-800-624-1110 | |
JGE, JGB, JGH, | 1-800-624-1110 | |
YHA NJ State | 1-800-624-1110 | |
NJP NJ State | 1-800-624-1110 | |
YHR, All Medigap | 1-800-624-1110 | |
DEH, DMM, DTP, | 1-800-452-9336 |
BCBS of Western New York
Provider Services
1-800-950-0051 or
1-716-884-3461 (Traditional)
1-800-950-0052 or
1-716-882-2616 (Managed Care)
1-877-327-1395
(Government Programs)
Empire BCBS of New York
Direct HMO1, | Managed Care |
BlueCard PPO2 | Claim |
Traditional | Empire Physician |
Medical Managment
Direct HMO1, | Empire Medical |
POS1, | Empire Medical Management |
EPO, PPO1, | Empire Medical |
Anthem BCBS of Nevada
HMO Nevada
Member IDs beginning with YFD:
800-332-3842
Member IDs beginning with YFN:
877-833-5742
HMO Nevada Guest
Membership/Away From Home Care 800-827-6422
Anthem Blue Cross and Blue Shield PPO/Indemnity Plans
Member IDs beginning with YFA, YFS or YFC:
800-332-3842
Member IDs beginning with YFK, YFL, YFP, YFT or YFW:
877-833-5742
Medicare Supplemental
Plans Member IDs beginning with YFB:
800-332-3842
Member IDs beginning with YFG:
800-928-6201
Anthem Associates
and Retirees
Member IDs beginning with YFH:
800-392-6117
Member IDs beginning with ANT or ANB:
303-861-7799
800-433-5447
Member IDs beginning with XFY, WEP or ANJ:
800-234-0111
Federal Employee Health Benefit Program
Eligibility/Benefit/Claim information:
800-727-4060
BCBS of Northeastern PA
BlueCare HMO –
1-800-822-8752
BlueCare Traditional
(Blue Cross & Blue Shield) – 1-888-827-7117
BlueCare PPO –
1-866-262-5635
BlueCare EPO –
1-888-345-2353
Blue Cross of NEPA
Precertification (FPLIC Traditional, Special Care and FEP) – 1-800-638-0505
FPLIC PPO
Precertification – 1-866-262-5623 (includes all PPO products)
FPLIC EPO
Precertification – 1-888-345-2360 (includes all EPO products)
Highmark BCBS
ClassicBlue,
PPOBlue, EPOBlue, DirectBlue, ShortTermBlue, SpecialCare, PPOPlus –
866-731-8080
MedigapBlue,
Signature 65 – 866-763-6695
FreedomBlue PPO
(FER, FEM, HQM, TDM) 800-550-8722
Independence BCBS
HMO — Keystone
Health Plan East 1-800-ASK-BLUE
PPO — Personal
Choice® 1-800-ASK-BLUE
Federal Employee
Program (FEP) 215-241-4400
Keystone 65 HMO
1-800-645-3965
Personal Choice 65SM
PPO 1-888-718-3333
MedigapSecurity
1-888-926-1212
BCBS of Tennessee
Commercial
Eligibility and
Prior Authorization: 800-924-7141
Blue Advantage :
800-841-7434
BlueCare (East and
West Grand Region)
Provider Service
Line 800-468-9698
Precert :
888-423-0131
TennCare Select (Statewide)
Provider Service
Line 800-276-1978
Precert: 800-711-4104
BCBS of TX
Blue Choice PPO/POS,
HealthSelect POS, TRS Active Care 800-451-0287
HMO Blue
877-299-2377
Utilization
Management – 800-441-9188
Anthem BCBS of Wisconsin
Blue Access, Blue
Preferred, Blue Traditional
Group and Individual Policies:888-571-9055
Precert: 800-242-1527
VZF, VZG, AYUVZR, VZT, AUJ, AYX, VZD
Blue Access
PPO(Anthem Associates)
Customer Service 800-676-2583
Precert: 888-896-8027
2012-WUK
Blue Preferred
HMO(Anthem Associates)
Customer Service: 800-234-0111
Precert: 800-234-0111
VZY (Prior to 2012)
Lumenos Consumer
Driven Health Plan (CDHP)HRA, HSA, HIA, HIA Plus
Customer Service: 800-972-6359
Precert: 866-398-1922
VZZ
Health Reimbursement
Account (HRA)(Anthem Associates)
Customer Service: 877-875-1223
Precert: 888-896-8027
2010 – WLU
Self Funded Groups
Administered by Anthem
Anthem ID card (Back of card indicates “Benefits administered by BCBS of WI…”)
Precert: 866-643-7087
Fax: 866-959-2154
CM: 866-216-4091
Diocese of
Evansville Prefix CLJ Precert 866-643-7087 Customer Service (855) 220-1282
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