What is timely filing for BCBS KC?
within 365 days
Grievances must be filed within 365 days of receipt of the denial.
What is the phone number for BCBS of KC?
To see what plans we offer and apply online for health insurance, explore our website. If you have questions as you look at our plan options, contact a Blue KC marketing representative at 800-860-2227. You may also call the Customer Service department at 816-395-2583 or 800-645-8346.
Who is the PBM for BCBS of Kansas City?
OptumRx
Starting January 1, 2020, OptumRx will be the pharmacy benefit manager (PBM) for Blue Cross Blue Shield of Kansas City (Blue KC) members. Express Scripts, the current PBM, will provide pharmacy services through December 31, 2019.
What is Preferred Care Blue?
Preferred-Care Blue Network Plans For employees who want more doctors, more hospitals, and more healthcare choices, there’s Preferred-Care Blue with BlueCard. This Preferred Provider Organization (PPO) offering gives members the largest selection of providers within our 32-county service area.
Which is an electronic format supported for health care claims transactions?
The transaction standard for health care claims or equivalent encounter data, professional, is the ASC X12N 837 format.
What may be sent when a carrier rejects a claim because preauthorization was not obtained?
An appeal is sent when a carrier rejects a claim because preauthorization was not obtained.
How do I cancel my Blue Cross Blue Shield insurance in Kansas?
Call us: 1-800-432-3990 (toll-free) (785) 291-4180 (in Topeka)
Is OptumRx part of BCBS?
Blue Cross Blue Shield of Michigan chose OptumRx as its new pharmacy benefit provider, ending a relationship with Express Scripts, the insurer said Jan. 6.
What is clearinghouse in medical billing?
The Clearing House or TPA picks up claims from your hospital’s billing software, gathers and processes documentation for each patient, and passes them on to the insurance provider. They coordinate with dozens of insurance service providers, for each patient who passes through your hospital.
What type of entity is used by a provider’s office to process their electronic claims?
A clearinghouse is a private company that provides connectivity, often serving as a “middleman” between physician practices, billing entities, payers and other health care partners for transmission and translation of claims information into the specific format required by payers.
What is the mailing address for BCBS claims?
State/Alpha Prefix Claims Filing Address. Alabama. BCBS of Alabama P.O. Box 995 Birmingham, AL 35298. Arkansas. Arkansas BCBS PO Box 2181 Little Rock AR 72203 -2181. Arizona. BCBS of Arizona PO Box 2924 Phoenix, AZ 85062 -2924. California.
Where is Blue Cross and blue shield of Kansas City located?
Blue Cross and Blue Shield of Kansas City. One Pershing Square 2301 Main Kansas City, MO 64108
How do I contact Blue KC health insurance?
You may also contact a licensed agent at 800-860-2227 for questions. To see what plans we offer and apply online for health insurance, explore our website. If you have questions as you look at our plan options, contact a Blue KC marketing representative at 800-860-2227.
What is the address for BCBS in Washington State?
Anthem BCBS P. O. Box 27401 Richmond, VA 23279 Virgin Islands BCBS of U. S. Virgin Islands P. O. Box 8470 St. Thomas, Virgin Islands 00801 *Washington Premera Blue Cross (WA/AK) P. O. Box 91059 Seattle, WA 98111-9159 *Washington Regence Blue Shield P. O. Box 30271 Salt Lake City, UT 84130-0271 *Washington Regence Group Administrators Attn: Claims