Bcbs Member Home Plan Support (2024)

Blue Cross Blue Shield (BCBS) members can contact the customer service number on the back of their member ID card for questions about their health insurance coverage, benefits or treatment. Members can also log in to find health plan information and helpful resources or to request a new ID card. For questions about billing, claims forms, or if a claim has been rejected, members should contact their local BCBS company.

Call the toll-free number on the back of your member ID card for BCBS customer service

If you are a Blue Cross Blue Shield member and have questions about your health insurance coverage, benefits, or treatment, you can call the toll-free number on the back of your member ID card to speak with a customer service representative. This is the best way to reach them and get assistance.

The customer service team can help answer questions about your coverage, benefits, and claims related to your individual or group health insurance plan. They can also provide information about your local BCBS company, which can assist with changing your coverage, estimating the cost of a medical procedure, filing or checking on a claim, replacing your member ID card, and viewing your plan details.

If you do not have your member ID card, you can find your local BCBS company's website using the "Find My BCBS Company" link on the BCBS website. From there, you can access specific information about your coverage, benefits, and claims.

Additionally, if you are a TTY user, you can reach any of the listed numbers by dialing 711. For those with hearing impairments, the TTY number is 711.

Remember that your local BCBS company can also help answer questions and provide support regarding your health insurance plan.

If you need to contact your local Blue Cross and Blue Shield company for billing details, you can do so by phone or by mail.

Contacting Blue Cross and Blue Shield by Phone

To get in touch with the customer service team, call the toll-free number on the back of your member ID card. If you don't have your card, you can find your local BCBS company's website by using the interactive search tool on the BCBS website.

Contacting Blue Cross and Blue Shield by Mail

If you need to send any mail regarding your billing, you can send it to the following address:

Blue Cross Non-group premium

PO Box 371314

Pittsburgh, PA 15250-7314

Other Contact Information

If you are a Federal Employee Program (FEP) member, you should visit the FEP website. For general press inquiries, you can visit the News page to contact the media relations team.

The Blue Cross Blue Shield Association also has two office locations:

Chicago (Headquarters)

200 E. Randolph Chicago, IL 60601

Washington, DC

750 9th St. NW Washington, DC 20001

Call 1-800-262-BLUE (2583) to obtain a Provider Directory for your plan

Calling 1-800-262-BLUE (2583) is the best way to obtain a Provider Directory for your plan. This is a simple and direct way to get the information you need regarding your plan.

When you call, you will be connected to a customer service representative who can help you with your request. They will be able to provide you with specific information about your coverage and benefits. It is important to have your member ID card ready when you call, as you may be asked for the information on the card, such as your member ID number and plan code. This will help the customer service representative access your plan details and provide accurate information about your provider directory.

In addition to calling, you can also access your Provider Directory by logging into your online account, if you have one. Your online account will allow you to view your plan details, benefits, and coverage information. You may also be able to request a new member ID card through your online account.

If you have any other questions or concerns about your plan, benefits, or coverage, you can always call the customer service number on the back of your member ID card. This number is specific to your plan and will connect you to a customer service team that can help you with any issues you may have. They can also help you with billing questions, claim forms, and provide support if a claim has been rejected.

Remember, for Blue Cross Blue Shield of Massachusetts, calling 1-800-262-BLUE (2583) is the best way to obtain your Provider Directory, and having your member ID card ready will ensure a smooth process.

Call the BlueCard Eligibility line at 1-800-676-BLUE (2583) to verify a patient's plan

Calling the BlueCard Eligibility line at 1-800-676-BLUE (2583) is a quick and easy way to verify a patient's plan. This line is dedicated to helping providers like yourself confirm a patient's membership and coverage details. Here are some detailed steps and important information to guide you through the process:

Steps to Verify a Patient's Plan:

• Have the Patient's ID Card Ready: When a patient from another Blue Cross Blue Shield (BCBS) plan visits your office, ask them to present their current membership ID card. This card contains crucial information needed to verify their plan.
• Identify the Prefix: The three-character prefix at the beginning of the member's ID number is essential for identifying and correctly routing out-of-area BlueCard claims. This prefix indicates the specific BCBS plan or national account associated with the patient. Plan-specific prefixes usually start with X, Y, Z, or Q, while account-specific prefixes are typically related to the name of the group.
• Look for the "PPO in a Suitcase" Logo: BlueCard PPO members will have a distinct "PPO in a suitcase" logo on their membership card. These members receive PPO-level benefits when they obtain services from designated PPO providers outside of their primary BCBS plan's area.
• Call 1-800-676-BLUE (2583): With the patient's ID card in hand, dial 1-800-676-BLUE (2583) to reach the BlueCard Eligibility line. An operator will ask you for the prefix on the patient's ID card and then connect you to the appropriate membership and coverage team at the patient's BCBS plan.
• Provide Necessary Information: Once connected, provide the operator with the patient's ID card details and any other relevant information they may require to verify the patient's plan. They may also guide you through any additional steps or provide further instructions.

Additional Information:

• No Prefix on ID Card: If the patient's ID card does not have a prefix, look for a telephone number on the back of the card. You can call that number to inquire about how to file claims for that particular BCBS plan.
• International Members: International Blue Cross and Blue Shield members will also have a three-character prefix on their ID cards. The claims process for these members is the same as for domestic members.
• Utilization Review: Remember that patients are typically responsible for obtaining pre-authorization or pre-certification for coverage from their own BCBS plan. However, you may also contact the patient's plan on their behalf, using the phone number on their ID card.
• Submitting BlueCard Claims: As a provider, you can submit BlueCard claims electronically or by mail. Always include the patient's complete ID number, including the prefix, to avoid delays in claims processing.
• Behavioral Health Claims: All behavioral health claims and inquiries for BlueCard patients enrolled in another state's BCBS plan must be handled through the BlueCard program. These claims should be submitted electronically using NaviNet or through your vendor.

Call the number on the back of your member ID card for help with ID cards, benefits, claims, etc

If you are a Blue Cross Blue Shield member, you can call the toll-free number on the back of your member ID card for customer service. This is the customer service number for questions about your health insurance coverage, benefits, treatment, or any other issues. You can also use this number to request a new ID card.

If you have lost your card, you can find your local BCBS company's website using the link on the BCBS website. BCBS.com does not maintain member information, but you can find your local BCBS company online.

If you are a Blue Cross Blue Shield of Massachusetts member, you can also refer to the general member service correspondence address:

> Blue Cross Blue Shield of Massachusetts

> P.O. Box 9134

> N. Quincy, MA 02171-9134

If you are a Blue Cross Blue Shield of Michigan member, you can call 1-313-225-9000 for help with ID cards, benefits, claims, or something else.

Frequently asked questions