Empire Blue Cross Blue Shield plans ( BCBS) are perhaps the best known medical insurance programs in the United States. They were started as prepaid medical plans selling contracts to individuals or groups for coverage of specified medical expenses as long as the premiums were paid. Blue cross originally covered only hospital bills, whereas the Blue Shield plans were set up to cover fees for physician services. While working on AR-follow-up and denials it is a challenge to get correct empire BCBS phone number and claim address to resolve the claim quickly so we have created one which follows as under.
Anthem BCBS Provider Phone Number Directory For Claim Status
Empire BCBS provider phone number and claim address updated from different authorized resources and try to keep correct and latest updates.
| Plan Name | Empire BCBS Phone Numbers |
| BCBS Alabama | 800-760-6852 |
| Premera BCBS Alaska | 800-722-4714 (Select option 2) |
| BCBS Arizona | 800-232-2345 |
| BCBS Arkansas | 800-827-4814 |
| Anthem Blue Cross California | 800-922-3242 (HMO Plan) |
| Blue Shield California | 800-541-6652 (Select Option 6) |
| Anthem BCBS Colorado | 877-833-5742 |
| Anthem BCBS Connecticut | 800-922-3242 (HMO Plan) |
| BCBS Delaware | 800-572-2872 |
| Carefirst BCBS Columbia | 800-842-5975 |
| FEP Blue Cross Blue Shield | Varies by State |
| BCBS Florida | 800-727-2227 (Select Option 2) |
| Anthem BCBS Georgia | 800-284-2609/800-241-7475 |
| BCBS Hawaii | 800-790-4672 |
| Blue Cross Idaho | 866-482-2250 |
| Blue Shield Idaho | 866-227-0913 |
| BCBS Illinois | 800-972-8088 |
| Anthem BCBS Indiana | 800-282-1016 |
| Wellmark BCBS Iowa | 800-362-2218 |
| BCBS Kansas | 800-432-3990 |
| Anthem BCBS Kentucky | 800-282-1016 |
| BCBS Louisiana | 800-392-4076 (IVR Option) |
| Anthem BCBS Maine | 800-832-6011 |
| Carefirst BCBS Maryland | 800-248-8410 |
| BCBS Massachusetts | 800-882-2060 |
| BCBS Michigan | 800-344-8525 (Professional) |
| BCBS Michigan | Click here for full contact info |
| BCBS Minnesota | 800-262-0820 |
| BCBS Mississippi | 800-257-5825 |
| Anthem BCBS Missouri | 888-571-9054 |
| BCBS Missouri Kansas City | 800-892-6048 |
| BCBS Montana | 800.447.7828 |
| BCBS Nebraska | 800‐635‐0579( IVR) & 800‐642‐8516(Provider Services) |
| Anthem BCBS Nevada | 800-332-3842 |
| Anthem BCBS New Hampshire | 800-332-6558 |
| Horizon BCBS New Jersey | 800-624-1110 |
| BCBS New Mexico | 888-349-3706 |
| BCBS Western New York | 800-950-0052 (Managed Care Plan) |
| Blue Shield Northeastern New York | 800-444-4552 |
| Empire BCBS New York | 800-552-6630 |
| Excellus BCBS New York, | 800-920-8889 |
| Blue Cross and Blue Shield North Carolina | 800-214-4844 |
| Blue Cross and Blue Shield North Dakota | 800-368-2312 |
| Anthem Blue Cross and Blue Shield Ohio | 800-282-1016 |
| Blue Cross and Blue Shield Oklahoma | 800-496-5774 |
| Regence BlueCross BlueShield Oregon | 866-227-0913 |
| Blue Cross Northeastern Pennsylvania | BlueCare HMO –1-800-822-8752 |
| Highmark BlueShield Pennsylvania | Click here for full contact info |
| Independence Blue Cross Pennsylvania | 1-800-ASK-BLUE |
| Puerto Rico Triple-S Salud, Inc. | Not Available |
| BCBS Rhode Island | 1-800-327-6712 or 1-800-230-9050 (Providers) or 1-800-637-3718, ext. 6067 (Facility) |
| BCBS South Carolina | 800-868-2510 |
| Wellmark BCBS South Dakota | 800-774-3892 |
| BCBS Tennessee | 800-924-7141 |
| BCBS Texas | 877-299-2377 (HMO Plan) |
| Regence BCBS Utah | (866) 227-0913 |
| Blue Cross and Blue Shield | (888) 222-9206 |
| Anthem Blue Cross and Blue Shield Virginia | 800-533-1120 (Commercial Plan) /800-901-0020 (Medicaid) |
| Premera Blue Cross Washington | 877-342-5258 (Select option 2) |
| Regence BlueShield Washington | (866) 227-0913 |
| Highmark BCBS West Virginia (Mountain State BCBS) | 800-294-9568 |
| Anthem BCBS Wisconsin | 888-571-9055 |
| BCBS Wyoming | 800-442-2376 |
Anthem BCBS Phone Number and Website Links
| Insurance/Carrier Name | Plan Name of Benefit | Phone Number | Website Links |
| Anthem Blue Cross | Medical | 866-461-3585 | Click Here |
| CIGNA Dental | Dental | 800-244-6224 | Click Here |
| Kaiser Permanente | Medical | 800-464-4000 | Click Here |
| PacifiCare Dental | Dental | 800-228-3384 | Click Here |
| Exec-U-Care | Executive Benefits | 800-522-1213 Ex74471 | Click Here |
| Nevada Pacific Dental | Dental | 800-926-0925 | Click Here |
| EBA&M | Dental | 800-249-8440 | Click Here |
| Mutual of Omaha | Life Insurance | 800-826-8054/ 402-351-5794 | Not Available |
| Vision Service Plan | Vision | 800-877-7195 | Click Here |
| The Hartford | Business Travel Accident | 800-243-6108 | Not Available |
| Fidelity Investments | 401(k) Profit Sharing Plan | 800-835-5097 | Click Here |
| Santiago Estrada & Associates | Associate Assistance Program | 800-852-4961 | Click Here |
BCBS Provider Phone Number – State wise
| States | Phone No. and Claim Address |
| Alabama | 800-517-6425 (Benefits and Eligibility) 800-327-3994 (PEEHIP) 800-760-6851 (Customer Service) 800-492-8872 (Federal Employee Program) 800-668-3813 (Healthspring) |
| Alaska | 800-722-4714 (Claims, Benefits and Eligibility) Premera Blue Card Provider Phone Number: 888-261-9562 (Claims) 800-676-2583 (Benefits and Eligibility) |
| Arizona | Phoenix: 602-864-4400 800-232-2345 Tucson: 520-745-1883 800-752-0193 Flagstaff: 928-526-0232 800-423-6484 |
| Arkansas | 800-827-4814 800-482-6655 (Federal Employee Program) 800-810-2583 (Blue Card) 800-843-1329 (Health Advantage) |
| California | 800-677-6669 800-444-2726 (Anthem National Claims) 800-676-2583 (Eligibility) 800-676-2583 (Blue Card) 800-541-6652 (CalPERS/Medicare/Blue Shield 65 Plus) 800-824-8839 (Federal Employee Program) 800-241-4896 (NASCO) 866-510-8778 (Blue Shield Life and Health) |
| Colorado | 888-817-3717 (Blue Card/National Accounts) 877-833-5742 (Local/Intra Plan) 866-438-9969 (Medicare Supplement) 888-346-0095 (Anthem MediBlue Plus/Dual Advantage) 800-852-5957 (FEP) 800-827-6422 (HMO-Health Maintenance Organization Colorado Guest Membership/Away from Homecare) |
| Connecticut | 800-934-0331 (Behavioral Health HMO/PPO/NEHP) 800-438-5356 (Behavioral Federal Employee Program) 800-922-3242/800-345-2227 (Commercial Plans HMO/PPO) 800-238-2465 (Commercial Plans NEHP) 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) 888-287-0032 (Taft Hartley) |
| Delaware | 800-633-2563 800-572-2872 |
| DC | 800-842-5975 877-225-7268 (National Service Accounts – NASCO) 800-676-2583 (Blue Card Eligibility) 877-228-7268 (Blue Card Eligibility Out of Area Claims) |
| Florida | 800-7272-2227 800-676-2583 (Blue Card Eligibility) 866-730-5006 (Federal Employee Program) 888-223-4892 (Dental) |
| Georgia | 855-295-5840 (Professional) 800-284-2609 (Facility) 800-535-8291 800-282-2473 (Federal Employee Program) 800-676-2583 (Eligibility for Blue Card) |
| Hawaii | 808-948-6330 (Oaho) 800-790-4672 (Neighbour Islands) 808-948-5090 (Oaho – Provider Appeals) 800-462-2085 (Neighbour Islands – Provider Appeals) 808-948-6244 (Oahu – Eligibility) 800-522-8507 (Neighbour Islands – Eligibility) 808-948-6280 (Blue Card – Oahu) 800-648-3190 (Blue Card – Neighbour Islands) 800-676-2583 (All Islands Blue Card – Eligiblity) 808-948-6281 (Federal Employee Program – Oahu) 800-966-6198 (Federal Employee Program – Neighbour Islands and Mainland) |
| Idaho | 866-482-2250 800-743-1871 |
| Illinois | 800-972-808 (IVR-Claims/Eligiblity) 877-860-2837 (Blue Cross Community Health Plans) 877-723-7702 (Blue Cross Community MMAI) 877-774-8592 (Blue Cross Medicare Advantage) 800-676-2583 (Eligiblity – Out of State BCBS) 800-972-8382 (Eligibility – FEP) |
| Indiana | 888-802-2160 855-251-8827 (Health Maintenance Organization) 855-558-1438 (L Preferred Provider Organization) 800-467-1199 (R Preferred Provider Organization) 844-533-1995 (Healthy Indiana Plan) |
| Iowa | 800-362-2218 800-552-3993 |
| Kansas | 800-432-3990 800-432-0272 (Benefits and Eligibility) 785-291-4181 (Federal Employee Program in Topeka) 800-432-0379 (Federal Employee Program all others) |
| Kentucky | 888-650-4133/800-282-1016 866-848-1057 (Anthem Medicare Supplement/Select) 844-421-5662 (Anthem Medicare Individual Business) 800-676-2583 (Anthem Medicare Group Business) 866-408-6131 (Anthem Indiana Medicaid/Hossler health wise) 855-661-2028 (Anthem Kentucky Medicaid) 866-594-0521 (Blue Card Provider Phone Number) 855-854-1438 (Exchange Kentucky/Indiana) 800-456-3967 (FEP) 800-345-4344 (Healthy Indiana Plan – HIP) |
| Louisiana | 800-495-2583 800-810-2583 (Blue Card) |
| Maine | 800-934-0331 800-438-5356 (Behavioral Health – Federal Employee Program)800-922-3242/80-345-2227 (Commeral Plans – Health Maintenance Organization/Preferred Provider Organization) 800-238-2465 (Commercial Plans – NEHP) 800-438-5356 (Commercial Plans – FEP)844-421-5662 (Medicare Advantage Plans)833-607-6518 (Anthem Medicare Preferred Provider organization)888-287-0032 (Taft Hartley) |
| Maryland | 800-842-5975 877-228-7268 (National Service Accounts – NASCO) 202-488-4900 (Federal Employee Program – DC/Metropolitan area) 800-854-5256 (Federal Employee Program – MD) 800-676-2583 (Blue Card – Eligibility) 877-228-7268 (Blue Card – Eligibility Out of Area Claims) |
| Massachusetts | 800-882-2060 (Professional service) 800-451-8123 (Hospitals) 800-451-8124 (Ancillary Providers) 800-882-1178 (Dental Providers) 800-676-2583 (Blue Card – Eligibility) |
| Michigan | 800-344-8525 (Providers) 800-249-5103 (Facilities – Michigan) 800-676-2583 (Facilities – Outside of Michigan) 800-840-4505 (Federal Employee Program) 800-482-4047 (Providers – Vision and Hearing) |
| Minnesota | 800-262-0820 800-676-2583 (Blue Card – Eligiblity) |
| Mississippi | 800-257-5825 800-932-7724 (Federal Employee Program) |
| Missouri | 888-571-9054 (Anthem Local) 866-791-2292 (Blue Card) 800-676-2583 (Eligibility) 855-690-7798 (Medicare advantage) 855-251-8826 (Health Maintenance Organization and D SNP) |
| Montana | 800-447-7828 800-676-2583 (Out of State-Eligibility) 800-634-3569 (Federal Employee Program) 877-774-8592/877-299-1008 (Blue Cross Medicare Advantage Plans) |
| Nebraska | 800-635-0579 (IVR) 800-223-5584 (Federal Employee Program) 800-676-2583 (BlueCard) |
| Nevada | 877-833-5742/855-854-1438 (Local) 866-438-9969 (Medicare Supplement plan) 800-688-3828 (Teamsters) 800-727-4060 (Federal Employee Program) 888-817-3717 (BlueCard – Claims) 800-676-2583 (Blue Card – Eligibility) 800-677-6669 (California – Intra Plan) 877-833-5742 (Colorado – Intra Plan) 800-827-6422 (HMO Guest Membership/Away from Homecare) |
| New Hampshire | 800-934-0331 800-438-5356 (Behavioral Health – FEP)800-922-3242/80-345-2227 (Commeral Plans – HMO/PPO) 800-238-2465 (Commercial Plans – NEHP) 800-438-5356 (Commercial Plans – FEP)844-421-5662 (Medicare Advantage Plans)833-607-6518 (Anthem Medicare Preferred Provider organization)888-287-0032 (Taft Hartley) |
| New Jersey | 800-624-1110 800-624-4758 (National Accounts) 800-624-5078 (FEP) |
| New Mexico | 888-349-3706 (IVR) 800-245-1609 (Federal Employee Program) 866-676-0290 (HealthXnet Plan) |
| New York | 800-552-6630 800-343-7283 (Traditional Indemnity Plans) 800-713-4173 (Blue Card Preferred Provider Organization – Claims) 800-676-2583 (Blue Card Prferred Provider Organization – Eligiblity) Excellus: 800-920-8889 |
| Western New York | 800-950-0051 (Traditional Plans) 800-950-0052 (Managed Care Plans) 800-234-6008 (Federal Employee Program) |
| Northeastern New York | Blue shield : 800-444-4552 800-429-9886 (Blue Card) 877-327-1395 (Government Program) |
| North Carolina | 888-206-4697 800-672-7897 800-214-4844 |
| North Dakot | 800-368-2312 |
| Ohio | 888-290-9160 888-224-4902 855-854-1438 800-676-2583 866-594-0521 (Blue Card) 800-451-7602 (Federal Employee Program) |
| Oklahoma | 800-496-5774 |
| Oregon | 866-227-0913 800-351-2370 |
| Pennsylvania | 866-688-2242 (Professional service) 800-753-1276 (Facility service) 866-987-4288 (Capital Blue Cross Employee) 800-344-5446 (Federal Employee Program) |
| Pennsylvania | 800-345-3806 866-731-8080 800-550-8722 (Freedom Blue) 866-763-6695 (Signature 65 and Medigap Blue) |
| Pennsylvania | 800-275-2583 800-645-3965 (Keystone 65 Health Maintenance Organization) 215-241-4400 (Federal Employee Program) |
| Rhode Island | 800-230-9020/401-274-4848 800-327-6712 (BlueLine) 800-676-2583 (Out of State Plans) 800-637-3718 (Facility Services) 800-831-2400 (Blue Cross – Dental) 800-377-4418 (Federal Employee Program) |
| South Carolina | 800-868-2510 |
| South Dakota | 800-774-3892 800-642-9273 |
| Tennessee | 800-924-7141 800-468-9736 (Blue Card) 800-276-1978 (TennCare Select) |
| Texas | 800-451-0287 877-774-8592 (Blue Cross Medicare Advantage Plans) 877-299-2377 (Blue Essential Plans) 800-676-2583 (Blue Card – Eligibility) 800-451-0287 (Blue Card – Claims) 800-451-0287 (Federal Employee Program – Claims) 800-442-4607 (Fderal Employee Program – Eligibility) |
| Utah | 866-227-0913 800-351-2370 |
| Vermont | 800-924-3494 800-395-3389 (BlueCard/NEHP Plan – Claims) 800-676-2583 (BlueCard – Eligibility) 888-222-9206 (CBA Blue) 800-328-0365 (Federal Employee Program) |
| Vermont | 833-592-9956 855-856-9286 844-824-9780 833-597-2358 800-553-1120 844-421-5662 855-363-0724 855-323-4687 800-901-0020 800-451-0361 800-582-6941 800-552-2682 |
| VA | 800-842-5975 877-228-7268 (National Service Accounts – NASCO) 202-488-4900 (Federal Employee Program – DC/Metropolitan area) 800-854-5256 (Federal Employee Program – MD) 800-676-2583 (BlueCard – Eligibility) 877-228-7268 (BlueCard Out of Area Claims – Eligibility) |
| Washington | 800-722-4714 888-261-9562 (Premera Blue Card – Claims) 800-676-2583 (Premera Blue Card – Eligibility) 888-850-8526 (Premera Blue Cross Medicare Advantage Plan) |
| Washington | 866-227-0913 800-351-2370 |
| Wisconsin | 888-571-9055 833-578-4439 888-571-9055 (Blue Priority Plus POS Plan) 833-578-4439 (Blue Priority Plus POS Plan) 888-571-9055 (Well Priority Plan) 833-214-8950 (Well Priority Plan) 800-972-6359 (Lumenos CDHP Plan) 800-242-9635 (Federal Employee Program) 866-341-1053 (Medicare Supplement Products) 833-848-8730 (Anthem Medicare Advantage) 844-421-5662 (Anthem Medi Blue Access) 844-421-5662 (Anthem Medi Blue Plus) 844-421-5662 (Anthem Medi Blue Dual Advantage) 855-558-1443 (Anthem BCBS Medicaid Plan) |
| Wyoming | 800-442-2376 |
BCBS Utilization Review Phone Numbers
| BCBS PLAN NAME | PHONE NUMBER |
|---|---|
| BCBS ALBAMA | |
| 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(VRU)- | 205-988-2213 |
| VRU – | 1-800-648-9807 |
| Out-of-State General Provider Inquiry Automated VRU- | 1-800-517-6425 |
| 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- | 1- 205-733-4283/ 888-881-8668 |
| 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 |
| Cahaba GBA (Medicare) Provider Inquiry- | 1-877-567-7271 |
| Other BCBSPlans Outside Alabama- | 1-800-676-2583 |
| BCBS 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 ARKANSAS | |
| Provider Service | 1- 501-378-2307/800-827-4814 (Arkansas policy only) |
| BlueCard Service | 1-800-810-2583 (Prefix AAA + up to 17 additional alpha numeric) |
| FEP Service | 1-800-482-6655 (Policies start with R) |
| state and school employee policies only XCS followed by 960 and a six-digit number | 1-501-378-2364/ 800-482-8416 |
| Health Advantage Service ((HMO policies only) XCH + K and eight numeric digits) | 1-800-843-1329 |
| 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 CALIFORNIA | |
| Provider Services- | 1-877-526-3425 |
| Referrals- | 1-888-613-1130 |
| Transplant Oncology- | 1-888- 613-1130 |
| Maternity Management Progrm- | 1-800-769-4896 |
| FEP – Hospital– | 1-800-322-7319 |
| FEP – Professionals – | 1-800-633-4581 |
| Medical (inside LA County)- | 1-888- 285-7801 |
| Medical (outside LA County)- | 1-800- 407-4627 |
| Healthy Family Program/HMO/EPO- | 1-800- 845-3604 |
| MRMIP/Access for Infants & Mothers (AIM)/CalKids- | 1-877-687-0549 |
| County Medical Services program (CMSP) – | 1-800-670-6133 (Utilization Mngmnt Prior Authorization) |
| Medi-Cal (statewide, inside & outside LA County)- | 1-888-831-2246 |
| AIM, MRMIP, HFP, CMSP- | 1-877-273-4193 |
| Fax for all UM Pas- | 1-800-754-4708 |
| Utilization Management | |
| Fax No- | 866-815-0839 |
| Anthem Blue Cross members (Local Plan) – | 1-800-274-7767 |
| National members | (866) 470-6244 |
| CalPERS members | (800) 451-6780 |
| Specialty Pharmacy (medical benefit) | (866) 580-5293 |
| Fax | (866) 408-7195 |
| ANTHEM BCBS CONNECTICUT | |
| HMO Prefix XGE, XGG, XGN, XGL, XGT, XGP, XGR | |
| Professionl | 1-800-922-3242( Professional) |
| Hospital | 1-800-345-2227 (Hospital) |
| Timings Monday – Friday: 8:00AM – 5:00PM | |
| PPO / Century 90 Prefix XGC, XGS, XGB | |
| Professional | 800-922-3242 (Professional) |
| Hospital | 800-345-2227 (Hospital) |
| Federal Employee Program (FEP) | 1-80o-438-5356 |
| Timings-Monday, Tuesday, Wednesday, Friday-8:00AM – 5:30PM/ Thursday: 9:00AM – 5:30PM | |
| New England Health Plans (NEHP) Prefix CTN, CTP, MEN, MEP, MTN, MTP, NHN, NHP, EHF, EHG, EHH, EHJ | (800) 238-2465 |
| Timing- Monday – Friday: 8:00AM – 5:00PM | |
| CAREFIRST BCBS COLUMBIA | |
| Maryland Indemnity – XW Prefix | 410-581-3581/ 800-437-2332 |
| NCA Indemnity – Prefix XIA, XIJ and XWY, BlueChoice Prefix – XIC, XIK and XWR, Blue Preferred Prefix – XIP, XIL and XWV BlueChoice Advantage Prefix– XIH MHIP | 1-202-479-6560 /800-842-5975 |
| BlueChoice Prefix – XIC, XIK and XWR | 1-202-479-6560 / 800-842-5975 |
| BluePreferred Prefix – XIP, XIL and XWV Prefixes | 1-202-479-6560/ 800-842-5975 |
| BlueChoice Advantage Prefix – XIH | 1-202-479-6560/800-842-5975 |
| MHIP | 1-202-479-6560 /800-842-5975 |
| Maryland Point of Service (MPOS) Referral | 410-998-5741 (Fax for referrals) |
| State of Maryland – All Products | 877-228-7268 |
| Care Management | 866-PRE AUTH (773-2884) |
| Authorization | 410-781-7661 – Fax for authorization |
| Case Management | 1-410-605-2413 / 888-264-8648 |
| Northrop Grumman – NRG Prefix | 1-877-228-7268 / 800-972-8088 |
| Northrop Grumman Prefix – ESS or NGC | 1-800-516-1269 |
| All Other NASCO Accounts | 1-877-228-7268 |
| AVRU NCA Region: Eligibility, Claim and Benefit Inquiry for CareFirst BlueChoice, BluePreferred and NCA Indemnity | 202-479-6560 / 800-842-5975 |
| AVRU MD Region: Authorizations, Eligibility and Claim and Benefit Inquiry for PPO, MPOS, PPN and MD Indemnity | 410-581-3535/ 800-248-8410 |
| BCBS IDAHO | |
| Administrative Services Only | 1-866-227-0913 |
| Healthcare Management Administrators- | 1-800-700-7153 |
| Regence Group Administrators | 1- 866-738-3924 |
| TriWest/TRICARE | 888-874-9378 |
| BCBS ILLINOIS | |
| American Imaging Mngmnt | 866-455-8415 |
| IVR | 800- 972-8088 |
| BCBS ANTHEM MIDWEST- INDIANA, KENTUCKY, OHIO | Commercial |
| Provider Inquiry Department Indiana | 888-800-2160 |
| Provider Inquiry Department Kentucky | 800-383-2538 |
| Provider Inquiry Department Ohio | 800-282-1016 |
| Blue Product Precertification and Referrals- | 877- 814-4803 |
| BlueCard POS Provider Unit- | 800-421-0405 |
| Blue Care Custmr Service- | 800-213-4908 |
| Medicaid Customer Service – | 866-629-1607 |
| Medicaid Eligibility- | 866-896-6625 |
| Medicaid Prior Authorization- | 877-804-6564 |
| Medicaid UM – | 866-896-6580 |
| Medicaid Admission Notification – | 866-896-6580 |
| ANTHEM BCBS -NEW HAMPSHIRE,CONNECTICUT,MAINE | |
| Prefix- YGA, YGC, YGF, YGG, YGK, YGM, YGX | 800-332-6558( Provider Call Center) |
| New England Health Plan and Empire HMO Plan | |
| Prefix- CTN, CTP, EHF, EHG, EHH, EHJ, MEN, MEP, MTN, MTP, NHN, NHP | 800-238-2465 |
| ANTHEM CONNECTICUT | |
| Prefix- ATM, CKC, HJB, INF, LBG, LGI, LOS, MCK, MGG, OTW, PHT, TLD, TUV, URI, URR | |
| Professional- | 800-922-3242 |
| Hospital- | 800-345-2227 |
| Anthem Maine | |
| Prefix- XVA, XVB, XVG, XVH, XVP | 800-832-6011 |
| Bluecard Service Center | 877-417-8489 |
| FEP Program | 800-852-3316 |
| Medicare Advantage Prefix- JQQ, JWI, VZI, XFQ, XGA, XKB, XPI, XTI, XVD, YFE, YGB, YLI, YRF, YRI, YTL | 866-364-2374 |
| Medicare Advantage other HMO and PPO plans overall USA | |
| Prefix- JQV#, JWJ#, VXA#, VZJ#, XDG, XDK, XDT, XFU, XFV#, XGD#, XKD#, XPJ#, XTJ#, XVE#, YFQ#, YGD#, YLO#, YLQ, YLR, YLV, YRA, YRE, YRJ#, YTN# | For contact numberNeed to see member Id card |
| Mediblue HMO, Prefix- XGH | 866-673-4157 |
| Teft Hartley/Teamsters | |
| Prefix- CCU, ELH, IUP, NEF, NEH, PSH, PTH, SVL, TLH, TSJ, NIW, CWV, IRU, IUB, EWU | 888-287-0032 |
| BCBS CAREFIRST | |
| Maryland Indemnity – Prefix XW | 800-437-2332/410-581-3581 |
| NCA Indemnity Prefix– XIA, XIJ, XWY | 800-842-5975/202-479-6560 |
| BlueChoice-Prefix – XIC, XIK, XWR | 800-842-5975/202-479-6560 |
| BluePreferred Prefix – XIP, XIL ,XWV | 800-842-5975/202-479-6560 |
| BlueChoice Advantage Prefix – XIH | 800-842-5975/202-479-6560 |
| BlueChoice Prefix – XIC, XIK XWR | 800-842-5975/202-479-6560 |
| BluePreferred Prefix – XIP, XIL ,XWV | 800-842-5975/202-479-6560 |
| BlueChoice Advantage Prefix – XIH | 800-842-5975/202-479-6560 |
| MHIP | 800-842-5975/ 202-479-6560 |
| Maryland Point of Service (MPOS) Referral Line | Fax- 410-998-5741 |
| State of Maryland – All Products | 877-228-7268 |
| Care Management | 866- 773-2884- PRE-AUTH |
| Authorization | 410-781-7661 – Auth Fax no |
| Case Management | 888-264-8648/ 410-605-2413 |
| Northrop Grumman – Prefix – NRG | 800-972-8088/ 877-228-7268 |
| Northrop Grumman Prefix– ESS/NGC | 800-516-1269 |
| AVRU NCA Region- Eligibility, Claim and Benefit Inquiry for CareFirst BlueChoice, BluePreferred and NCA Indemnity | 800-842-5975/202-479-6560 |
| AVRU MD Region- Authorizations, Eligibility and Claim and Benefit Inquiry for PPO, MPOS, PPN and MD Indemnity | 800-248-8410/ 410-581-3535 |
| BCBS MICHIGAN | Area Code – 248, 313, 517, 586, 734, 810, 947/989 |
| Facilities | 1-800-437-3804 |
| Hospital | 1-800-228-4599 |
| Area Code – 231, 269, 616( Hosp and facilities both) | 1-800-643-2583 |
| Area Code 906 (Hosp and Facilities) | 1-866-872-5837 |
| Outside Michigan (Hosp and Facilities) | 1-800-482-0898 |
| Professional provider | 800-344-8525 |
| BlueChoice PPO | 877-285-0172 |
| BCN and BCN Advantage Plan | 800-255-1690 |
| Blue Cross Complete | 1-800-688-3290 |
| Behavioral health | 1-800-688-3290/800-482-5982(After business hours) |
| BCBS MISSISSIPPI | |
| Provider Service | 1-800-257-5825 |
| EDI Services | 1-800-826-4068 |
| Provider Service Coordinator | 601-664-4258 |
| Utilization Mngmnt | 1-800-841-9659 |
| Federal Employee Program | 1-800-932-7724/ 601-932-4252 |
| State & School Employee Health Plan | Benefits, Eligibility,Claims Status-1-800-709-0973 |
| State & School Employee Health Plan | Pre certification by active health-1-866-939-4721 |
| ANTHEM BCBS NEVADA | |
| Prefix Start with YFD | 800-332-3842 |
| Prefix start with YFN | 877-833-5742 |
| Away from home care(HMO Nevada guest membership) | 800-827-6422 |
| Blue Cross Blue Shield PPO/Idemnity Plan | |
| Prefix start with YFA, YFS/ YFC | 800-332-3842 |
| YFK, YFL, YFP, YFT or YFW | 877-833-5742 |
| Medicare Supplement Plan Id start with YFB | 800-332-3842 |
| Medicare Supplement Plan Id start with YFG | 800-928-6201 |
| Anthem Associates and Retirees Prefix start with YFH | 800-392-6117 |
| Anthem Associates and Retirees Prefix start with ANT and ANB | 303-861-7799/ 800-433-5447 |
| Anthem Associates and Retirees Prefix start with XFY, WEP,ANJ | 800-234-0111 |
| FEP Program BCBS Nevada | |
| FEP Eligibility, Benefit and claims | (800)-727-4060 |
| FEP Pre-certification and Pri approval | (800)- 860- 2156 |
| FEP Case Mangmnt | (800)- 711-2225 |
| FEP Utilization Mng | (800)-336- 7767 |
| HORIZON NEW JERSEY | |
| Prefix Start with YHC, YHI, YHJ, YHK, YHS, YHU, JGA, JGD, JGG | 1-800-624-1110 |
| FEP Program R+ 8-digits member id (includ behavioral health claims) | 1-800-624-5078 |
| Prefix start with FMA, FMR, NCH, YHF, YHN, HIF, HSG, HWA, HWW and all other National Accounts | 1-800-624-4758 |
| Prefix with HSE, NFW, YHD, YHG, YHM, YHP, YHT, YHV, and other Point of Service members | 1-800-624-1110 |
| Prefix ATT, AT&T members | 1-800-624-1110 |
| Prefix start with JGE, JGB, JGH, YHO, YHX and Horizon Direct Access members | 1-800-624-1110 |
| Prefix YHA NJ State Health Benefits Program | 1-800-624-1110 |
| Prefix NJP NJ State Health Benefits Program | 1-800-624-1110 |
| Prefix YHR and all Medigap | 1-800-624-1110 |
| Prefix start with DEH, DMM, DTP, NGM, General Motors / Delphi Auto | 1-800-452-9336 |
| BCBS WESTERN NEW YORK | |
| Provider Service | 1-(716)-884-3461/ 800-950-0051 |
| Managed care | 1-(716)-882-2616 / 800-950-0052 |
| Govt Programs | 1-(877)-327-1395 |
| BCBS NORTHEASTERN NEW YORK | |
| Provider Service(Mang Care/idemnity) | 1-(518)-220-5620/800-444-4552 |
| Medical Management | 1-(518)-220-4650/800-422-7333 |
| Govt Programs | 1-(877)-327-1395 |
| BCBS NEW YORK | |
| Eligibility | Managed care Provider Service |
| HMO, Child health plus, Direct HMO, POS, EPO, PPO, Direct share POS, Empire total blue | 1-(800)-552-6630 |
| Blue Card PPO Eligibility | 1-800-676-2583(Blue) |
| Blue Card PPO Claim Status | 1-800-713-4173 |
| Direct HMO, HMO ,Child Health Plus MediBlue | 1-(800)-441-2411 and Fax # 1-800-241-5308 |
| POS, DirectShare POS | 1-(800)-845-4741And Fax #1-800-241-5308 |
| EPO, PPO, Empire Total Blue | 1-(800)-982-8089 |
| BCBS NORTHEASTERN PENNSYLVANIA | |
| 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 (with all PPO products) |
| FPLIC EPO Precertification – | 1-888-345-2360 (with all EPO products) |
| HIGHMARK BCBS | |
| ClassicBlue, PPOBlue, EPOBlue, DirectBlue, ShortTermBlue, SpecialCare, PPOPlus | 866-731-8080 |
| FreedomBlue PPO ( Prefix FER, FEM, HQM, TDM) | 800-550-8722 |
| BCBS TENNESSEE | |
| Eligibility / Prior Authorization | 800-924-7141 |
| Blue Advantage Plan | 800-841-7434 |
| BlueCare (East and West Grand Region) | |
| Provider Service Line | 800-468-9698 |
| Pre-certification | 888-423-0131 |
| TennCare Select (Statewide) | |
| Provider Service Line | 800-276-1978 |
| Precert | 800-711-4104 |
| BCBS TEXAS | |
| Blue Choice PPO/POS, Health Select POS and TRS Active Care | 800-451-0287 |
| HMO Blue | 877-299-2377 |
| Utilization Management – | 800-441-9188 |
| BCBS WISCONSIN | |
| Prefix- VZF, VZG, AYUVZR, VZT, AUJ, AYX, VZD | |
| Blue Access, Blue Preferred, Blue Traditional(Individual and Group) | 888-571-9055 |
| Pre-certification | 800-242-1527 |
| Blue Access PPO(Anthem Associates) from year 2012 Prefix WUK | |
| Customer Service | 800-676-2583 |
| Pre-certification | 888-896-8027 |
| Blue Preferred HMO(Anthem Associates) Prior 2012 Prefix VZY | |
| Customer Service | 800-234-0111 |
| Pre-certification | 800-234-0111 |
| Lumenos Consumer Driven Health Plan-{CDHP}HRA, HSA, HIA, HIA Plus Prefix- VZZ | |
| Customer Service: | 800-972-6359 |
| Pre-certification | 866-398-1922 |
| Health Reimbursement Account (HRA)(Anthem Associates) From 2010-Prefix – WLU | |
| Customer Service | 877-875-1223 |
| Precert | 888-896-8027 |
| Self Funded Groups Administered by Anthem | |
| Anthem ID card (Back of card indicates “Benefits administered by BCBS of Wisconsin” | |
| Pre-certification | 866-643-7087 |
| Fax: | 866-959-2154 |
| Premera BCBS Alaska | 800-722-4714 (Select option 3) |
| BCBS Delaware | 800-572-2872 |
| BCBS Florida | 800 955-5692 (select Option 3) |
| Anthem BCBS Georgia | 800-722-6614 |
| Blue Cross Idaho | 800-743-1871 |
| Wellmark BCBS Iowa | 800-552-3993 |
| BCBS Kansas | 800-782-4437 |
| Anthem BCBS Missouri | 800-992-5498 |
| BCBS Montana | 800.447.7828 Ext 6230 |
| BCBS Nebraska | Inpatient, SNF-800‐247‐1103 Rehab & Preauth- 800‐255‐2838 |
| BCBS New Mexico | 800-325-8334 |
| Blue Cross and Blue Shield New Carolina | 800-672-7897 |
| Blue Cross and Blue Shield Oklahoma | 800-672-2378 |
| Regence BlueCross BlueShield Oregon | 800-351-2370 |
| BCBS Rhode Island | 1-800-637-3718, Extension- 2273 |
| BCBS South Carolina | 800-868-2510(Select option 3) |
| Wellmark BCBS South Dakota | 800-642-9273 |
| Regence BCBS Utah | 800-351-2370 |
| Blue Cross and Blue Shield Vermont | 800-922-8778 |
| Anthem Blue Cross and Blue Shield Virginia | 800-533-1120 |
| Premera Blue Cross Washington | 877-342-5258 (Select option 3) |
| Regence BlueShield Washington | 800-351-2370 |
| Highmark BCBS West Virginia | 800-269-6389 |
| BCBS Wyoming | Pre Admission Review- 800-251-1814, Case mangmnet- 888-557-2271 |
BCBS Kentucky Prefix List, Phone Number and Claim Address:
| PRODUCT/GROUP | PREFIX | PROVIDER INQUIRY | PRECERTIFICATION | MISCELLANEOUS |
| Anthem Blue Access (PPO) Anthem Blue Preferred (HMO) Anthem Traditional Anthem Medicare Supplement | YRP YRN YRJ XTA YRG YRM YRT YRB YRY YRR | 888-650-4133 | 877-814-4803 | OON Referrals – 800-568-0075 |
| Anthem Dental KY | 888-209-7854 | 800-627-0004 | ||
| Anthem Medicare Advantage Individual Business | XTH VOP XTG XPS | 855-690-7795 800-467-1199 855-558-1439 | 866-797-9884 | Fax 866-959-1537 for Acute Fax 877-423-9972 for SNF, LTAC & Inpatient Rehab |
| Anthem Medicare Advantage Group Business | JQF JWM VZM VZP WGK WSP XDK XDT XGH XGK XKJ XVJ XVL YRA YRE YRS YCG YGJ YGS YLR YLV YRU | 800-676-2583 | 866-797-9884 | Fax 866-959-1537 for Acute Fax 877-423-9972 for SNF, LTAC & Inpatient Rehab |
| Anthem IN Medicaid /Hoosier Health Wise | YRH | 866-408-6131 | 866-408-7187 | |
| Anthem Kentucky Medicaid | XTF | 855-661-2028 | 855-661-2028 | |
| American Imaging Management | 800-554-0580 | |||
| Blue Card Program | 866-594-0521 | 800-676-2583 Eligibility & Benefits | ||
| EDI Helpdesk | 800-470-9630 | |||
| Pathway/Pathway X Kentucky Exchange Individual (PPO) Exchange Small Group (PPO) Exchange Individual HMO | XTD XTC XVK XTB XTE XTK XTJ XTI XTN | 855-854-1438 855-854-1438 855-854-1438 | 877-814-4803 877-814-4803 877-814-4803 | Behavioral Health 800-788-4003 Behavioral Health 800-788-4003 Behavioral Health 800-788-4003 |
| Pathway/Pathway X Indiana Exchange Individual (HMO/POS) | XPD XPE XPH XPU XPV | 855-854-1438 | 877-814-4803 | Behavioral Health 855-854-1438 |
| Indiana Small Group (HMO) Indiana Small Group (PPO) | XPB XPC XPR XPW XPA | 855-854-1438 855-854-1438 | 877-814-4803 877-814-4803 | Behavioral Health 855-854-1438 Behavioral Health 855-854-1438 |
| Federal Employee Program | R | 800-456-3967 | 800-860-2156 | |
| Healthy Indiana Plan (HIP) | YRK | 800-345-4344 | 866-398-1922 | Eligibility & Benefits 800-553-2019 |
| Kentucky State Group (KEHP) | KYH | 844-402-KEHP | 844-402-KEHP | Behavioral Health 855-873-4931 |
| e-Solutions Center Helpdesk | 866-755-2680 |
BCBS Credentialing Enquiry (New York):
Credentialing process takes approximately 45 days from the time the Credentialing department receives your completed CAQH application
To review your application or correct submitted information, email at [email protected].
BCBS Home Plans
A Blue Cross and Blue Shield plan that is the part of the Bluecard program which administers the benefits for services incurred by their member in same Blue cross and Blue Shield plan’s area.
BCBS Host Plan
A Blue Cross and Blue Shield plan is the part of the Blue card program which makes payments for services rendered by a provider in their plan area for a patient coming from another plan for temporary period.
BCBS Federal Employee Program (FEP)
The largest BCBS national account is the plan serving approx five and one half million federal government employees. The FEP cards obtain the phrase words “Govt Wild Service Benefit Plan” written out under the BCBS trademarks. The BCBS Federal Employee Program ID begins with an “R” followed by eight digits. A 3 digit enrollment code is located on the front of the card. The enrollment codes specify which option the govt employee elected when enrolled in the FEP program and should be entered as the group ID number BCBS claims.For example See Below
Deadline For Filing Claims
The deadline is for BCBS claims is 180 days from Date of service(DOS). The deductible will vary according to the BCBS plan, patients enrolled in PPO plan may have no applicable deductibles to certain preventive medicine services.
What is BCBS Prefix ?
Every Blue Cross and Blue Shield plan starts with an alpha prefix so they are called in medical terms BCBS Alpha Prefix. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. The first two alphabets of the prefix denote the plan and the third alphabet prefix denotes the type of product the insured choose for coverage.
BCBS Prefix List 2023 is updated from authorized sources of information and web portals.
BCBS Prefix List 2023 (Updated)
BCBS Alpha Numeric Prefix List
Conclusion:
Empire Blue Cross Blue Shield is one of the biggest private insurance companies in United States of America and while working denials and AR-follow up it is very difficult to get the correct Empire BCBS phone number or contact details for information on exact claim status. The main purpose is creating this list is to provide easy and accessible information at one place. We tried our best to keep all information correct and latest updated for Empire BCBS phone number on this list. If any discrepancy found please let us know from the contact us page and we will try to keep it correct.