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BlueCard

PW_004589
BlueCard is a national program that enables members traveling away from home or living in another Blue Cross and Blue Shield (BCBS) Plan area to receive health care services through a single, electronic claim processing reimbursement network. The program links participating health care providers and independent BCBS Plans around the world. 
How do I identify a BlueCard member?
You can identify a BlueCard member of more of the alpha prefix types listed below: 
Plan-specific prefixes are assigned to each Plan and begin with an "Q", "X", "Y" or "Z". The first two positions indicate the member's home Plan, the third position indicates the product in which the member is enrolled.

First character X, Y, Z or Q

Second character A-Z

Third character A-Z

account specific prefixes - assigned to centrally processed national accounts
international alpha prefixes from foreign BCBS Plan members

a blank suitcase logo

the suitcase logo

 
What products are included in the BlueCard Program?
The BlueCard Program includes traditional, PPO, POS, HMO, Medicare Advantage and Medicare supplement products and, depending on the plan design, may pay claims for inpatient, outpatient and professional health care services. 
 
Which products and accounts are excluded from the BlueCard program:
Prescription medications
Stand-alone dental
Stand-alone vision and hearing
Claims for the Federal Employee Program (FEP) are exempt from the BlueCard Program. Claims should be filed using your FEP guidelines.
 
What are important BlueCard phone numbers I should keep on hand?
BlueCard Access® (800) 810-BLUE [2583]
Call this number when referring patients to a physician or health care facility in another area.
BlueCard Eligibility® (800) 676-BLUE [2583]
Call this number to verify membership and benefit information on patients from other Blue Cross and Blue Shield Plans and help speed up payment of their claims.
Anthem Midwest's BlueCard Customer Service Phone Numbers:

Ohio Providers Indiana Providers Kentucky Providers BlueCard POS Provider Unit
(800) 213-4908 
(888) 800-2160 
(800) 383-2538 
(800) 421-0405 
 
Where do I submit BlueCard claims?

Ohio Providers Indiana Providers Kentucky Providers
P.O. Box 105187
Atlanta, GA 30348 
P.O. Box 105187
Atlanta, GA 30348 
P.O. Box 105187
Atlanta, GA 30348 
 
If you would like to receive the complete BlueCard Provider Administration Manual, please contact your local network management office. 
©2005-2014 copyright of Anthem Insurance Companies, Inc.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use