The steps are simple and there are just three: Not as hard as you think, but honestly, this is a pain in the butt and this is why many providers end up hiring TheraThink (we turn these around in two days for free). Likewise, a BCBS Wyoming member who falls ill in Dallas would be charged the rate BCBS Texas has negotiated with its local providers. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Provider access for Blue Shield* members doesn't end at the California state border. Coverage can also vary depending on the treatment program. For more information, Contact Us or view the Member Handbook. If you’re a GeoBlue member, call collect at 1-610-254-8771, or 1-800-257-4823 from inside the U.S. But being large doesn't mean we forget the individual needs of our members. This information will make sure that you are sending out of state Blue Cross Blue Shield claims to the right claims office every time. To access your member services, please visit your BCBS company. You can reach the BlueCard Worldwide Service Center at 1-800-810-BLUE (2583) or call collect at 1-804-673-1177. This is especially important if you have multiple Blue Cross Blue Shield companies in your home state. Denny and his team are responsive, incredibly easy to work with, and know their stuff. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. All Rights Reserved. If you have any questions or need assistance, Blue Access for Employers puts the power of searching at your fingertips. Note: We only work with licensed mental health providers. You’ll have to book your travel, lodging and activities, pack and be sure your home is looked after while you’re gone. That's why Blue Access includes reporting tools designed to help you track and better control your health care spending. My daily insurance billing time now is less than five minutes for a full day of appointments. We also know it’s important for you to know what your coverage options are. Outside the United States. We're always looking out for your company's bottom line as well. Q.I have HMO Blue. If you need to locate a doctor or hospital, or need medical assistance services, hotlines are available 24/7. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. So we've created this customized site just for employees and retirees of the State of Michigan. All Rights Reserved. Blue Cross Blue Shield Today. Again, this can be a huge time-suck, calling and being transferred over and over. • Eligibility & Benefits Verification (in 2 business days), • EAP / Medicare / Medicaid / TriCare Billing, • Month-by-Month Contract: No risk trial period. When a doctor, hospital or other provider accepts your health insurance plan we say they’re in network. You can call 888.630.2583 to learn about your coverage options. To find detailed plan information (such as your claims history and Blue Cross ® Health & Well-Being), log in to your account at bcbsm.com.. Swedish is in-network with most Blue Cross Blue Shield out-of-state insurance plans. Our mental health insurance billing staff is on call Monday – Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. We're here to take your call from 7 am to 4:30 pm, Monday through Friday. Now you’re ready to file. You can call, text, or email us about any claim, anytime, and hear back that day. Blue Shield of California has quietly scaled back the national Blue Card program that has allowed its members to receive a range of services out of state in an effort to reduce costs. As a general rule, Blue Cross Blue Shield of Massachusetts will not pay for care from a specialist without a referral from your PCP. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Call your Blue Plan for precertification or prior authorization if necessary. Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And you won’t have to wait in line to verify any of the above information — we always take care of it on your behalf. When traveling within the United States, most Blue Cross Blue Shield members will be covered under the BlueCard program, which connects all 36 individual Blue Cross Blue Shield companies so that members can enjoy access to the savings the local Blue Cross Blue Shield plan has negotiated with its doctors and hospitals. You free me to focus on the work I love!”. When traveling within the United States, most Blue Cross Blue Shield members will be covered under the, program, which connects all 36 individual. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginner’s Guide To Mental Health Billing, insurance billing service exclusively for mental health providers, eligibility and benefits for mental health outpatient providers, Inquire about our mental health insurance billing service, offload your mental health insurance billing, Verify eligibility and benefits via a phone call, We charge a percentage of the allowed amount per paid claim (only paid claims). Blue Choice ® and Blue Choice New England SM members have the option to self-refer for covered services at a higher out-of-pocket cost. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Blue National Doctor & Hospital Provider Finder, How High Performance Networks Will Change Healthcare, How the 2020 election will impact healthcare, Learning & leading with compassion through COVID-19. We’re happy to help. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. Blue Cross Blue Shield (BCBS) Out-of-state We know finding a doctor that’s right for you isn’t always easy. There are a few options to find a plan: Stay on a Parent’s Plan: Students under 26 have the option to stay on their parents’ health insurance plan. You will be covered for emergency services in the U.S. even if the emergency services provider is not part of the Blue Cross and Blue Shield of Texas (BCBSTX) network. You might have Anthem Blue Cross, for instance, or Regence Blue Shield, or Blue Cross Blue Shield, and to make matters worse the mental health policy for that insurance company might be “subcontracted” (claims are sent to and handled) by a different insurance company. (But really, trust us, we’ve filed tens of thousands to Blue Card plans)! Blue Cross and Blue Shield of Oklahoma does not offer those plans shaded in gray below. • Medical Expenses – Part B coinsurance (generally 20% … 24 Hour Nurse Advice Line, your 24-hour nurse help line at 1-844-971-8906 (TTY 711). TheraThink.com © 2021. If your state has multiple brands (WA, CA, OR, NY, NJ, to name just a few) then you’ll want to ask for the exact address to file to. We have a wonderfully specific guide on how to verify eligibility and benefits for mental health outpatient providers (click anywhere). Anthem Blue Cross and Blue Shield is a DSNP plan with a Medicare contract and a contract with the state Medicaid program. Chapter 5 BlueCard Program (out-of-state claims) How the BlueCard Program Works Introduction The BlueCard Program is a national program that enables members traveling or living in another Blue Cross Blue Shield (BCBS) Plan’s area to receive the same benefits and BCBS provider access. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. For example, if a member of Blue Cross Blue Shield of Texas, whose Plan includes the. NEW MEMBERS. A request for Blue Cross to reconsider a coverage decision. Our data is encrypted and backed up to HIPAA compliant standards. ... 3 out of 4 Years ‌ ‌ ‌ ‌ This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. Blue Cross Blue Shield’s individual and family plans fall into 3 or 4 categories, depending on your state: bronze plans, silver plans, gold plans, and platinum plans. My cost is a percentage of what is insurance-approved and it’s my favorite bill to pay each month! If you aren’t sure what’s covered, it’s a good idea to call your Blue Cross Blue Shield company to find out what your benefits are if something goes awry while on vacation. Call your BCBS company to find out what your benefits cover while traveling. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue. If your plans include international travel, GeoBlue has an extensive network of options to meet your needs when living or working abroad for an extended period of time. • Free Account Setup - we input your data at signup. Let us handle handle your insurance billing so you can focus on your practice. Though many Blue Cross Blue Shield plans cover international care in emergency situations, GeoBlue plans offer the most complete set of benefits and access to services like emergency medical evacuation, which might not be covered by your regular plan. Blue Cross Blue Shield of Michigan is proud to be the state's largest insurer, and your insurer. A person should go to the emergency room if he or she: May die. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Type of Rehabs Covered by Blue Cross Blue Shield . “As private practitioners, our clinical work alone is full-time. If your plans include international travel. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. You'll always be able to get in touch. Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. And hell, don’t just trust me, loook at the back of the card — it always instructs you to do just this! If you are moving to a new state, changing jobs, out of work, getting ready to retire, or your employer has stopped offering insurance, Blue Cross Blue Shield can help. has an extensive network of options to meet your needs when living or working abroad for an extended period of time. That’s a lot to think about, and the list goes on. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Call 1-800-851-2227 Find an Agent Find a Member Center Options for Everyone Individuals & Families Shop Plans Medicare Supplement Shop Senior Blue Businesses Shop Group Plans Why […] ( see Prescription Coverage) So even if they are from a different state, file to your local blue cross blue shield. Planning to hit the road this travel season? A medical out-of-pocket maximum is the most you pay for expenses in a plan year. We also call them participating providers. Drop us a line via our contact page or a call. But we have some specific, repeatable advice that will help you dramatically reduce your headache handling Out of State Blue Card billing. plans offer the most complete set of benefits and access to services like emergency medical evacuation, which might not be covered by your regular plan. There are some exceptions when care you receive from an out-of-network provider will be covered. Skip to main content ... To see your plan’s coverage information, log in or register on the member site or call customer service using the number on the back of your ID card. Learn how we can handle your mental health insurance billing and credentialing headache: It's our goal to ensure you simply don't have to spend unncessary time on your billing. Blue Cross and Blue Shield of Minnesota offers individual and group health plans. Filing to out of network doesn ’ t always easy to be the state of is... We 're here to take your call from 7 am to 4:30 pm, Monday through.... Specifically solve their insurance billing to professionals, so you can call, text, or copayments covered under state! Easy to work with licensed mental health outpatient providers ( click anywhere.... To me of TheraThink appeal can be confusing, when it comes to treating sleep.! The pain completely, consider trying our insurance billing service for therapists called TheraThink 2014... 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