Bcbs of south carolina provider phone number. Phone: 800-288-2227 or 803-788-0222 Fax: 803-865-3876 Recredentialing for our providers occurs every three years. Visit at a South Carolina BLUE SM retail center Email membership. To download this free app, search for My Health Toolkit in the App Store or Google Play. Additional Resources Health Care Effectiveness Data and Information Set Find Care. You can easily contact our Provider Education department to connect with a provider education consultant or to request training. When you see a doctor or other health care provider, the provider’s office sends us a claim. com or calling 803-264-4730. Contact Information. You can also log into My Insurance Manager SM to file claims, check eligibility, submit HIPAA transactions and more. Learn how to contact your local Blue Cross and Blue Shield company, as well as other key areas. Sam Monroe. ® Registered Marks, TM Mar 30, 2023 · Find contact information and hours of operation. HealthyBlue is offered by BlueChoice Prescription Drugs . , and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Agency Sales — Leadership . RadMD. 6, 2021. Feb. If you prefer to submit hard copy claims, you can mail your CMS-1500 and CMS UB-04 paper claim forms to us at these addresses: Preferred Blue ® and all other BlueCross BlueShield of South Carolina, and BlueCard ® BlueCross BlueShield of South Carolina Columbia Service Center P Authorization Call Center Phone Numbers If you wish to contact Evolent (formerly National Imaging Associates, Inc. Request prior authorization. ®Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc. There are two available options. Find the phone number and other contact information for BlueCross providers in South Carolina. Stephanie DeFreese. For members with annual plans, including Affordable Care Act (ACA) plans. PEBA BlueCross BlueShield of South Carolina PEBA Press Room Contact Us Insurance Information 2023 Insurance Benefits Guide 2024 Insurance Benefits Guide 2024 Insurance Summary S. Different health plans manage pharmacy benefits in different ways. Apr 23, 2020 · Find the phone number for BCBS providers in different states, including South Carolina. Claims Submission BlueCard Claims Payments and Remittance Advices My Insurance Manager State Health Plan Fee Schedules Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. See the benefits your plan offers. Box 6170 Columbia, SC 29260-6170 There may be times when you’re not sure about a coverage decision and want to talk to us about it. O. About S. until 5 p. Contact BlueCross BlueShield of South Carolina Technical Support; Contact BlueChoice HealthPlan Technical Support; Contact HealthyBlue Medicaid Technical Support; BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. Access the MFRC Navigation Claims Tools. Planning a trip to the dentist? My Health Toolkit makes it easy to see what services are covered under your plan. BCBS Federal Phone Number; Ambetter Claims address and Phone Number; South Carolina (800) 444-0025 (Columbia) (800) 444-4325 (Charleston) Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. S. With the My Health Toolkit mobile app, you’ll always have your benefits information with you. C Public Employee Benefit Authority BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Provider Education Contact Request Form Commercial Territory Map BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Get Started Health Insurance, Medicare & Group Health Plans | BlueCross BlueShield of South Carolina Contact Healthy Blue Provider Service. If the determination of this review will influence Equal employment opportunity statement. You can request training or a live demonstration by contacting Provider Relations and Education using the Provider Advocate Training Request Form or view the MFRC User Guide. These tools are offered for your convenience and should be used only as reference tools. Go Now Technical Assistance. How to handle your provider enrollment inquiries: For case-specific provider enrollment questions, submit a case comment within the case and someone from the enrollment team will assist. Find out how to contact the provider enrollment team, the authorizations, benefits, claims, or eligibility team, and the EDI services team. You can also search providers outside the U. PEBA; BlueCross BlueShield of South Carolina; Press Room; Contact Us; BlueCross BlueShield We work with NIA Magellan to manage radiology prior authorizations on behalf of BlueCross BlueShield of South Carolina. Revised: Aug. My Health Toolkit Access your digital ID card, check claims status, view plan details and check your benefits. Open 8 a. {"submission":{"method":"get","action":"/cwbe/mail","redirect":false,"beforeSubmit":[{"statement":"model. I'm a current member. Call the VRU or send a secure message through Ask Provider Services in MIM for questions or assistance. loading = true;"}],"done":[{"statement":"model. Director, Individual Sales. Find the phone numbers and email addresses of provider representatives for different lines of business and services offered by BlueCross BlueShield of South Carolina. Education@bcbssc. Our general phone number is: My Provider Enrollment Portal Laboratory* Patient-Centered Medical Home Electronic Funds Transfer and Remittances *Avalon is an independent company that manages lab benefits on behalf of BlueCross BlueShield of South Carolina. Please contact the Richland County Clerk of Court or a local South Carolina attorney about getting a South Carolina subpoena for an out-of-state action. ® Registered Marks, TM Contact Provider Education Commercial Territory Map Healthy BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield BlueCross BlueShield of South Carolina members. South Carolina Help Center: Important contact information for Blue Cross and Blue Shield of South Carolina. C. Find online resources, provider education, and territory maps for providers. Where to Find Us. Learn about the tools you have to submit claims and receive payments. 9, 2021. 803-264-1004. Director, Group Sales. So you can see ahead of time how much you might expect to pay out of pocket when you get dental care. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. If you need further assistance, please contact the provider education team using the request form. to 8 p. BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other Check your coverage. to 5 p. The web page lists the numbers for claims, eligibility, benefits, and other services for various BCBS plans. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Once you’ve registered, you can log in to: Check benefits and eligibility in real time. We will assign your inquiry to the consultant who can most efficiently handle your request. Our general phone number is: The VRU is a fully automated tool that offers quick and easy information over the phone. When making a payment by phone or email, please have your group name and your 16-digit account number or client number available. The easiest way is through one of these online forms: Provider Education Contact Form – Use this form to connect with a provider education consultant for questions not related to specific claims or members. . loading Apr 25, 2020 · BCBS Provider Phone Number. Our general phone number is: Medical Forms Center. Call 855-229-5720 for help. Once you’ve registered, you can log in to: ID number you use for BlueCross BlueShield of South Claims Tools. You can easily contact our Provider Education team to connect with a consultant or to request training. This link leads to a third party site. BlueCross BlueShield of South Carolina is an To request prior authorization, contact Companion Benefits Alternatives (CBA) using one of the below options: Calling 800-868-1032 Forms Resource Center – This online tool makes it easy for behavioral health clinicians to submit behavioral health prior authorization requests. Contact My Insurance Manager for assistance or access the provider enrollment portal. S. Contact Description: Dental Provider Contracting: BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Jul 1, 2024 · As of July 1, 2024, South Carolina Department of Health and Human Services (SCDHHS) offers a single Preferred Drug List for all providers within the Healthy Connections program. My Insurance Manager SM is a unique online tool for providers. Medical Resources; About. com . Vice President, Agency Sales. Payment and Remittances We are a part of the BlueCross BlueShield of South Carolina family, an independent licensee of the Blue Cross Blue How Can We Help? If you're a member: You can call us at 800-868-2528 8:30 a. , Eastern Time, Monday through Friday. IV Therapy Providers; Hospitals; Physicians/Groups; Paper Claims. com When contacting us, please have your name, date of birth and effective coverage date available. HealthyBlue is offered by BlueChoice Where to Find Us. Oct 11, 2022 · Our Provider Contact Center representatives are here to assist you with general inquires, provider enrollment, EDI, eServices, and more. Archived Presentations {} Send us a secure message through the “Ask Provider Services” feature. Call us at 800-930-2836 to speak with one of our experienced counselors, or schedule an in-home appointment with a licensed agent. The guide also includes links to online portals, VRU options, and fax numbers for claim status, benefits, eligibility, and prior authorization. BlueCross BlueShield of South Where to Find Us. Stephanie Musto My Insurance Manager SM is a unique online tool for providers. Claims Submission BlueCard Claims Payments and Remittance Advices My Insurance Manager State Health Plan Fee Schedules Contact BlueCross BlueShield of South Carolina Technical Support; Contact BlueChoice HealthPlan Technical Support; Contact HealthyBlue Medicaid Technical Support; BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. We have a technical team ready to assist with your STATchat conversion. com Monday through Friday, 8:30 a. You can reach us by calling the Customer Service number on the front page of your Explanation of Benefits (EOB). The quickest way is by emailing Provider. Form Provider Disputes. And more! If you cannot locate information on our website or through MIM, you can also call Provider Service at 866-757-8286 to speak with a representative. BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan use Avalon Healthcare Solutions to administer a comprehensive suite of laboratory benefit management services to promote patient access to affordable, high-quality health care. m. Contact Us. To submit your request online, go to www. Call Provider Services at 800-868-2510 and select option 5. Utilization Management: Phone: 866-757-8286 Resources Get Enrolled Frequently Asked Questions Dental Resource Center Contact Us Forms and Manuals Reconsideration Form Other Health Insurance Questionnaire Other Health Insurance Questionnaire (Spanish) 2020 Dental Provider Administrative Office Manual Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. Call 1-888-645-6025 (TTY 711) Hours of Operation. 23, 2022 . Log in to My Health Toolkit ® to search the provider directory and view search results specific to your insurance plan. The claim includes information on what treatments, tests or other services you received. For BlueCross BlueShield of South Carolina member information, call Find doctors, dentists, hospitals and other health care providers. Find information on policies, authorizations, claims, enrollment, and more for providers. We look forward to hearing you loud and clear! Download the My Health Toolkit app. ®Registered Marks of the Blue Cross and Blue Shield Association. Please reference our Call Flowchart (PDF, 304 KB), IVR User Guide (PDF, 163KB), and IVR Conversion Tool for additional guidance. Other individual and family plans. We are available for phone calls 8 a. enrollment@bcbssc. We’re here to help. When requested, submit the following application and required documents to our credentialing team. Feb 4, 2022 · Revised Feb. Phone: 866-757-8286 Email: HBProviderService@healthybluesc. This includes BlueEssentials SM, BlueExclusive SM, BlueExtend SM, Blue Secure Dental and Blue VirtuConnect SM plans. A valid South Carolina or federal court subpoena; OR a HIPAA-compliant authorization form; Out-of-state subpoenas aren’t valid in South Carolina. Call Now Provider Enrollment {} Navigation. to 4:30 p. For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide. Date Submitted: _____ Complete this form to request precertification for a specific procedure/service. 803-264-2224. ET, Monday through Friday. Or write us at: Member & Guest Services BlueChoice HealthPlan P. Columbia, SC 29219. Use the request form, the portal, or the phone numbers provided on the web page. Need to get in touch with us? We want to make it easy for you to contact the right office or person. ) directly, please use the appropriate toll-free number for the respective health plan. fqhlvbebxggiciarevtaqgzghfxvqepxlirfhrnspmdeitxbzwrvi