This intel on filing medical billing claims is intended to help medical billing professionals and is not intended for patients or the general public. Here are some letters and claims addresses that solve some specific Blue Cross Blue Shield medical billing problems.
Blue Shield processes for the units of anesthesia printed on the HICFA or electronic submission. They feel that they do not have to take the time to look up basic values.
Blue Shield processes for anesthesia units printed on HICFA or electronic submission forms and as such they do not have to look up BAV which are basic values and due to HIPPA Blue Shield cannot accept faxed corrected claims.
For an out of state Blue Shield the out of state Blue Shield plans pay the patient directly.
Medical records for Blue Cross Blue Shield do not get sent to the regular address.
Empire Blue Cross Blue Shield Federal Employees Program
Medical Records
P.O. Box 11810
Albany, NY 12211
The medical records would not be sent to a regular claims address like:
Empire Blue Cross/Blue Shield Federal Employees Program
P.O. Box 3876
Church Street Station
New York, NY 10008
Blue Cross Blue Shield
Blue Card Program
Empire Blue Cross Blue Shield Blue Card Program
P.O. Box 3877
Church Street Station
New York, NY 10008
Please note that these Blue Card program accounts would be for card numbers starting with YLA, TLN and National Labor accounts that would still be Empire (Local Blue Cross/Blue Shield) even though their prefixes differ from YLA and YLN.
Local 164 in New York
Local 164 Phone: 201-265-1700
Local 164 has Horizon Blue Cross Blue Shield of New Jersey with Blue Cross/Blue Shield social security numbers and three letter prefixes.
The claims address is below.
Horizon Healthcare Administrators
C/O Joint Welfare Fund of Local 164 I.B.E.W.
205 Robin Rd., Suite 330
Paramus, NJ 07652
Phone: 800-624-4758
Blue Shield policies with NYN prefixes are indemnity policies that pay the first 90% in full and then 80% of the remainder. For an account number starting with NYN123456789 it would go to the address below.
Verizon Dedicated Service Center
P.O. Box 5047
Middletown, NY 10940
Phone: 800-635-2184
An Example of a letter about pain management services requesting a claims review is below.
In Regards to: ID# 0521234567
Your Anytown Anesthesiologists
P.O. Box 220
Islip, NY 11751
United Healthcare
P.O. Box 1600
Kingston, NY 12402
Dear United Healthcare:
Subject: Mr. Charles Peruto
Account # CR 1235
Date of Service: 4/1/10 This claim was originally filed on 3/15/10 to Medicare electronically via N.E.I.C. In addition, this claim crossed over from Medicare to United Healthcare on 3/17/10. We understand that you believe
Dr. Lucas Fandos to be an anesthesiologist. Dr. Fandos is a pain specialist practicing with the Your Anytown Anesthesiologists tax id# 13-1006714. This claim is for pain management not anesthesia and we would like to submit this claim for your review for payment to the pain specialist.
Thank you for your consideration in advance,
AngelBean.
At the top of a Blue Shield corrected claim for pain management you would write: “Corrected claim please review this claim for pain management.”
Blue Shield
Corrected Claims
P.O. Box 5075
Middletown, NY 10940
Phone: 800-552-6630
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Contributor's Note
Written by Angelique author of 91 Smart Sounding Phrases To Put In Your College Academic Papers and Other College Survival Tips https://www.createspace.com/3348044 DOWNLOAD College Academic Paper Writing Help and Other College Survival Tips http://linkbee.com/CollegeBook CEO of BusinessBuzzSEO Search Engine Optimization Services For Your Website http://businessbuzzseo.tripod.com/index.html AngelBean on Associated Content http://www.associatedcontent.com/user/241469/angelbean.html
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