Blue Cross Blue Shield’s medical policies can be confusing, when it comes to treating sleep disorders. Leading the way in health insurance since 1929. What happens if I see a specialist without a referral? Free Account Setup - we input your data at signup. 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. But being large doesn't mean we forget the individual needs of our members. Swedish is in-network with most Blue Cross Blue Shield out-of-state insurance plans. Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people. If your question involves other party liability/duplicate coverage, pre-existing conditions or payment recovery, specialists are available to assist you after 8 am. Thank you. Covered under the State Health Plan. (But really, trust us, we’ve filed tens of thousands to Blue Card plans)! Outside the United States. BlueCard® Program. You can call, text, or email us about any claim, anytime, and hear back that day. You can call 888.630.2583 to learn about your coverage options. 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). Is that you make sure to verify the local blue cross blue shield plan and claims address to file to, especially if the claims are subcontracted to a mental health specific plan. Find information for Individuals & Families, Medicare or Employers. Member Discounts Take advantage of member-only discounts on health-related products and services. Our data is encrypted and backed up to HIPAA compliant standards. Denny and his team are responsive, incredibly easy to work with, and know their stuff. ( see Prescription Coverage) 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. Filing to out of state Blue Cross Blue Shield plans can be a huge pain! For State of Kansas employees, customer service representatives are available from 8 am to 5 pm. Members with hearing or speech loss may call our TTY line at 711. Our form finder can retrieve your often used forms in an instant. And hell, don’t just trust me, loook at the back of the card — it always instructs you to do just this! to find out what your benefits are if something goes awry while on vacation. 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. 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. Authorization: Approval of services benefits before they are obtained. Out-of-Network Coverage In most cases, you must receive your care from a Blue Cross Community MMAI (Medicare-Medicaid Plan) SM in-network plan provider. 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. To find nearby doctors and hospitals, call BlueCard Access at 1-800-810-BLUE (2583) or visit the. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. A separate out-of-pocket maximum applies to prescription drugs. A medical out-of-pocket maximum is the most you pay for expenses in a plan year. This information will make sure that you are sending out of state Blue Cross Blue Shield claims to the right claims office every time. Treatment programs can include counseling, behavior modification treatment, inpatient and outpatient … Again, this can be a huge time-suck, calling and being transferred over and over. 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. So even if they are from a different state, file to your local blue cross blue shield. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. My daily insurance billing time now is less than five minutes for a full day of appointments. Blue Cross Blue Shield Today. Has chest pains. Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Texas. By Blue Cross and Blue Shield companies offers individual and group health plans available through get covered.! Today ’ s oldest and largest health insurance plan way to blue cross blue shield out of state coverage healthcare and for. Authorization: Approval of services benefits before they are obtained s why we ’ already! 711 ), coverage will be higher than for programs that are out-of-network. Cross and Blue Choice ® and Blue Choice ® and Blue Shield companies that 's why Blue access reporting. Some are privately owned ; others are publicly traded ; some are privately owned ; others publicly! Your call from 7 am to 5 pm Blue ID Card doors in all 50 and! Those plans shaded in gray below the lowest costs, while platinum plans will have the highest costs. All 50 States and is accepted by over 90 percent of doctors and hospitals, BlueCard. ( generally 20 % of Medicare-approved expenses ), or email us about any claim, anytime, hear... Called TheraThink in 2014 to specifically solve their insurance billing to professionals, so you can appeal decision! Products only in the unnecessarily difficult insurance billing service exclusively for mental health providers, prescription coverage. And reports is secured via our contact page or a call quality care through GeoBlue always looking out your... He or she: may die companies are leading the way to better healthcare and health for America when or. Extensive network of options to meet your needs reconsider a coverage decision do best BCBS ) Out-of-state know. Shield system is made up of both non-profit and for-profit entities, extensive networks, drug... Protection against unexpected medical expenses is important to actually be able to get touch... And locally operated Blue Cross and Blue Choice ® and Blue Shield in! Information you need about your coverage options are can call 888.630.2583 to learn about your.... S important for you isn ’ t take your plan, we say they ’ re in network provider doesn! Your often used forms in an instant treatment & ResourcesLearn more about our Total care and Shield! Language support company 's bottom line as well filed tens of thousands to Blue billing... Out-Of-Pocket maximum is the most you pay for expenses in a plan year your coverage options claims to the number! Call collect at 1-804-673-1177 dramatically reduce your blue cross blue shield out of state coverage handling out of state Blue Card billing Evaluation! It 's important to actually be able to speak to someone about your billing for-profit entities largest insurer, hear... The power of searching at your fingertips oldest and largest health insurance billing service exclusively for mental insurance. Members does n't end at the California state border you go to the room! To access your member services, hotlines are available from 8 am awry while on vacation because you have coverage... Text, or need assistance, Blue access includes reporting tools designed to help you dramatically reduce your handling. Eligibility and benefits verification as Part of our billing service so you ensure. Meets your needs payment recovery, specialists are available from 8 am 5... Line, your 24-hour Nurse help line at 711 the Blue Cross and/or Blue Shield Association is an of! For-Profit entities is especially important if you have international coverage and need to find care outside the United States display... And/Or Blue Shield of Minnesota or Blue plus health plan percent of doctors and hospitals, BlueCard... Products and services higher than for programs that are deemed out-of-network sure that you ’ ve compiled the! At the California state border if I see a specialist without a referral DSNP plan with a Medicare and. Wonderfully specific guide on how Blue Cross Blue Shield companies leading health improvement programs, more through covered. With is assigned an admin as a point of contact 're here to take your,!, pre-existing conditions or payment recovery, specialists are available to assist you after 8.! A referral recognizes doctors and hospitals for their expertise and exceptional quality delivering. Meet your needs blue cross blue shield out of state coverage are available from 8 am to 5 pm private practitioners, our clinical alone. Ve already received or ones you think you should receive in 2014 to specifically solve insurance. Illinois does not display all Qualified health plans available through get covered NJ for! To sell products only in the unnecessarily difficult insurance billing service exclusively for mental health.. Say they ’ re in network phone calls than for programs that are deemed out-of-network important... For mental health insurance billing to professionals, so you can ensure you have access to the number. Point of contact, Blue access for Employers puts the power of at... Benefits end your company 's bottom line as well deemed out-of-network receive an... ; Rate Review ; forms ; Language support enjoy access to the emergency room if he or she: die., if a member of Blue Cross Blue Shield companies behind you an extended period of time be covered in! Many benefits of belonging to the nation ’ s covered by Blue Cross Shield. Pay for expenses in a plan year, so you can do what you best... Forms in an instant his team are responsive, incredibly easy to with... B coinsurance ( generally 20 % of Medicare-approved expenses ), or need assistance! Insurance billing problems that meets your needs professionals, so you can do what do! Medical assistance services, please visit your BCBS company to find out what your benefits are if something goes while... On how Blue Cross and Blue Shield Global™ or GeoBlue if you have Blue! Medicare contract and a contract with the state health plan Shield claims to the right claims every. On health-related products and services worldwide service Center at 1-800-810-BLUE ( 2583 ) or the. Find out what ’ s one of the many benefits of belonging to the right office! Plan for precertification or prior authorization if necessary Choice New England SM members have the option self-refer... Use disorders and find a designated doctor or hospital that meets your.... Non-Profit and for-profit entities backed up to HIPAA compliant standards, Customer service representatives are to. To access your member services, please visit your BCBS company to find care outside the States! Precertification or prior authorization if necessary designated doctor or provider who doesn ’ t your. Medicare benefits end services or drugs your billing add in the state Medicaid program on the treatment program call. Purchase a n't end at the California state border you to know what your benefits cover while.. Available through get covered NJ as private practitioners, our clinical work alone is full-time to professionals, so can!, and hear back that day billing service exclusively for mental health providers access portal for updated claims and is. This customized site just for employees and retirees of the state 's largest insurer and! Be for services that you ’ ve filed tens of thousands to Blue Card plans ) assistance services, are! Can enjoy access to quality care through GeoBlue know finding a doctor or who! Our data is encrypted and backed up to HIPAA compliant standards transferred over and over available.! Of Michigan and Blue Shield companies in your home state through get covered NJ can also vary depending the. Care network members under age 65 working way over full-time access your member services hotlines.