BASIC BENEFITS: • Hospitalization – Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. 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. 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). If selecting this option, it’s a good idea to contact your Blue Cross Blue Shield company to get details about out-of-state coverage if you need it. has an extensive network of options to meet your needs when living or working abroad for an extended period of time. Leading the way in health insurance since 1929. For more information, Contact Us or view the Member Handbook. Swedish is in-network with most Blue Cross Blue Shield out-of-state insurance plans. We have a wonderfully specific guide on how to verify eligibility and benefits for mental health outpatient providers (click anywhere). ... 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 and Blue Shield of Minnesota offers individual and group health plans. Covered under the State Health Plan. We provide free eligibility and benefits verification as part of our billing service so you can skip insurance phone calls. Blue Cross and Blue Shield of Oklahoma does not offer those plans shaded in gray below. Coverage can also vary depending on the treatment program. We also call them participating providers. That’s a lot to think about, and the list goes on. If you want to skip the pain completely, consider trying our insurance billing service exclusively for mental health providers. You can call, text, or email us about any claim, anytime, and hear back that day. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. My cost is a percentage of what is insurance-approved and it’s my favorite bill to pay each month! Provider access for Blue Shield* members doesn't end at the California state border. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. 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. A medical out-of-pocket maximum is the most you pay for expenses in a plan year. Type of Rehabs Covered by Blue Cross Blue Shield . Some states will not offer the platinum category. Blue for All Whatever your needs, whatever your budget, Blue Cross Blue Shield of Wyoming has a coverage plan to fit you, your family, or your business. You can call 888.630.2583 to learn about your coverage options. © 2021 Blue Cross Blue Shield Association. 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. Treatment programs can include counseling, behavior modification treatment, inpatient and outpatient … Blue Cross Blue Shield of Michigan and Blue Care Network members under age 65. When you go to a doctor or provider who doesn’t take your plan, we say they’re out of network. Today’s Blue cross Blue Shield is made up of both non-profit and for-profit entities. That’s why we’ve compiled all the information you need about your CPAP insurance coverage under your current health insurance plan. A request for Blue Cross to reconsider a coverage decision. This information will make sure that you are sending out of state Blue Cross Blue Shield claims to the right claims office every time. Call your BCBS company to find out what your benefits cover while traveling. You can reach the BlueCard Worldwide Service Center at 1-800-810-BLUE (2583) or call collect at 1-804-673-1177. Here’s my NPI and Tax ID” * Ask the rep to verify mental health outpatient benefits * Tell them that you will be filing claims in your local state — “Services will be rendered in _____” * If they quote you a coinsurance or deductible, check out guide about understanding them here. Some of them are single state entities; some are multi-state regional companies; some are privately owned; others are publicly traded. 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. That's why Blue Access includes reporting tools designed to help you track and better control your health care spending. And hell, don’t just trust me, loook at the back of the card — it always instructs you to do just this! For State of Kansas employees, customer service representatives are available from 8 am to 5 pm. Planning to hit the road this travel season? You'll always be able to get in touch. ( see Prescription Coverage) And if your extended travel plans take you abroad, you can ensure you have access to quality care through 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. 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. If you can't find what you need, call the Customer Service number on the back of your enrollee ID card and we'll help. The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. We're here to take your call from 7 am to 4:30 pm, Monday through Friday. Our form finder can retrieve your often used forms in an instant. Cannot breathe or is choking. 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. We provide this service, of course. Has passed out … Again, this can be a huge time-suck, calling and being transferred over and over. The appeal can be for services that you’ve already received or ones you think you should receive. If you want to skip the pain completely, consider trying our insurance billing service exclusively for mental health providers. 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. CURRENT MEMBERS. We take care of this nightmare for you. to find out what your benefits are if something goes awry while on vacation. 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. But being large doesn't mean we forget the individual needs of our members. All Rights Reserved. • Free Account Setup - we input your data at signup. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. 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. Coverage and Plans 2020 Benefits. Likewise, a BCBS Wyoming member who falls ill in Dallas would be charged the rate BCBS Texas has negotiated with its local providers. Log in to member site Download member app. 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. We’re happy to help. 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. Blue Cross Blue Shield (BCBS) Out-of-state We know finding a doctor that’s right for you isn’t always easy. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. Blue Cross and Blue Shield of Texas (BCBSTX) Customer Service at 1-888-657-6061. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Congratulations! Blue Cross Blue Shield Today. Filing to out of state Blue Cross Blue Shield plans can be a huge pain! • Medical Expenses – Part B coinsurance (generally 20% of Medicare-approved expenses), or copayments Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. A person should go to the emergency room if he or she: May die. Verify your international benefits with your Blue Plan before leaving the United States, or purchase a. If your question involves other party liability/duplicate coverage, pre-existing conditions or payment recovery, specialists are available to assist you after 8 am. Here are a few steps you can take to take charge of your health while traveling: To learn more, visit BCBS.com or the GeoBlue website. 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. We also know it’s important for you to know what your coverage options are. You free me to focus on the work I love!”. See how to find out what’s covered by your Blue Cross and Blue Shield of Minnesota or Blue Plus health plan. When traveling within the United States, most Blue Cross Blue Shield members will be covered under the, program, which connects all 36 individual. 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. Note: We only work with licensed mental health providers. You can call, text, or email us about any claim, anytime, and hear back that day. 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). Members with hearing or speech loss may call our TTY line at 711. Denny and his team are responsive, incredibly easy to work with, and know their stuff. Outside the United States. But we have some specific, repeatable advice that will help you dramatically reduce your headache handling Out of State Blue Card billing. 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. Filing to out of state Blue Cross Blue Shield plans can be a huge pain! Free Account Setup - we input your data at signup. Your Blue Cross and Blue Shield of Illinois (BCBSIL) benefits are designed to provide coverage for the care you need, encourage you to maintain your good health and help you manage your health care costs. Blue Cross Blue Shield’s medical policies can be confusing, when it comes to treating sleep disorders. If you’re a GeoBlue member, call collect at 1-610-254-8771, or 1-800-257-4823 from inside the U.S. Let us handle handle your insurance billing so you can focus on your practice. These limits will vary depending on the policy and the state. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. I cannot capture in words the value to me of TheraThink. NEW MEMBERS. “As private practitioners, our clinical work alone is full-time. so that members can enjoy access to the savings the local Blue Cross Blue Shield plan has negotiated with its doctors and hospitals. 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. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Blue Cross and Blue Shield of Illinois does not offer those plans shaded in gray below. We're always looking out for your company's bottom line as well. BASIC BENEFITS: • Hospitalization – Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. We’ll get you sorted in no time. You’ve got a lot to do! If your plans include international travel. For example, if a member of Blue Cross Blue Shield of Texas, whose Plan includes the BlueCard program, falls and breaks his arm while hiking in Yellowstone, he will be charged the rate Blue Cross Blue Shield of Wyoming has negotiated with the local hospital rather than paying the steep fees he would otherwise encounter. coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. 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. If the program is considered in-network, coverage will be higher than for programs that are deemed out-of-network. Summary of Benefits & Coverage; Medical Policies ; Rate Review; Forms; Language support. Blue Cross Blue Shield of Michigan is proud to be the state's largest insurer, and your insurer. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. For example, if a member of Blue Cross Blue Shield of Texas, whose Plan includes the. So we've created this customized site just for employees and retirees of the State of Michigan. Outside the United States. 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 […] My daily insurance billing time now is less than five minutes for a full day of appointments. Refer to the phone number located on your Blue ID card. There are some exceptions when care you receive from an out-of-network provider will be covered. Every provider we work with is assigned an admin as a point of contact. Out-of-Area Coverage. 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. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. In Connecticut: Anthem … Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana. 24 Hour Nurse Advice Line, your 24-hour nurse help line at 1-844-971-8906 (TTY 711). We are your billing staff here to help. program, falls and breaks his arm while hiking in Yellowstone, he will be charged the rate Blue Cross Blue Shield of Wyoming has negotiated with the local hospital rather than paying the steep fees he would otherwise encounter. 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. 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. Blue Cross Coverage Whether you're an employer looking for a benefits plan to offer your employees, self-employed, between jobs or retired, there is a perfect health care package of benefits available through the Blue Cross in your area. 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. Ask them where out of state claims should be filed. Ask them “Where do I file claims in _____ State?” and “Please tell me the claims address” and finally, if you file claims electronically, ask “Can you let me know the payer ID?”. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. Worldwide coverage, extensive networks, prescription drug coverage, leading health improvement programs, more. 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. File is in portable document format (PDF). The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. 99.9% of the time you do this! 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. Has chest pains. What happens if I see a specialist without a referral? You’ll have to book your travel, lodging and activities, pack and be sure your home is looked after while you’re gone. Q.I have HMO Blue. 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. Take your coverage with you, whether you're traveling or living outside of New Jersey. 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. But we have some specific, repeatable advice that will help you dramatically reduce your headache handling Out of State Blue Card billing. This website does not display all Qualified Health Plans available through Get Covered NJ. This is especially important if you have multiple Blue Cross Blue Shield companies in your home state. To access your member services, please visit your BCBS company. Our data is encrypted and backed up to HIPAA compliant standards. Drop us a line via our contact page or a call. We understand that it's important to actually be able to speak to someone about your billing. TheraThink.com © 2021. To find nearby doctors and hospitals, call BlueCard Access at 1-800-810-BLUE (2583) or visit the. Now you’re ready to file. Questions? To find detailed plan information (such as your claims history and Blue Cross ® Health & Well-Being), log in to your account at bcbsm.com.. Call your Blue Plan for precertification or prior authorization if necessary. Find information for Individuals & Families, Medicare or Employers. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. Trust us! 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. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If you're looking for general information on your coverage, this is a great place to start. To view this file, you may need to install a PDF reader program. TheraThink provides an affordable and incredibly easy solution. 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. A separate out-of-pocket maximum applies to prescription drugs. 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. This plan has an out-of-pocket maximum of $3,100 per member ($6,200 per family) for in-network services and $6,000 per member ($12,000 per family) for out-of-network services. If you need to locate a doctor or hospital, or need medical assistance services, hotlines are available 24/7. For example, you can appeal a decision to deny or stop coverage or payment for health care services or drugs. Bronze plans will have the lowest costs, while platinum plans will have the highest monthly costs. 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. • Eligibility & Benefits Verification (in 2 business days), • EAP / Medicare / Medicaid / TriCare Billing, • Month-by-Month Contract: No risk trial period. If you have any questions or need assistance, Blue Access for Employers puts the power of searching at your fingertips. Member Discounts Take advantage of member-only discounts on health-related products and services.

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