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Plan  Name	Customer Service	Utilization Review
Alabama, BCBS of Alabama	800-760-6852	Click here for full contact info
Alaska,   Premera BCBS of Alaska	800-722-4714 opt 2	800-722-4714 opt 3
Arizona, BCBS of Arizona	800-232-2345	Click here for full contact info
Arkansas, BCBS of Arkansas	800-827-4814	Click here for full contact info
California, Anthem Blue Cross of California	800-922-3242 (HMO)	Click here for full contact info
California, Blue Shield of California	800-541-6652 Option 6	Click here for full contact info
Colorado, Anthem BCBS of Colorado	877-833-5742	Click here for full contact info
Connecticut, Anthem BCBS of Connecticut	800-922-3242 (HMO)	Click here for full contact info
Delaware,   BCBS of Delaware	800-572-2872	800-572-2872
District   of Columbia, Carefirst BCBS	800-842-5975	Click here for full contact info
Florida,   BCBS of Florida	800-727-2227 Option 2	800 955-5692  Option 3
Georgia,   Anthem BCBS of Georgia	800-441-2273	800-722-6614
Hawaii,   BCBS of Hawaii	800-790-4672
Idaho,   Blue Cross of Idaho	866-482-2250	800-743-1871
Idaho,   Blue Shield of Idaho	866-227-0913	Click here for full contact info
Illinois,   BCBS of IL	800-972-8088	Click here for full contact info
Indiana,   Anthem BCBS of USa	800-282-1016	Click here for full contact info
Iowa,   Wellmark BCBS of Iowa	800-362-2218	800-552-3993
Kansas,   BCBS of Kansas	800-432-3990	800-782-4437
Kentucky, Anthem BCBS of Kentucky	800-282-1016	Click here for full contact info
Louisiana,   BCBS of Louisiana	800-392-4076 (IVR)	800-523-6435
Maine,   Anthem BCBS of Maine	800-832-6011	Click here for full contact info
Maryland,   Carefirst BCBS	800-248-8410	Click here for full contact info
Massachusetts,   BCBS of Massachusetts	800-882-2060
Michigan,   BCBS of Michigan	800-344-8525 (professional)	Click here for full contact info
Minnesota,   BCBS of Minnesota	800-262-0820
Mississippi,   BCBS of Mississippi	800-257-5825	Click here for full contact info
Missouri,   Anthem BCBS of Missouri	888-571-9054	800-992-5498
Missouri,   BCBS of Kansas City	800-892-6048
Montana,   BCBS of Montana	800.447.7828	800.447.7828 ext 6230
Nebraska,   BCBS of Nebraska	800‐635‐0579 IVR   800‐642‐8516.Provider Services	800‐247‐1103 Inpatient, SNF,   Rehab 800‐255‐2838 Preauth
Nevada,   Anthem BCBS of Nevada	800-332-3842	Click here for full contact info
New Hampshire, Anthem BCBS of New Hampshire	800-332-6558	Click here for full contact info
New   Jersey, Horizon BCBS of New Jersey	800-624-1110	Click here for full contact info
New   Mexico, BCBS of New Mexico	888-349-3706	800-325-8334
New   York, BCBS of Western New York	800-950-0052 (managed care)	Click here for full contact info
New   York, Blue Shield of Northeastern New York	800-444-4552	Click here for full contact info
New   York, Empire BCBS of New York	800-552-6630	Click here for full contact info
New   York, Excellus BCBS	800-920-8889	Click here for full contact info
North   Carolina, Blue Cross and Blue Shield	800.214.4844	800.672.7897
North   Dakota, Blue Cross and Blue Shield	800.368.2312
Ohio,   Anthem Blue Cross and Blue Shield	(800) 282-1016	Click here for full contact info
Oklahoma,   Blue Cross and Blue Shield	(800) 496-5774	(800) 672-2378
Oregon,   Regence BlueCross BlueShield of Oregon	(866) 227-0913	(800) 351-2370
Pennsylvania, Blue Cross of Northeastern Pennsylvania	BlueCare HMO – 1-800-822-8752	Click here for full contact info
Rhode   Island, BCBS of Rhode Island	1-800-327-6712 or 1-800-230-9050   (Providers) or 1-800-637-3718, ext. 6067 (Facility)	1-800-637-3718, ext. 2273
South   Carolina, BCBS of South Carolina	800-868-2510	800-868-2510 opt 3
South   Dakota, Wellmark BCBS of South Dakota	800-774-3892	800-642-9273
Tennessee,   BCBS of Tennessee	800-924-7141	Click here for full contact info
Texas,   BCBS of Texas	877-299-2377 (HMO)	Click here   for full contact info
Utah,   Regence BCBS of Utah	(866) 227-0913	800-351-2370
Vermont,   Blue Cross and Blue Shield	(888) 222-9206	800-922-8778
Virginia,   Anthem Blue Cross and Blue Shield	800-533-1120 (Commercial)                            800-901-0020   (Medicaid)	800-533-1120
Washington,   Premera Blue Cross	877-342-5258 opt2	877-342-5258 opt 3
Washington,   Regence BlueShield	(866) 227-0913	800-351-2370
West   Virginia, Highmark BCBS West Virginia (Mountain State BCBS)	800-294-9568	800-269-6389
Wisconsin,   Anthem BCBS of Wisconsin	888-571-9055	Click here for full contact info
Wyoming, BCBS of Wyoming	800-442-2376	800-251-1814 Pre Admission   Review                 888-557-2271   Case Management

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Anthem Blue Cross of California

Provider Services: 877-526-3425

Referrals: (888) 613-1130

Transplant Oncology: (888) 613-1130

Maternity Management Program: (800) 769-4896

FEP – Hospitals – 800-322-7319

FEP – Professionals – 800-633-4581

Medi-Cal (inside LA County): (888) 285-7801

Medi-Cal (outside LA County): (800) 407-4627

Healthy Family Program/HMO/EPO: (800) 845-3604

MRMIP/Access for Infants & Mothers (AIM)/CalKids: (877) 687-0549

County Medical Services program (CMSP) (800) 670-6133 Utilization Management
Prior Authorization

Medi-Cal (statewide, inside & outside LA County): (888) 831-2246

AIM, MRMIP, HFP, CMSP: (877) 273-4193

Fax for all UM PAs: (800) 754-4708

 

Blue Shield of California

For Eligibility, Benefits or Claims information for Blue
Shield 65 Plus Group Plan members: Phone: (877) 654-6500

For Commercial HMO Phone: (800) 541-6652 option 6

For Medicare (HMO)and Blue Shield 65 Plus Group Plan Phone: (800) 786-7474

For Care Management (PPO) Phone: (800) 541-6652 option 6

For FEP (PPO) Phone: (800) 541-6652 option 6

For HMO Direct Contracting and CalPERS EPO Phone: (800)
541-6652 option 6

 

BCBS of Alabama

In-State General Provider Inquiry

Participating hospitals: 1-800-760-6852

Participating providers: 1-877-231-7239

Non-participating hospitals and providers (Automated VRU with Representative
availability): 205-733-7016

Automated Voice Response Unit (VRU): 205-988-2213

Automated VRU: 1-800-648-9807

Out-of-State General Provider Inquiry

Automated VRU: 1-800-517-6425

Group-Specific Provider Inquiry

Federal Employee Program (FEP – R prefix): 1-800-492-8872

NASCO: 1-800-548-0165

General Electric: 1-800-655-5392

Primary Care Network Referrals

Automated VRU: 205-733-4283

Automated VRU: 1-888-881-8668

Dental Provider Inquiry

PPO Dentists: 1-800-373-4879

Non-PPO Dentists: 205-985-5378

Out-of-State Dentists: 1-888-783-5113

Home Care Agency Provider Inquiry (not including Hospice and DME)

Participating Home Care Agency: 1-866-904-4130

Non-participating Home Care Agency: 205-733-7016

Pharmacy Inquiry

General Provider Inquiry: 1-800-216-9920

Blue Advantage/Part D Provider Inquiry: 1-877-878-8668

Other

Cahaba GBA (Medicare) Provider Inquiry: 1-877-567-7271

Other Blue Cross and Blue Shield Plans Outside Alabama: 1-800-676-2583

 

BCBS of Arizona

Phoenix: (602) 864-4400 (800) 232-2345

Tucson: (520) 745-1883 (800) 752-0193

Flagstaff: (928) 526-0232 (800) 423-6484

FEP: Phoenix: (602) 864-4102 (800) 345-7562

 

BCBS of Arkansas

Provider Service 501-378-2307 or 1-800-827-4814 (Arkansas
policies only)

BlueCard® Service 1-800-810-BLUE (2583) AAA + up to 17
additional alphanumeric characters

FEP Service 1-800-482-6655 (federal policies only) R

State and School Employee Service 1-501-378-2364 or
1-800-482-8416 (state and school

employee policies only) XCS followed by 960 and a six-digit number

Health Advantage Service 1-800-843-1329

(HMO policies only) XCH + K and eight numeric digits

BlueAdvantage Administrators

of Arkansas Service 1-888-872-2531 AAA + A + eight numeric digits + a two-digit
suffix

Integrated Health 1-800-451-7302 (precertification of
inpatient admissions only)

Anthem BCBS of Colorado

Customer Service:
877-833-5742, M-F: 8:00 am – 6:00 pm

Authorizations: 303-831-4115 or 800-832-7850

XFG, XFO Medicare
Supplement

Customer Support 866-438-9969, M-F: 9:00 am – 7:00 pm

XFU Medicare
Advantage HMO:Sure Value (Basic and Enhanced)

Customer Support: 866-438-9969, M-F: 9:00 am – 6:00 pm

Authorizations: 866-797-9884

YFV Medicare
Advantage PPO: Anthem Medicare Preferred : Core and Premiere

Customer Service: 866-408-7086, M-F: 9:00 am – 6:00 pm

Authorizations: 866-797-9884

 

BCBS of CT

HMO

XGE, XGG, XGN, XGL, XGT, XGP, XGR

(800) 922-3242 Professional

(800) 345-2227 Institutional

Business hours: Monday – Friday: 8:00AM – 5:00PM

PPO / Century 90

XGC, XGS, XGB

(800) 922-3242 Professional

(800) 345-2227 Institutional

Federal Employee
Program (FEP)

(800) 438-5356

Business hours: Monday, Tuesday, Wednesday, Friday: 8:00AM – 5:30PM and
Thursday: 9:00AM – 5:30PM

New England Health
Plans (NEHP)

CTN, CTP, MEN, MEP, MTN, MTP, NHN, NHP, EHF, EHG, EHH, EHJ

(800) 238-2465

Business hours: Monday – Friday: 8:00AM – 5:00PM

 

Carefirst BCBS

 

Provider Services	Phone Number
Maryland Indemnity – XW Prefix	410-581-3581   / 800-437-2332
NCA Indemnity – XIA, XIJ and XWY Prefixes  BlueChoice – XIC, XIK and XWR Prefixes   BluePreferred – XIP, XIL and XWV Prefixes BlueChoice Advantage – XIH Prefix   MHIP	202-479-6560   / 800-842-5975
BlueChoice – XIC, XIK and XWR Prefixes	202-479-6560   / 800-842-5975
BluePreferred – XIP, XIL and XWV Prefixes	202-479-6560   / 800-842-5975
BlueChoice Advantage – XIH Prefix	202-479-6560   / 800-842-5975
MHIP	202-479-6560   / 800-842-5975
Maryland Point of Service (MPOS) Referral Line	410-998-5741   – Fax for referrals
State of Maryland – All Products	877-228-7268
Care Management	866-PRE-AUTH   (773-2884)
Authorization	410-781-7661   – Fax for authorization
Case Management	410-605-2413   / 888-264-8648
Northrop Grumman – NRG Prefix	877-228-7268   / 800-972-8088
Northrop Grumman – ESS or NGC Prefix	800-516-1269
All Other NASCO Accounts	877-228-7268
AVRU NCA Region: Eligibility, Claim and Benefit Inquiry for   CareFirst BlueChoice, BluePreferred and NCA Indemnity	202-479-6560   / 800-842-5975
AVRU MD Region: Authorizations, Eligibility and Claim and   Benefit Inquiry for PPO, MPOS, PPN and MD Indemnity	410-581-3535   / 800-248-8410

 

Blue Shield of Idaho

Administrative
Services Only (ASO) 866-227-0913

Healthcare
Management Administrators (HMA) 800-700-7153

Regence Group
Administrators (RGA) 866-738-3924

TriWest/TRICARE 
888-874-9378

 

BCBS of IL

IVR (800) 972-8088

Anthem Midwest – USa, Kentucky, and Ohio

Commercial

Provider Inquiry
Department

(800) 282-1016

Blue Product
Precertification and Referrals

(877) 814-4803

BlueCard Customer
Service (To verify claims status)

Indiana

(888) 800-2160

Kentucky

(800) 383-2538

Ohio

(800) 213-4908

BlueCard POS Provider Unit:

(800) 421-0405

Medicaid

Medicaid Customer
Service (866)629-1607

Eligibility
(866)896-6625

Prior Authorization
(877)804-6564

Medicaid UM
(866)896-6580

Admission
Notification (866)896-6580

 

Provider Service Centers	Telephone Numbers	Member ID Number Prefixes Handled by Service Center
Provider Call Center	(800) 332-6558	YGA, YGC, YGF, YGG, YGK, YGM, YGX
(local Anthem plans)
New England Health Plan (NEHP) and *Empire HMO plans	(800) 238-2465	CTN, CTP, EHF, EHG, EHH, EHJ, MEN, MEP, MTN, MTP, NHN, NHP
Claim inquires		*Empire prefixes -BJY, YLF, YLL, YLQ

 

Anthem Connecticut		XG**, ATM, CKC, HJB, INF, LBG, LGI, LOS, MCK, MGG, OTW, PHT,   TLD, TUV, URI, URR
Professional	(800) 922-3242
Institutional	(800) 345-2227
Anthem Maine	(800) 832-6011	XVA, XVB, XVG, XVH, XVP
BlueCard® Service Center	(877) 417-8489	All prefixes not listed elsewhere in this grid
Federal Employee Program® (FEP)	(800) 852-3316	R (followed by 8 digits)
Medicare Advantage	(866) 364-2374	JQQ, JWI, VZI, XDV**, XFQ, XGA, XKB, XPI, XTI, XVD, YFE, YGB,   YLI, YRF, YRI, YTL
SmartValue
(private fee for service (PFFS)) plans
Medicare Advantage other HMO and PPO plans throughout the United States	see member’s ID card	JQV#, JWJ#, VXA#, VZJ#, XDG, XDK, XDT, XFU, XFV#, XGD#, XKD#,   XPJ#, XTJ#, XVE#, YFQ#, YGD#, YLO#, YLQ, YLR, YLV, YRA, YRE, YRJ#, YTN#
MediBlueSM HMO	(866) 673-4157	XGH
Taft-Hartley / Teamsters	(888) 287-0032	CCU, ELH, IUP, NEF, NEH, PSH, PTH, SVL, TLH, TSJ, NIW, CWV, IRU,   IUB, EWU

Carefirst BCBS

 

Provider Services	Phone Number
Maryland Indemnity – XW Prefix	410-581-3581   / 800-437-2332
NCA Indemnity – XIA, XIJ and XWY Prefixes  BlueChoice – XIC, XIK and XWR Prefixes   BluePreferred – XIP, XIL and XWV Prefixes BlueChoice Advantage – XIH Prefix   MHIP	202-479-6560   / 800-842-5975
BlueChoice – XIC, XIK and XWR Prefixes	202-479-6560   / 800-842-5975
BluePreferred – XIP, XIL and XWV Prefixes	202-479-6560   / 800-842-5975
BlueChoice Advantage – XIH Prefix	202-479-6560   / 800-842-5975
MHIP	202-479-6560   / 800-842-5975
Maryland Point of Service (MPOS) Referral Line	410-998-5741   – Fax for referrals
State of Maryland – All Products	877-228-7268
Care Management	866-PRE-AUTH   (773-2884)
Authorization	410-781-7661   – Fax for authorization
Case Management	410-605-2413   / 888-264-8648
Northrop Grumman – NRG Prefix	877-228-7268   / 800-972-8088
Northrop Grumman – ESS or NGC Prefix	800-516-1269
All Other NASCO Accounts	877-228-7268
AVRU NCA Region: Eligibility, Claim and Benefit Inquiry for   CareFirst BlueChoice, BluePreferred and NCA Indemnity	202-479-6560   / 800-842-5975
AVRU MD Region: Authorizations, Eligibility and Claim and   Benefit Inquiry for PPO, MPOS, PPN and MD Indemnity	410-581-3535   / 800-248-8410

BCBS of Michigan

BCBS of MI – Facilities

Area Code 248, 313,
517, 586, 734, 810, 947 or 989

1-800-228-4599
(hospitals) 1-800-437-3804 (facilities)

 

Area Code 231, 269,
616, 989*

1-800-643-2583
(hospitals and facilities)

 

 

Area Code 906

1-866-872-5837 (hospitals
and facilities)

 

Outside Michigan
1-800-482-0898 (hospitals and facilities)

BCBS of MI – Professional Providers 800-344-8525

 BlueChoice PPO
877-285-0172

BCN and BCN
Advantage 800-255-1690
(BCN)

Blue Cross Complete 1-800-688-3290

 

BCBS of Mississippi

Provider Services 

1-800-257-5825

Provider Service Coordinators

601-664-4258

Federal Employee Program

601-932-4252 or
1-800-932-7724

State and School Employees’ Health Plan

Benefits, Eligibility and Claims Status 1-800-709-0973

Pre-Certification (through ActiveHealth) 1-866-939-4721

Horizon BCBS of New Jersey

Prefix or Suffix	Service #
YHC, YHI, YHJ, YHK, YHS, YHU, JGA, JGD, JGG	1-800-624-1110
R, 8-digits and PPO logo Federal Employee Program (including   behavioral health claims)	1-800-624-5078
FMA, FMR, NCH, YHF, YHN, HIF, HSG, HWA, HWW and all other   National Accounts	1-800-624-4758
HSE, NFW, YHD, YHG, YHM, YHP, YHT, YHV, and all other Point of   Service members	1-800-624-1110
ATT, AT&T members	1-800-624-1110
JGE, JGB, JGH, YHO, YHX Horizon Direct Access members	1-800-624-1110
YHA  NJ State Health   Benefits Program (SHBP)	1-800-624-1110
NJP  NJ State Health   Benefits Program	1-800-624-1110
YHR, All Medigap	1-800-624-1110
DEH, DMM, DTP, NGM, General Motors / Delphi Auto	1-800-452-9336

 

BCBS of Western New York

Provider Services

1-800-950-0051 or
1-716-884-3461 (Traditional)

1-800-950-0052 or
1-716-882-2616 (Managed Care)

1-877-327-1395
(Government Programs)

 

Empire BCBS of New York

Direct HMO1, HMO Child Health PlusSM1 MediBlue1 POS1, DirectShare POS EPO, PPO1, Empire Total BlueSM	Managed Care Physician Services 1-800-552-6630
BlueCard PPO2 (For Out-of-Area Members Only)	Claim Status/Review: 1-800-713-4173 Eligibility: 1-800-676-BLUE (2583)
Traditional Indemnity	Empire Physician Services 1-800-343-7283

 

Medical Managment

Direct HMO1, HMO Child Health PlusSM1 MediBlue1	Empire Medical Management Phone: 1-800-441-2411 Fax: 1-800-241-5308
POS1, DirectShare POS	Empire Medical Management Phone: 1-800-845-4741 Fax: 1-800-241-5308
EPO, PPO1, Empire Total BlueSM	Empire Medical Management Phone: 1-800-982-8089

 

Anthem BCBS of Nevada

HMO Nevada

Member IDs beginning with YFD:

800-332-3842

Member IDs beginning with YFN:

877-833-5742

HMO Nevada Guest
Membership/Away From Home Care 800-827-6422

Anthem Blue Cross and Blue Shield PPO/Indemnity Plans

Member IDs beginning with YFA, YFS or YFC:

800-332-3842

Member IDs beginning with YFK, YFL, YFP, YFT or YFW:

877-833-5742

Medicare Supplemental
Plans Member IDs beginning with YFB:

800-332-3842

Member IDs beginning with YFG:

800-928-6201

Anthem Associates
and Retirees

Member IDs beginning with YFH:

800-392-6117

Member IDs beginning with ANT or ANB:

303-861-7799

800-433-5447

Member IDs beginning with XFY, WEP or ANJ:

800-234-0111

Federal Employee Health Benefit Program

Eligibility/Benefit/Claim information:

800-727-4060

BCBS of Northeastern PA

BlueCare HMO –
1-800-822-8752

BlueCare Traditional
(Blue Cross & Blue Shield) – 1-888-827-7117

BlueCare PPO –
1-866-262-5635

BlueCare EPO –
1-888-345-2353

Blue Cross of NEPA
Precertification (FPLIC Traditional, Special Care and FEP) – 1-800-638-0505

FPLIC PPO
Precertification – 1-866-262-5623 (includes all PPO products)

FPLIC EPO
Precertification – 1-888-345-2360 (includes all EPO products)

 

Highmark BCBS

ClassicBlue,
PPOBlue, EPOBlue, DirectBlue, ShortTermBlue, SpecialCare, PPOPlus –
866-731-8080

MedigapBlue,
Signature 65 – 866-763-6695

FreedomBlue PPO
(FER, FEM, HQM, TDM) 800-550-8722

 

Independence BCBS

HMO — Keystone
Health Plan East 1-800-ASK-BLUE

PPO — Personal
Choice® 1-800-ASK-BLUE

Federal Employee
Program (FEP) 215-241-4400

Keystone 65 HMO
1-800-645-3965

Personal Choice 65SM
PPO 1-888-718-3333

MedigapSecurity
1-888-926-1212

 

BCBS of Tennessee

Commercial

Eligibility and
Prior Authorization: 800-924-7141

Blue Advantage :
800-841-7434

 

BlueCare (East and
West Grand Region)

Provider Service
Line 800-468-9698

Precert :
888-423-0131

TennCare Select (Statewide)

Provider Service
Line 800-276-1978

Precert: 800-711-4104

 

BCBS of TX

Blue Choice PPO/POS,
HealthSelect POS, TRS Active Care  800-451-0287

HMO Blue
877-299-2377

Utilization
Management – 800-441-9188

 

Anthem BCBS of Wisconsin

Blue Access, Blue
Preferred, Blue Traditional

Group and Individual Policies:888-571-9055

Precert: 800-242-1527

VZF, VZG, AYUVZR, VZT, AUJ, AYX, VZD

Blue Access
PPO(Anthem Associates)

Customer Service 800-676-2583

Precert: 888-896-8027

2012-WUK

Blue Preferred
HMO(Anthem Associates)

Customer Service: 800-234-0111

Precert: 800-234-0111

VZY (Prior to 2012)

Lumenos Consumer
Driven Health Plan (CDHP)HRA, HSA, HIA, HIA Plus

Customer Service: 800-972-6359

Precert: 866-398-1922

VZZ

Health Reimbursement
Account (HRA)(Anthem Associates)

Customer Service: 877-875-1223

Precert: 888-896-8027

2010 – WLU

Self Funded Groups
Administered by Anthem

Anthem ID card (Back of card indicates “Benefits administered by BCBS of WI…”)

Precert: 866-643-7087

Fax: 866-959-2154

CM: 866-216-4091

Diocese of
Evansville Prefix CLJ Precert 866-643-7087 Customer Service (855) 220-1282