florida blue P.O. Box 1798 Jacksonville, FL 32231-0014 Page 2 MEDICAL CLAIM FORM (To be completed by Member.) Complete ALL information or your form may be returned.
How do I submit a claim to Florida Blue?
How do I submit a claim? If your provider or pharmacy is in your plan’s network, they’ll submit the claim for you If you saw an out-of-network provider, you’ll need to submit a medical claim form. If this was for emergency care, call us first at 800-352-2583 to see if a claim was filed.
Is Florida Blue and BCBS the same?
How do I contact Florida Blue?
You can reach us by phone at 800-352-2583 or chat live with us by clicking Chat. Or you can call 877-352-5830 to be automatically routed to your local Florida Blue Center.
Where is BCBS of Florida located?
About Florida Blue Headquartered in Jacksonville, Fla, it is an independent licensee of the Blue Cross and Blue Shield Association.
What is the payer id number for Florida Blue?
5) Florida Blue will only accept the submission of the tax ID number 592015694 in this field.
Is Florida Blue PPO or HMO?
HMO coverage is offered by Health Options, Inc., DBA Florida Blue HMO, an affiliate of Blue Cross and Blue Shield of Florida, Inc. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.
Who owns Florida Blue insurance?
GuideWell is a not-for-profit mutual holding company and the parent to a family of forward-thinking companies, including Florida Blue, that are focused on transforming health care. In total, GuideWell companies serve more than 45 million people in 45 states.
Is Florida Blue Medicare or Medicaid?
Shop for medicare plans in your area. Florida Blue has proudly served Medicare beneficiaries since 1965 We offer a variety of affordable Medicare plans with more benefits than Original Medicare.
Is Florida Blue Anthem?
Under the Traditional Program, Anthem’s comprehensive medical health care benefit plan is included. Though under this program there is no set network of health care providers, members are recommended to visit a “Blue Plan” participating provider as Anthem is under Blue Cross Blue Shield.
Is Anthem Blue Cross Blue Shield in Florida?
Anthem Blue Cross and Blue Shield is a common health insurance in Florida , and individuals who have Anthem Blue Cross and Blue Shield may wish to find therapists who are in-network with their health insurance.
Can I email Florida Blue?
BlueCare (HMO) members, please refer to our Away from Home Care brochure. What if I have a question about a claim? You can log in to your member account at FloridaBlue.com to email us a question Or you can call the Customer Service number on your member ID card.
What is a Florida Blue report?
To combat fraud and abuse, Florida Blue’s Special Investigation Unit conducts investigations when a fraudulent insurance act is suspected or has been committed.
What is Florida Blue grace period?
Unless your plan has been canceled, we’ll start your coverage back up as soon as we get your payment in full. If you are not eligible for the Advanced Premium Tax Credit or you bought your coverage directly from us, your grace period is 31 days During that time your claims will be pended.
How do I submit a corrected availity claim?
Availity Portal Corrected Claim Submission In the Availity portal menu, select Claims & Payments, and then select Professional Claim or Facility Claim , depending on which type of claim you want to correct.
How do I submit to Superbill?
Upload Superbill Through Your Insurance Company’s Portal Your insurance company may have a portal that you can use to upload the Superbill. The portal is the insurance company’s website that requires a username and password. This is the most secure way to transmit your Superbill, and the most timely.
Does Florida Blue cover in other states?
How am I covered if I travel outside the State of Florida? When traveling out-of-state, you’re covered under the BlueCard ® Program You’ll receive in-network benefits and will be protected from balance billing when receiving covered services from a BlueCard® participating provider.
Are Blue Cross and Anthem the same?
Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.
What does PPO stand for in insurance?
PPO stands for preferred provider organization Just like an HMO, or health maintenance organization, a PPO plan offers a network of healthcare providers you can use for your medical care. These providers have agreed to provide care to the plan members at a certain rate.
Is Florida Blue Insurance Good?
Florida Blue earned an A+ rating from the Better Business Bureau and 4.5 of 5 stars for overall customer experience from the National Committee for Quality Assurance (NCQA).
How many members does FL Blue have?
About Florida Blue Florida Blue has approximately 4 million health care members and serves 15.5 million people in 16 states through its affiliated companies. Florida Blue is a not-for- profit, policyholder-owned, tax-paying mutual company.
Are Florida Blue centers open?
Call 1-800-825-2583. For face-to-face support, Florida Blue Centers are open Monday through Saturday from 10 a.m. to 8 p.m. Eastern Time where representatives can help you with care or service. Call 1-877-352-5830.
How do I find my Florida Blue member number?
You can find your member number on your ID card , which looks just like this one. You can enter both the alpha and numeric or just the numeric part on your card. For Dental only contracts enter the ID shown on your card.
Who qualifies for Florida Blue?
You are age 65 or older and a U.S. citizen or a permanent U.S. resident who has lived in the U.S. continuously for five years prior to applying.
What is the payer ID number?
A Payer ID is a unique ID number that is assigned to an insurance company for the purpose of transmitting provider claims electronically Each company has a specific number that must be used in order to achieve proper adjudication of the claim.
What is a payer code?
The Payer ID or EDI is a unique ID assigned to each insurance company It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.
What type of insurance is Florida Blue PPO?
PPO: Preferred Provider Organization With a PPO plan, you’re not required to have a primary care doctor and can see specialists without a referral. Main features of PPO plans: A larger network of providers and hospitals. Lower costs when you use in-network providers.
Do doctors prefer HMO or PPO?
PPOs Usually Win on Choice and Flexibility If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you won’t likely need to select a primary care physician, and you won’t usually need a referral from that physician to see a specialist.
Does Florida Blue have a PPO plan?
To see which providers participate in your health plan’s network, check out the online provider directory at floridablue.com, click on the Find a Doctor tab, and select Preferred Patient Care (PPO) You can find doctors, specialists, hospitals, labs and urgent care centers.
Is Florida Blue a federal contractor?
As an organization with federal contracts , our Company, along with first tier, downstream and related entities (FDRs), is prohibited from conducting business with anyone who has been debarred, excluded or are otherwise ineligible to participate in federal programs.
Does Florida Blue Own Capital Health Plan?
Capital Health Plan (CHP) is committed to offering affordable, comprehensive health care to its members. Based out of Tallahassee, Florida, it is an independent licensee of the Blue Cross and Blue Shield Association , an association of independent Blue Cross and Blue Shield companies.
How many members does GuideWell have?
Today, GuideWell is made up of more than 13, 000 employees and serves 27 million people across 35 states, plus Washington D.C., the U.S. Virgin Islands and Puerto Rico.
How much is GuideWell worth?
With $19 billion , GuideWell would rank 165th if it filed public financial statements. Besides health insurance, GuideWell provides other services to health care companies including marketing and administrative functions. It has more than 12,000 employees in 34 states, according to the fact sheet.
Is GuideWell a nonprofit?
Established in 2014, GuideWell is a not-for-profit mutual holding company , and the parent to a family of forward-thinking companies focused on advancing health care. We are at the forefront of the health care evolution – innovating, collaborating and advocating for a health care system that works better for everyone.
Can you get Medicare and Medicaid in Florida?
If you are dual eligible, you are can enroll in a dual eligible special needs plan (D-SNP) that covers both Medicare and Medicaid benefits These plans may also pay for expenses that Medicare and Medicaid don’t over individually, including over-the-counter items, hearing aids, and vision or dental care.
Why do doctors not like Medicare Advantage plans?
If they don’t say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.
What is Florida Medicare?
Medicare Coverage Overview for Florida. The federal Medicare program provides health insurance coverage to eligible United States citizens and permanent legal residents who are age 65 or older, or under 65 with certain medical disabilities or illnesses, including those in Florida.