BlueCard Tutorial: Claims Routing Toolquestions: [email protected]
version 6 – updated 11/13/2017
Use the Claims Routing Tool to instantly find where to send your BlueCard claim for processing
After completing the Claims Routing Tool tutorial, you will be able to:
• Find where to send BlueCard claim
• Find the BlueCard claims mailing address
BlueCard TutorialsClaims Routing Tool
BlueCard Tutorial: Claims Routing Toolquestions: [email protected]
version 6 – updated 11/13/2017
To find the Claims Routing Tool, access BlueCard Program home page first. Click on "BlueCard Home Page" link in the "BlueCard Program" toolbox.
Note: The Claims Routing Tool is also found on the Eligibility & Benefits and Claims tabs.
Provide Connection Home page
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BlueCard Tutorial: Claims Routing Tool
Enter the 3-character prefix found on the member’s ID card, and the date of service in the Claims Routing Tool and then click search.
Note: To save you time, the current date is pre-populated.
To change the date, you can delete and enter new date, or use the calendar feature.
Different results may occur for different dates of service.
BlueCard Program home page
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Enter the “3-letter prefix” and “date
of service”
Enter the “3-character prefix”
and “date of service”
04/15/2016
questions: [email protected] version 6 – updated 11/13/2017
BlueCard Tutorial: Claims Routing Toolquestions: [email protected]
version 6 – updated 11/13/2017
Search results will display the name of the California Blue plan that can process your claim.
The result for claims processed by Blue Shield of California will display our claims mailing address, and customer service numbers.
Tip: You can use the Claims Routing Tool for other types of routing searches of claims Blue Shield processes. Such as, local commercial, FEP and Medicare.
BlueCard Program home page
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The Blue Shield of California name
and logo displays for Blue Shield claims.
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BlueCard Tutorial: Claims Routing Toolquestions: [email protected]
version 6 – updated 11/13/2017
For most local Blue Shield of California members, you will be prompted to enter the member’s complete ID number to obtain the appropriate claims mailing address.
Note: Alpha prefixes XEA through XEZ represent local Blue Shield of California accounts.
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J12345678
EnterMember ID
BlueCard Tutorial: Claims Routing Toolquestions: [email protected]
version 6 – updated 11/13/2017
Claims Routing Tool Conclusion
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Congratulations! You have completed the Claims Routing Tool tutorial.We encourage you to continue your learning. The BlueCard Tutorials web page contains other informative BlueCard tutorials, plus additional resources you may find helpful.
Your online resources for: • Member eligibility - https://www.blueshieldca.com/provider/eligibility-benefits/eligibility-search/home.sp?cardType=otherplan• Authorization request - https://www.blueshieldca.com/provider/authorizations/pre-service-review/electronic-access/home.sp• Claims status - https://www.blueshieldca.com/provider/claims/search/home.sp
Or contact:• BlueCard Eligibility at (800) 676-BLUE (2583)• Authorization request - call the Medical Management number printed on the back of the member's ID card• BlueCard Claims Unit at (800) 622-0632• Technical Support at (800) 547-6652
