Are you an Anthem Blue Cross Blue Shield (BCBS) provider in New York needing to submit a claim or check its status? Getting the right phone number is crucial. This article provides the most up-to-date contact information for Anthem BCBS NY provider claims, ensuring you get your claims processed efficiently. We'll also cover other essential contact methods and resources.

Find the Right Anthem BCBS NY Provider Claims Phone Number

Navigating the Anthem BCBS system can be complex, but having the correct phone number saves time and reduces frustration. Here’s how to find the specific number you need.

Key Anthem BCBS NY Provider Phone Numbers

Knowing the right contact number for different types of inquiries can significantly speed up the claims process. Here are some essential phone numbers:

Provider Claim Inquiries

• General Claims Inquiries: 1-800-676-BLUE (2583)
• Electronic Claims Support: 1-800-545-7420

Eligibility and Benefits Verification

• Provider Services: 1-800-676-BLUE (2583)

Pre-authorization and Referrals

• Pre-authorization Department: Check the specific authorization requirements on the Anthem BCBS NY provider website as it varies based on the service and member plan.

Member Services

• Member Inquiries: 1-800-442-1178 (for member-related questions that providers might need to assist with)

How to Verify Claim Status with Anthem BCBS NY

Checking the status of a claim is a routine task for healthcare providers. Anthem BCBS NY offers several methods to verify claim status efficiently.

Online Provider Portal

Anthem BCBS NY’s online provider portal is the most efficient way to check claim statuses. Follow these steps:

1. Register or Log In: Access the portal through the Anthem BCBS NY provider website.
2. Navigate to Claims: Find the “Claims” or “Claim Status” section.
3. Enter Claim Details: Input the member ID, date of service, and claim number.
4. View Claim Status: The portal will display the current status of your claim.

Phone Verification

If you prefer to check via phone:

1. Call Provider Services: Dial 1-800-676-BLUE (2583).
2. Provide Information: Be ready to provide the member ID, date of service, and claim number.
3. Speak with a Representative: A representative will provide the claim status and any additional information.

Essential Information for Submitting Claims to Anthem BCBS NY

Submitting clean claims is vital for timely reimbursement. Ensure you have all the necessary information before submitting.

Accurate Member Information

• Member ID: Verify the member’s identification number on their Anthem BCBS NY card.
• Date of Birth: Ensure the date of birth matches the information on file.
• Name: Confirm the member’s name is spelled correctly.

Correct Coding

• CPT Codes: Use the most accurate and up-to-date Current Procedural Terminology (CPT) codes.
• ICD-10 Codes: Ensure the International Classification of Diseases, Tenth Revision (ICD-10) codes are precise and support the medical necessity of the services provided.
• HCPCS Codes: Use Healthcare Common Procedure Coding System (HCPCS) codes for specific services and supplies.

Billing Information

• Provider NPI: Include your National Provider Identifier (NPI) on all claims.
• Service Location: Specify the location where the service was rendered.
• Billing Address: Ensure the billing address is current and accurate.

Troubleshooting Common Claim Issues

Even with careful preparation, claim issues can arise. Here are some common problems and how to address them. — Hailey Pandolfi OnlyFans: The Ultimate Guide

Claim Denials

• Reason for Denial: Understand the reason for the denial by reviewing the Explanation of Benefits (EOB).
• Appeal Process: Follow Anthem BCBS NY’s appeal process, providing any additional documentation or information to support your claim. According to the American Medical Association, understanding denial reasons is the first step to a successful appeal. https://www.ama-assn.org/practice-management/payment-delivery/how-appeal-health-insurance-denial

Payment Delays

• Check Claim Status: Regularly check the claim status online or via phone.
• Contact Anthem BCBS NY: If delays persist, contact provider services to inquire about the claim’s progress.

Incorrect Payments

• Review EOB: Compare the EOB with your records to identify any discrepancies.
• Contact Provider Services: If you find errors, contact Anthem BCBS NY to request a review and adjustment.

Leveraging the Anthem BCBS NY Provider Portal

The Anthem BCBS NY provider portal is a comprehensive tool for managing claims, eligibility, and other administrative tasks.

Eligibility Verification

• Real-Time Verification: Verify member eligibility in real-time to ensure coverage for services.

Claims Submission

• Electronic Submission: Submit claims electronically through the portal for faster processing.

Prior Authorization

• Submit and Track: Submit prior authorization requests and track their status online.

Resources and Support

• Provider Manuals: Access provider manuals and guides for detailed information on policies and procedures.
• Training Webinars: Participate in training webinars to stay updated on the latest changes and best practices.

FAQ Section

What is the general phone number for Anthem BCBS NY provider claim inquiries?

The general phone number for Anthem BCBS NY provider claim inquiries is 1-800-676-BLUE (2583). — GSH: A Chicago Bears Legacy

How can I check the status of a claim with Anthem BCBS NY?

You can check the status of a claim through the online provider portal or by calling provider services at 1-800-676-BLUE (2583).

What information do I need to submit a claim to Anthem BCBS NY?

To submit a claim, you need the member's ID, date of birth, accurate CPT and ICD-10 codes, your provider NPI, the service location, and the correct billing address.

What should I do if my claim is denied by Anthem BCBS NY?

Review the Explanation of Benefits (EOB) to understand the reason for the denial and follow Anthem BCBS NY’s appeal process, providing any additional documentation or information to support your claim. — The High School Catfish: Unmasking Digital Deception

How can I verify a patient's eligibility with Anthem BCBS NY?

You can verify a patient's eligibility in real-time through the Anthem BCBS NY provider portal or by calling provider services at 1-800-676-BLUE (2583).

Where can I find the Anthem BCBS NY provider manual?

You can access the provider manual and other resources through the Anthem BCBS NY provider portal.

Does Anthem BCBS NY offer electronic claims submission?

Yes, Anthem BCBS NY offers electronic claims submission through their provider portal, which helps in faster claim processing and reduced paperwork.

Conclusion

Knowing the correct Anthem BCBS NY provider claims phone number and utilizing available resources can significantly streamline your claims process. Keep this guide handy to ensure efficient communication and timely reimbursement. For additional support, always refer to the Anthem BCBS NY provider website and online portal. Stay informed, submit clean claims, and leverage available tools to optimize your interactions with Anthem BCBS NY.