Answers to the most Frequently Asked Provider Questions are listed below: Also view EDI FAQs and Servicing Medicare Advantage FAQs
General Info
To what addresses do I need to mail my Blue Cross or HMO LA claims?
What are the fax numbers to the Blue Cross and HMO LA Claims Departments?
Who is my contracting or provider relations representative?
How can I get information about electronic claims filing?
Where can I find information about the authorization process?
Who should I call when I need to pre-certify services?
How can I find out if a service requires pre-certification?
Who should I call to check on the status of my credentialing application?
How long does it take to process a credentialing application?
If I sign a Key Physician Agreement, am I automatically included in all the Blue Cross and Blue Shield of Louisiana networks?
How can I obtain a Physicians Resource Guide or network directory?
Who do I contact to change my address, telephone number or tax ID number?
What is BlueCard?
Where can providers call for claims inquiries?
To what addresses do I need to mail my Blue Cross or HMO LA claims?
Blue Cross Claims:
Blue Cross and Blue Shield of Louisiana
Claims Department
P. O. Box 98029
Baton Rouge, LA 70898-9029 |
HMO LA Claims:
HMO LA
Claims Department
P.O. Box 98024
Baton Rouge, LA 70898 |
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What are the fax numbers to the Blue Cross and HMO LA Claims Departments?
Blue Cross Claims Department: 225.295.2147
HMO LA Claims Department: 225.295.2494
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Who is my contracting or provider relations representative?
You can find your representatives using our interactive contact map. Simply scroll over your parish to find the desired contact information.
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How can I get information about electronic claims filing?
Call our Electronic Data Interchange (EDI) department at 225.291.4334 or e-mail at edich@bcbsla.com. You can also view our EDI FAQs to answer your electronic filing questions.
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Where can I find information about the authorization process?
Please refer to the appropriate network speed guide or office manual for services that need authorizations.
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Who should I call when I need to pre-certify services?
For all lines of business, except the Federal Employee Program, please call 1.800.523.6435 for pre-certification of services. For Federal Employee Program members, please call 1.800.334.9416.
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How can I find out if a service requires pre-certification?
If you are unsure whether or not a service requires pre-certification, call our Provider Inquiry Unit at 1.800.922.8866.
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Who should I call to check on the status of my credentialing application?
You may call our Network Administration Division at 1.800.716.2299 and select option 2.
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How long does it take to process a credentialing application?
Generally, it takes 60–90 days from the date it is received to process a credentialing application.
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If I sign a Key Physician Agreement, am I automatically included in all the Blue Cross and Blue Shield of Louisiana networks?
No, all of our networks have separate agreements or addenda, as well as varying participation and credentialing requirements. To request more information on joining our provider networks, please call our Network Administration Division at 225.297.2758 or 1.800.716.2299, option 3.
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How can I obtain a Physicians Resource Guide or network directory?
Call 225.297.2758.
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Who do I contact to change my address, telephone number or tax ID number?
Information changes should be mailed to:
Blue Cross and Blue Shield of Louisiana
ATTN: Network Operations—Information Change
P.O. Box 98029
Baton Rouge, LA 70898-9029
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What is BlueCard?
The BlueCard® Program links participating healthcare providers with Blue Cross and Blue Shield Plans everywhere. Blue Cross and Blue Shield of Louisiana serves as your focal point for claims collection, payment, problem resolutions and adjustments. You may recognize members of the BlueCard® Program by their ID cards, which will have the special “PPO in a suitcase” logo or the blank suitcase in the upper right-hand corner. If you would like more information on BlueCard®, please review the BlueCard Program Provider Manual [PDF] or our Out-of-State/BlueCard pages.
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Where can providers call for claims inquiries?
Use the following numbers for the corresponding plans:
Key Physician
PPO (Preferred Care)
Medicare Supplement (BC65)
Out-of-state
Dental |
1.800.922.8866 or
225.291.5376
|
Advantage Blue POS
HMO Louisiana (Louisiana Blue Health Plans) |
1.800.376.7741 or
225.293.0625
| |
| Federal Employee Program (FEP) |
1.800.272.3029 |
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