| Customer FAQs |
What if I or a member of my family needs emergency care?
What customer services are available to me online? What are the fax numbers to the Blue Cross and HMO Louisiana Claims areas? Where can I get and/or mail a Blue Cross or HMO Louisiana claims form? My claim was returned as being investigational. What does investigational mean? I did not receive my claim payment. Can you re-issue the claim payment? How can I get prescription drug information? What is the amount of my deductible? Can I change my primary care physician (PCP)? How can I change my address with Blue Cross and/or HMO Louisiana? How can I terminate my Blue Cross or HMO Louisiana policy? How can I get a new Blue Cross or HMO Louisiana ID card?
Members under an employer-sponsored plan cannot access these services unless your employer has elected to participate. Primary cardholders can access member maintenance information for themselves and those covered under their plan.
Blue Cross and HMO Louisiana FAQs
What if I or a member of my family needs emergency care?
In an emergency situation, you should seek treatment at the nearest facility or call 911 for assistance.
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What customer services are available to me online?
Through AccessBlue you can:
- Forms for Members
- Online Provider Directory
- Covered Drugs
**Healthcare Advisor and Coverage Advisor are powered by Subimo, LLC, an independent company that provides information on coverage and health topics for Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc.
Can I file a claim online?
You can download a claim form from the Forms for Members page and submit it by mail or fax. If you receive services from a participating provider, your claims will automatically be filed for you and you do not need to submit a claim.
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What are the fax numbers to the Blue Cross and HMO Louisiana Claims areas?
Blue Cross Claims Department Fax: 225.295.2147
HMO Louisiana Fax: 225.295.2494
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Where can I get and/or mail a Blue Cross or HMO Louisiana claims form?
| Blue Cross and Blue Shield of Louisiana Claims Department P.O. Box 98029 Baton Rouge, LA 70898-8029 |
HMO Louisiana |
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Why was my claim returned?
Your claim may have been returned because it did not include all of the information necessary for processing. Call the Customer Service number on the back of your ID card to find out the reason why your claim was returned and what additional information, if any, is needed for processing.
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My claim was returned as being investigational. What does investigational mean?
A medical treatment, procedure, drug, device or biological product is investigational if its effectiveness has not been established by credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community and it has not been incorporated into standard medical practice. To learn more, you should review your contract booklet. To appeal a prior decision that we have made, submit a written request in a timely manner.
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I did not receive my claim payment. Can you re-issue the claim payment?
Yes, we can re-issue a claim payment check. The original check must have been issued more than 15 days before the request for a new check is made and the original check must be outstanding. We will issue a stop payment on the original check and will send a request to the Accounting Department to reissue a check. Our Accounting Department will check with our bank before reissuing the check.
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How can I find a doctor?
Our Online Provider Directory, which is updated daily, lists the thousands of doctors and hospitals who participate in the Blue Cross network.
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How can I get prescription drug information?
If you have prescription drug coverage administered by Blue Cross and Blue Shield of Louisiana or HMO Louisiana, your personal prescription drug information is available through ExpressScripts, Inc.* Once you’re registered at the site, you have access to such information as:
- Details on your prescription benefits, including co-pay/co-insurance costs
- Prescription drug history for the last 12 months for you and your covered family members (some claims may not be displayed due to technical limitations)
- Possible interactions of your prescription drugs with other medicines, food or alcohol
- A pharmacy locator that helps you find available 24-hour pharmacies closest to your home
*Express Scripts, Inc. is an independent company that serves as the pharmacy benefit manager for Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc.
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What is the amount of my deductible?
Individual and Family Deductible amounts vary according to your contract type, the type of covered services rendered and where these services are received. Check the Schedule of Benefits attached to your contract or certificate or call the Customer Service number on the back of your ID card.
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Can I change my primary care physician (PCP)?
You can change your PCP at any time by contacting our Customer Service Department at the number listed on the back of your ID card.
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How can I change my address with Blue Cross and/or HMO Louisiana?
Blue Cross and HMOLA must receive a written notice to make a change of address. The notice can either be a letter or change of status card and must include a signature. A notice to change an address with Blue Cross and HMOLA should be mailed to:
| Blue Cross and Blue Shield of Louisiana P. O. Box 98029 Baton Rouge, LA 70898-9029 |
HMO Louisiana |
If you are a group member of Blue Cross or HMOLA, you can secure a change of status card from your group leader. If you are an individual subscriber of Blue Cross, please call Customer Service at 225.291.5370 or 1.800.599.2583. If you are an individual subscriber of HMOLA, please call Customer Service at 1.800.376.7741.
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How can I terminate my Blue Cross or HMOLA policy?
A request to terminate a Blue Cross or HMOLA policy must be made in writing and mailed to:
| Blue Cross and Blue Shield of Louisiana Claims Department P. O. Box 98029 Baton Rouge, LA 70898-9029 |
HMO Louisiana Claims Department P.O. Box 98024 Baton Rouge, LA 70898 |
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How can I get a new Blue Cross or HMOLA ID card?
You may obtain a new Blue Cross or HMOLA ID card by sending your request in writing or by calling customer service:
|
Blue Cross and Blue Shield of Louisiana |
HMO Louisiana Customer Service P.O. Box 98024 Baton Rouge, LA 70898 1.800.376.7741 |