bcbs dental claims address and requirements explained

To submit a dental claim to BCBS, you'll need to send it to the correct address. The BCBS dental claims address is PO Box 4050, Chicago, IL 60654-4050.

Make sure to include all required documentation, including the claim form, itemized bill, and any supporting documentation. This will help ensure your claim is processed efficiently.

BCBS requires that you use the correct claim form, which is the BCBS Dental Claim Form. You can download this form from the BCBS website or request it from your dentist's office.

Remember to include your policy number and patient ID number on the claim form to help BCBS quickly identify your account.

To submit dental claims and benefits information, you'll need to send all claims and pre-determination requests directly to the claims administrator.

The claims administrator is the one you should be in touch with for any dental claims or benefits inquiries.

To ensure a smooth process, submit all claims and pre-determination requests directly to the claims administrator.

To submit dental claims to Blue Cross of Idaho, you'll need to include the billing and treating provider National Provider Identifier (NPI) numbers on the American Dental Association (ADA) claim form. This is a requirement to avoid claims being returned for correction.

Electronic claims must also include the NPI numbers in the correct loops, such as the 2010AA loop for the billing NPI and the 2310B loop for the treating NPI. Hard copy claims require the NPI numbers in items 49 and 54, respectively.

To ensure timely processing, item 56 on the ADA claim form must include the location where services were rendered. Claims missing this information may experience delays or incorrect payments. Blue Cross of Idaho will not recognize patient account information in item 23 when submitted via hard copy on the ADA claim form.

If you're submitting claims electronically, be sure to use the correct payer IDs, which can be found in the Electronic Payer IDs list. You can also use the My Insurance Manager tool to submit claims securely and efficiently.

To ensure your dental claims are processed correctly and on time, it's essential to follow some key requirements.

Hard copy claims must include the billing and treating provider National Provider Identifier (NPI) numbers. Claims without this information will be returned to the provider for correction.

Electronic claims must also include the NPI numbers, or they will "error" and require correction and resubmission before processing.

The organizational NPI number indicates who should be paid and may be the same as the treating provider NPI if the provider doesn't have an organizational NPI.

Claims billed electronically need to populate in the 2010AA loop, with the organizational NPI number in item 49 when submitting hard copy claims.

The treating number is for the individual rendering the service, and it goes in item 54 when submitting hard copy claims.

If different providers within a clinic perform services, submit a separate claim for each provider of service.

To avoid processing delays, make sure item 56 on the ADA claim form includes the location of where you rendered the services.

Don't rely on item 23 for patient account information when submitting hard copy claims on the ADA form.

Electronic claims submission is the preferred method for many providers, allowing for faster reimbursement cycles and reduced errors.

You can file claims directly to us, through a clearinghouse, or by using My Insurance Manager. We accept all claim types electronically, including primary, secondary, institutional, dental, and corrected claims.

Electronic filing makes reimbursement cycles shorter than with paper claims, and can help catch errors that might otherwise delay processing.

Electronic Medical Claims (EMC) filing is more efficient, allowing hospitals and physicians to receive payment five to seven days faster than for claims they file hardcopy.

EMC filing also ensures claims accuracy through system edits, which is a huge plus for providers who want to avoid delays and rejections.

If you're interested in seeing how you're doing with electronic claims submission, you can use the EMC Rate Tables to check your progress.

To get started with electronic claims submission, you can view a list of payer IDs to use on claims submitted directly to us. You can also refer to the MIM Manual Claims Entry section of our My Insurance Manager User Guide for step-by-step instructions.

The benefits of electronic claims submission are clear: faster reimbursement, reduced errors, and improved accuracy.