Identifying Members
- Member Cards
When members of Blue Plans arrive at your office
or facility, be sure to ask them for their current
member card. To ensure accurate claims
processing, it is critical to capture all member
card data. If the information
is not captured correctly, you may experience
a delay with claims processing.
Sample
member cards |
Important
facts |
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- The main identifiers of BlueCard
eligible members are an alpha
prefix and a suitcase
logo.
- A correct member number includes
the alpha prefix and all subsequent
characters, up to 17 positions total.
Others may be fewer than 17 positions.
- The alpha prefix on member cards
is generally three characters.
- Some member numbers may include
alpha characters in other positions
following the alpha prefix.
- The alpha prefix is critical for
the electronic routing of the claim
to the appropriate Blue Plan.
- You may encounter some member cards
with no group number. In this situation, leave the group number field on the claim blank or populate the field with 99999999.
- Do ask for the member card and
submit the complete number, including
alpha prefix, exactly as it appears.
- Do make copies of the front and
the back of the member card and share
this information with your billing
staff.
- Don't add or delete characters
or numbers within the member number.
- Don't change the sequence of the
characters following the alpha prefix.
- Don't assume that the member’s
number is their social security number
(SSN). SSNs are no longer used as
member numbers.
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