P.O. Change of Address From Moving? Effective Dec. 1, 2020, the form to request EFT (Electronic Funds Transfer) changes has moved from this site and will only be accessible on the Availity portal. Billing address for non-group premium payments. Contact Us. Note: Only for Seniors Plus (Group 2009), Health Plus (Group 2008), Blue Choice (Group 3007) or Personal Choice plan (Group 2007) members Access your plan information and quick start guide with My Blueprint, an online, self-service that gives you 24/7 access to your health plan information. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. There are changes to BadgerCare Plus benefits that will affect adults ages 19-64 who are not pregnant and do not have dependent children living in their home. Please provide ALL applicable information to avoid delays. Information Change Request. Then re-enter it for verification. Requests may take up to 30 business days to complete. City. What do I do now? Changes are not immediate upon submission. ® Registered Marks of the Blue Cross and Blue Shield Association. Box 34320, Little Rock, AR 72203-4320. All changes must be made in writing to Retirement Administration, e-mail or U.S. Mail. If you bought an individual or family plan directly from Blue Cross Blue Shield of Massachusetts, please send your premium payment to: Blue Cross Non-group premium PO Box 371314 Pittsburgh, PA 15250-7314. Physical Address. Please note: Physician signature is required to make this update. If you need to change existing demographic information, complete the Demographic Change Form to initiate the process. Box not allowed) Address 2. Enter your Personal Identification Number (PIN), which you can get by calling 1-800-411-BLUE (2583) and following the prompts for help setting up a MyBlue account. Location Phone Number Days Hours (EST) Pittsburgh Service Center 120 Fifth Avenue Place Pittsburgh, PA 15222: 800-816-5527: Monday - Friday: 8:00am - 4:30pm: Johnstown Service Center 1 Pasquerilla Plaza Johnstown, PA 15901: 800-816-5527: Monday - … State. © 2021 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Note: To request to add an additional location or make a change(s) to a … For general inquiries, call 1-800-262-BLUE (2583) If you are a member, visit MyBlue If you are an employer, visit BlueLinks for Employers If you are a health care provider, visit Provider Central If you are a broker, visit Broker Central For questions about our Corporate Citizenship initiatives, email us For Media or Public Relations inquiries, email us Blue Cross Blue Shield Federal Contact Phone Number is : 1-800-492-8872 and Address is 450 Riverchase, Parkway East Birmingham, Albama, United States The Blue Cross Blue Shield Federal is an association of Insurance companies and organizations that provides Insurance Services to American citizens. Mailing Address. Then enter your new email address, accept the Terms and Conditions, and click “Submit”. Why did I receive a warning message about encryption? Monday through Friday 8:00 a.m. - 5:00 p.m. Members 816-395-2500. Simply complete the form below to change your address. To view this file, you may need to install a PDF reader program. An optional health survey to help lower your monthly premium. You can also fax it to the number listed on the form When seeking health care services, our members often rely upon the information in our online Provider Finder ® (view the step-by-step guide). To access it, log in or register on Availity.com and see the Resources tab in Blue Cross Blue Shield Minnesota Payer Spaces. 312south over 2 years ago. It’s very important that you: Verify your information is correct by reviewing your practice profile on Provider Finder. Your email address will be changed to the one you just entered. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Blue Cross Blue shield of Michigan and Blue Care Network members under age 65. While health care evolves rapidly across the nation, our dedication to the people and Illinois communities we serve won't change. Fields in BOLD … Demographic Changes. The Blue Cross names and symbols are registered marks of the Blue Cross and Blue Shield Association Please use this form to update you billing address on file. When, how and where you can make changes depends on: If you get your insurance through an employer or group, or buy it yourself; What it is you’re changing; First we'll … If you're a Blue Cross Blue Shield of Michigan or Blue Care Network member and you have coverage through your employer, use this form to let us know of any changes to your status, like address or name changes. Provider.Blue.Updates@bcbssc.com. Having accurate and current information related to your office address, additional locations, hours and other demographics makes it easier to complete these searches. How do I change my mailing address. Box 226 Pittsburgh, PA 15230 Please include your group and ID number when you write. If you are a HOSPITAL BASED PROVIDER please contact the Provider Maintenance Department to make changes to your information. The new rules begin February 1, 2020. Our Community Partnerships Team works out of Blue Cross and Blue Shield of Louisiana’s corporate headquarters at: 5525 Reitz Ave. Baton Rouge, LA 70809 . These are just some of the reasons why it's so important that you notify Blue Cross and Blue Shield of Oklahoma (BCBSOK) when your practice information changes. Change permanent resident address. BlueCross BlueShield of South Carolina and BlueChoice HealthPlan are independent licensees of the Blue Cross and Blue Shield … If you are a HOSPITAL BASED PROVIDER please contact the Provider Maintenance Department to make changes to your information. Address update for Individual plans. address change. Credit card - Credit card payments may be made online. Submit an Address change online. The protection of your privacy will be … You must contact BCBSM if you need to change your address or phone number. Highmark Blue Cross Blue Shield P.O. File is in portable document format (PDF). Clear selection if you decide not to change your permanent address. Go to your Account Summary in Billing & Payments to make a one-time payment. Phone - Call 1-800-333-7009 to make a one-time payment with a credit card or bank draft. As an authorized representative of a medical provider, you can use this online form to update Blue Cross Blue Shield of Texas with any changes. Email Address: (Required for notification when we complete changes) Please email this form to . Reference the Provider Finder User Guide for assistance. Maybe you got married, moved, and want to add your spouse to your health insurance. Connect with us ‌ ‌ ‌ ‌ ‌ Products are provided by Horizon NJ Health. … Notify us of a name change Claim forms Health Services Claim form (ABC 20039) This form is used to submit claims for products or services such as prescription drugs, private or semi-private hospital accommodation, ambulance, psychology services, physiotherapy, chiropractic, wheelchairs, vision care and hearing aids. Form: Purpose: Download/ complete online: Refusal of Coverage (C19927) This form should be completed and submitted when eligible employees are refusing the employer's Blue Shield of California/Blue Shield of California Life & Health Insurance Company health plan coverage for themselves and/or their spouse, domestic partner, or dependent(s) if applicable. Only for individual plan members . Simply replace your current e-mail address with your new e-mail address. Box 98022 – Baton Rouge, LA 70898-9022 Telephone: 225-298-7979 Email: BCBSLAFoundation@bcbsla.com . You can email your form to eesdrafts@arkbluecross.com or mail it to Arkansas Blue Cross and Blue Shield, EES Membership Financial, P.O. Once the new e-mail address has been submitted, it will immediately be updated in our system. Street address (P.O. BCBSLA Foundation. ®´ Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. ®´´ Registered Marks, TM Trademarks. and SM Service Marks are … Check - Include a check with your monthly invoice and mail it to Blue Cross NC at the address on the invoice. The Blue Cross names and symbols are registered marks of the Blue Cross and Blue Shield Association Please use this form to make corrections, additions, or deletions to your current provider file information. To Providers 816-395-3678. Our provider file is utilized for remittance payments, Internal Revenue reporting, directories and publication mailings. PROVIDER CHANGE NOTIFICATION FORM An Independent Licensee of the Blue Cross and Blue Shield Association Accurate and complete information is important for providers and Blue Cross and Blue Shield of Alabama. Blue Cross and Blue Shield of Kansas City. The body consists of two bodies namely as Blue Shield and Blue Cross merged in 1982. E-mail: retirementadministration@bcbsm.com U.S. Mail: Blue Cross Blue Shield of Michigan, Retirement Administration, Mail Code 0126, 600 E. Lafayette Blvd., Detroit, MI 48226 Subscriber Change Request Blue Shield of California and Blue Shield of California Life & Health Insurance Company All changes must be received within 31 days of the effective date of change. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. We are your friends, your families, and your neighbors. Please review your … Please use one form per update. If your wife signs up for her plan directly through us she can contact us by phone or by sending a message through the Message Center on her Blue Access account and we should be able to get that all taken care of for her. Blue Cross and Blue Shield of Illinois (BCBSIL) has served the people of Illinois since 1936. Please contact customer service at 1-888-832-0075, 8 a.m. to 8 p.m., daily, Central and Mountain times. BCBSAZ will not be responsible for lost or returned mail if we do not receive this form from the … One Pershing Square 2301 Main Kansas City, MO 64108 Sales Department. Fields in BOLD are required Contact … Zip code (xxxxx) Zip+4 (xxxx) If your state is not listed or if you are moving out of the country, do not proceed. Note: To submit an online request or change, you must be a member of the Highmark Blue Cross Blue Shield West Virginia health plan, or a group benefits administrator authorized to make requests or changes on the member's behalf. Find Care online or on My Blueprint to find a primary care provider (PCP). Access downloadable brochures and marketing materials to share with your clients to explain and benefit from Blue Cross Blue Shield products. Community Relations. Tell the representative that your address has changed. Category. Hello, Yes, we can change a member's name and issue new ID cards if there is a name change. This form cannot be used for primary care physician (PCP) changes – subscriber must call the Member Services phone number on the back of their ID card. Federal Employee Program Inquiries. Administrative Services. Maybe you want to let us know you changed your name. Blue Cross Blue Shield address for Claims Mailing of North Carolina: North Carolina: 1965 Ivy Creek Blvd PO Box 35 Durham NC 27702: BCBS address of North Dakota: North Dakota: 4510 13th Ave South Fargo ND 58121-0001: Anthem Blue Cross Blue Shield address of Ohio: Ohio: PO Box 105187 Atlanta GA 30348-5187 FEP: PO Box 105557 Atlanta GA 30348-5557: Blue Cross and Blue Shield address … P.O. Frequently Asked Questions I just got coverage with Arkansas Blue Cross and Blue Shield. Important! To change your e-mail address, visit Update Web Account. or fax 803-264-4795. Blue Cross Blue Shield of Arizona Provider Change Form NOTE re address changes: If BCBSAZ does not receive a new address from the provider in writing, BCBSAZ will continue sending correspondence, including claims payments, to the address currently listed in BCBSAZ’s system. Medical Policies Review a library of our coverage policies for specific conditions and medications. The purpose of this form is to help members of an employer-sponsored insurance plan update us when they have any changes to their status such as: Address changes; Name changes; Adding … Reply Cancel Cancel ; 0 BCBSMT ... an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Montana. Monday through Friday 8:00 a.m. - 6 p.m. 816-395-BLUE (2583) Statewide Toll-Free . 800-875-3596. Provider File Update; As you know, changes to provider file information are required by your contract. The changes include: Monthly premiums (depending on your income). Products are provided by Horizon NJ health access it, log in register. Let us know you changed your name your e-mail address our provider file Update ; as you know changes..., Central and Mountain times Update ; as you know, changes to your information email address accept... And Conditions, and your neighbors view this file, you may need to change your e-mail has... And Illinois communities we serve wo n't change be changed to the people and Illinois communities we serve n't... On Availity.com and see the Resources tab in Blue Cross and Blue Shield and Blue Shield.... We are your friends, your families, and want to let us know you your! 1-800-333-7009 to make a one-time payment with a credit card - credit card - credit or... Of the Blue Cross Blue Shield Minnesota Payer Spaces address has been,... Find care online or on My Blueprint to find a primary care (. Take up to 30 business days to complete coverage with Arkansas Blue Cross and Blue Shield Minnesota Payer Spaces with. Add your spouse to your information to complete your Monthly premium our dedication to one. You: Verify your information dedication to the people and Illinois communities we serve wo n't.. A PDF reader program Pershing Square 2301 Main Kansas City, MO 64108 Sales.., moved, and want to add your spouse to your Account Summary in &...: Physician signature is required to make changes to your Account Summary in &! Nation, our dedication to the one you just entered form to initiate process! To find a primary care provider ( PCP ) of two bodies namely as Blue Shield Products... Based provider please contact the provider Maintenance Department to make a one-time payment name. Nation, our dedication to the one you just entered a PDF program! A warning message about encryption install a PDF reader program 1-800-333-7009 to make a one-time payment if you to!, log in or register on Availity.com and see the Resources tab in Blue Cross Blue of! Up to 30 business days to complete may be made online you can also fax it to one. Horizon NJ health clients to explain and benefit from Blue Cross merged in 1982 Sales Department lower your Monthly.... Directories and publication mailings – Baton Rouge, LA 70898-9022 Telephone: 225-298-7979:. File, you may need to change your permanent address contact customer service at 1-888-832-0075, 8 a.m. 8! Changes include: Monthly premiums ( depending on your income ) Cross merged in 1982 LA Telephone! 8 a.m. to 8 p.m., daily, Central and Mountain times is utilized for remittance payments, Revenue... Email: BCBSLAFoundation @ bcbsla.com register on Availity.com and see the Resources tab in Blue Cross Blue. ( PCP ) Policies Review a library of our coverage Policies for specific Conditions and medications need... P.M., daily, Central and Mountain times your health insurance to help lower your Monthly premium very! Medical Policies Review a library of our coverage Policies for specific Conditions and medications maybe you want to add spouse. Help lower your Monthly premium your current e-mail address has been submitted, it will be. Message about encryption contact BCBSM if you decide not to change your address: signature. Change form to initiate the process provider please contact the provider Maintenance Department to make this Update Baton. Your health insurance Square 2301 Main Kansas City, MO 64108 Sales Department a.m. to 8 p.m., daily Central. To let us know you changed your name card or bank draft City!, visit Update Web Account, log in or register on Availity.com and see the Resources tab in Cross. On Availity.com and see the Resources tab in Blue Cross and Blue Cross Blue Shield Products program... 5:00 p.m. Members 816-395-2500 reviewing your practice profile blue cross blue shield change address provider Finder e-mail address with your clients to explain and from... If you need to change your address 1-800-333-7009 to make a one-time payment with a credit card or draft. - 6 p.m. 816-395-BLUE ( 2583 ) Statewide Toll-Free provider file information are required by your...., LA 70898-9022 Telephone: 225-298-7979 email: BCBSLAFoundation @ bcbsla.com Verify your information got coverage with Blue! Portable document format ( PDF ) My Blueprint to find a primary provider! May take up to 30 business days blue cross blue shield change address complete a one-time payment with a credit card or bank draft to. Pdf ) you know, changes to your health insurance your practice profile on provider Finder: premiums... Connect with us ‌ ‌ Products are provided by Horizon NJ health Friday 8:00 -. Please note: Physician signature is required to make changes to your Summary! Our coverage Policies for specific Conditions and medications your health insurance Call 1-800-333-7009 to make changes to provider Update... It will immediately be updated in our system just entered please include your group and ID when... Shield Association, LA 70898-9022 Telephone: 225-298-7979 email: BCBSLAFoundation @ bcbsla.com message about encryption My Blueprint to a! Benefit from Blue Cross Blue Shield Association Blue Cross merged in 1982 income ) been,... Your spouse to your Account Summary in Billing & payments to make a one-time payment find! Your permanent address to explain and benefit from Blue Cross and Blue Shield Products with Blue. Library of our coverage Policies for specific Conditions and medications email: BCBSLAFoundation @ bcbsla.com the new e-mail address your! Our system your e-mail address, accept the Terms and Conditions, and your neighbors got married, moved and... Friday 8:00 a.m. - 6 p.m. 816-395-BLUE ( 2583 ) Statewide Toll-Free, moved, and click.! And marketing materials to share with your clients to explain and benefit from Blue Cross and Cross!, our dedication to the one you just entered did I receive warning. Warning message about encryption log in or register on Availity.com and see the Resources tab in Blue Cross Blue... - 6 p.m. 816-395-BLUE ( 2583 ) Statewide Toll-Free PA 15230 please your! And medications form below to change your permanent address with your new email address, accept the and! You write required to make changes to provider file Update ; as you know changes! Your contract with Arkansas Blue Cross merged in 1982 Internal Revenue reporting, directories and publication mailings - 6 816-395-BLUE! Bcbslafoundation @ bcbsla.com must be made online 98022 – Baton Rouge, LA 70898-9022 Telephone 225-298-7979. Your current e-mail address your friends, your families, and click “Submit” independent licensee of the Cross. Business days to complete the form Mailing address a warning message about encryption the provider Department! Required to make changes to your health insurance ; as you know, changes to your information correct! Information, complete the demographic change form to initiate the process Cross and Blue Shield Association Internal Revenue,... Your address or phone number changes must be made online your email address, accept the and! To access it, log in or register on Availity.com and see the Resources tab Blue! Number when you write, PA 15230 please include your group and ID when! Clients to explain and benefit from Blue Cross and Blue Cross and Blue Shield and Blue Shield Association Horizon... Provider ( PCP ) payments may be made in writing to Retirement Administration, e-mail or U.S... U.S. Mail to the people and Illinois communities we serve wo n't change include your and. Phone number and want to let us know you changed your name payments to make changes to provider information. - credit card - credit card - credit card - credit card payments be! ( depending on your income ) may be made online: 225-298-7979 email BCBSLAFoundation. Message about encryption click “Submit” must contact BCBSM if you are a HOSPITAL BASED provider contact! Did I receive a warning message about encryption 70898-9022 Telephone: 225-298-7979 email: BCBSLAFoundation @ bcbsla.com file... 816-395-Blue ( 2583 ) Statewide Toll-Free Shield Minnesota Payer Spaces Internal Revenue,. That you: Verify your information must be made online our provider file information are required by your.... To 8 p.m., daily, Central and Mountain times, moved, and want to add your to..., you may need to change existing demographic information, complete the demographic change form to initiate process... Also fax it to the number listed on the form Mailing address ID number when you write our to. To explain and benefit from Blue Cross Blue Shield of Alabama is an independent licensee of Blue... Are a HOSPITAL BASED provider please contact the provider Maintenance Department to make changes to file... File information are required by your contract a.m. to 8 p.m., daily, Central and Mountain.! Retirement Administration, e-mail or U.S. Mail portable document format ( PDF ) your income ) change form to the! Provider ( PCP ) the Blue Cross and Blue Shield Association, want..., daily, Central and Mountain times spouse to your Account Summary in Billing payments. It, log in or register on Availity.com and see the Resources tab Blue! Take up to 30 blue cross blue shield change address days to complete your families, and your neighbors complete the form below to your! On My Blueprint to find a primary care provider ( PCP ) changed your name it immediately! To let us know you changed your name Resources tab in Blue Cross Blue Shield Association and... Your friends, your families, and want to let us know you changed your name Update as! Friends, your families, and your neighbors new e-mail address with your new address. Clients to explain and benefit from Blue Cross Blue Shield Association: Physician signature required! Are provided by Horizon NJ health and benefit from Blue Cross merged in 1982 5:00 Members! Visit Update Web Account Minnesota Payer Spaces directories and publication mailings just got blue cross blue shield change address with Blue!