Improvements are coming!
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- Ethan Potter
- 8 years ago
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1 Improvements are coming! We are pleased to announce that we are changing our membership and claims system. Changes you will see as an employer: A new consolidated bill New group numbers New online tools New Blue Shield member ID cards New group and subgroup numbers You will find your new group and subgroup numbers embedded within the account number located under the mailing address on your bill for March Your account number is 1 followed by your group number beginning with the letter W and followed by seven numbers, then followed by your subgroup number, which is 4 numbers. Example: Account number: 1W Group number: W Subgroup number: 1000 Previously, your customer number used to identify your account. This has been replaced by the account number/group number/subgroup number configuration.
2 New integrated bill format A Bill date B Billing period and due date C Previous amount due The total amount due from the prior month s billing statement J K Test Subgroup Main Street Anytown, CA 9XXXX A B C D E F G H I D Payment Payment received since last billing statement E Balance F Current charges G Retroactive adjustment The total dues for those subscribers who had retroactive eligibility adjustments for periods other than the current period. H Net credits/debits The sum of any fees or credits occurred outside of eligibility changes I Total amount due J Account number This is the group number for which you are being billed K Invoice number This identifies the billing statement L Contact phone number L (888) ,155.00
3 New integrated bill format (continued) 3008 Lodi CA Small Group M Product summary Provides a summary of the number of subscribers and premiums/dues by products. This will include both medical and specialty plans. Starting with your first bill for the 2014 plan-year, your pediatric dental plan(s) will appear in this section of your bill. M N Total current adjustment Identifies the net change of subscriber and member since last billing statement Premier PPO 25 Blue Shield of California Life & Health Insurance Company O Contract counts Identifies a summary of contract counts P Total subscriber and total members Identify the number of subscriber and dependents with current charges Q, R P S N O Q Billing detail Employees can be listed with up to two identifiers; the identifiers are the Blue Shield subscriber ID, Social Security number, or employee number. Starting with your first bill for the 2014 plan-year, any charges for pediatric dental will be included under the Dental column. R S Billing detail Retroactive adjustments; this lists each subscriber with retroactive changes Billing detail Current charges Morrison, Van Brady, Tom Milano, ALYSSA
4 Welcome to Blue Shield! Here is your new ID card. Please bring it with you whenever you visit a healthcare provider. Your card contains important information you and your providers will need /1 New Blue Shield ID card coming soon! Please visit www. when you want to: Select or locate a healthcare provider See highlights of your plan's benefits Chat with a nurse or ask a pharmacist questions Discover all the extra services and support available to you as a Blue Shield member It's easy to register at our Web site using your ID number, XEA You will be receiving a new Blue Shield ID card by the first week in March. We have changed your subscriber ID If number you haveas any part questions of a system aboutimprovement your coveragedesigned or benefits, to call provide the service faster number claims printed processing on this and card. better Our service for service you and representatives your healthcare are ready providers. to help you. New member ID cards Thank you for choosing Blue Shield. What s NOT changing? By accepting this card and any benefits it entitles you, you acknowledge that your agreement is a contract solely Subscriber between ID you number and Blue Shield of California Life & Health Insurance Your medical Company plan (Blue remains Shield the Life), same. and that Blue Shield Life is an independent corporation operating under a license from the Blue Shield Association, which Customer Service phone number Your benefits remain the same. permits Blue Shield Life to use the Blue Shield name and service marks in California. your access to care remains the same. You will still be able to access quality medical care. What do I need to do? you will receive your new ID card in March. Present your new ID card to your healthcare providers and pharmacists the next time you access care or fill a prescription. Life & Health Insurance Company Subscriber John Peter ID# XEA XXXX Group # W0000XXX SGRPT010 Effective 05/01/2010 Coverage FAMILY Plan PPO Members: Life & Use Health the Blue Insurance Shield LifeCompany Provider Network to receive maximum benefits. In case of emergency, call 911 or seek appropriate emergency care. Subscriber Providers: JohnPlease Peterfile all claims with your local BlueCross BlueShield licensee in whose service area the member received services or, whenid# Medicare XEA is primary, file all Medicare claims with Medicare. California Providers: Call Provider Customer Service to obtain medical and hospital admission prior authorization to avoid reduced or non-payment. Visit Provider Connection at: /provider. CA Medical claims to: Blue Shield of California, P.O. Box , Chico, CA (888) Customer Service (866) TTY (877) Mental Health Customer Svc. (877) Group # NurseHelp SGRPT010 24/7 (800) LifeReferrals 24/7 Effective 05/01/2010 (800) To locate providers outside of Coverage California FAMILY (800) CA Provider Customer Service Plan (including PPOhospitals) Blue Shield of California Life & Health Insurance Company is an independent licensee of the Blue Shield Association. An Independent Licensee of the Blue Shield Association Y Z Members: Use the Blue Shield Life Provider Network to receive maximum benefits. In case of emergency, call 911 or seek appropriate emergency care. Providers: Please file all claims with your local BlueCross BlueShield licensee in whose service area the member received services or, when Medicare is primary, file all Medicare claims with Medicare. California Providers: Call Provider Customer Service to obtain medical and hospital admission prior authorization to avoid reduced or non-payment. Visit Provider Connection at: /provider. CA Medical claims to: Blue Shield of California, P.O. Box , Chico, CA Blue Shield of California Life & Insurance Company is an indep of the Blue Shield Association. (888) Customer Se (866) TTY (877) Mental Health (877) NurseHelp 24 (800) LifeReferrals (800) To locate prov California (800) CA Provider C (including hos DSTO Test Mode Info. As of 12/08/2010: FormatID:0085/0085 Lang:[EN/EN] - CAC:C93 Reason:N [ppo style b-doi - 0/ SPH:99 NNNNNNNNNNN]
5 Frequently asked questions Question 1. Will I be able to access care and customer service with my old subscriber number? 2. How will I distinguish my new subscriber number from my old subscriber number? 3. When and how will I receive new membership ID cards? 4. Will I have to re-register on the website with my new ID number? 5. Will I still be able to view my prior and current claims online? Answer Yes, you may continue to access care with your old subscriber ID number. For the most efficient service, begin using your new ID number and Customer Service number after March 1. The old subscriber number started with a J followed by 8 characters, while the new subscriber number starts with a 9 followed by 8 characters. ID cards will be mailed at the end of February You may also log in to to print a temporary ID card and request additional ID cards. IMPORTANT: If you have dental coverage, you will receive dental cards separately. Also, if you access your MES Vision coverage online, you will now only be able to view this information when you log in to your account. No, if you have already registered online at, you will keep your current login information. NOTE: As of March 1, you will find your new ID number when you access your member account on. Yes, all medical claims are available when you access your online account. NOTE: If you do not currently have a online account, you must create one using your new ID number. 6. Will I have to change providers? No, rest assured, while your member ID number is changing, your medical plan and benefits will remain the same. 7. What does the effective date on the new membership ID card represent? The effective date represents the date your coverage began and is not related to the date when these changes will be in effect. Blue Shield of California is an independent member of the Blue Shield Association A42282-OL (3/14)
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