BlueCard Claims
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The BlueCard® program gives BlueCross members access to health care services when traveling or living in another Blue Plan’s service area. You may occasionally see patients who are enrolled in Blue Plans from other states or countries. You can submit claims for these members to us, and we’ll route them to the appropriate plan for you. We’re committed to making your experience filing BlueCard claims simple and seamless.
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Ask for the Current Member ID
You should always ask for the current member ID card at the time of service. Make copies of both the front and back of the card, and share them with your billing staff.
BlueCard members have three-character prefixes at the beginning of their ID numbers. The prefix is key to facilitating prompt payment. The member ID is a combination of alpha and numeric characters. It may be up to 17 characters long. It’s crucial that you use the full and accurate member ID when submitting BlueCard claims.
Sample ID Cards
The PPO suitcase logo may be at the top or bottom of the card and may be blank.
Check Benefits and Eligibility
Check benefits and eligibility for BlueCard members by calling 800-676-BLUE (2583) and providing the prefix or by using My Insurance ManagerSM.
You can check whether the Home Plan requires prior authorization by using the BlueCard Precertification tool. You’ll need the prefix from the patient’s member ID card. If prior authorization is required, you can initiate the process through My Insurance Manager. Once you’ve logged in, go to Patient Care. Then select “Pre-Service Review for Out-of-Area Members” from the menu.
Submit Claims to the Local Blue Plan
If you're a South Carolina provider, submit claims to BlueCross BlueShield of South Carolina. For faster processing, we recommend you submit BlueCard claims electronically. You can submit electronic claims to BlueCross BlueShield of South Carolina directly, through a clearinghouse or by using My Insurance Manager.
Please do not request full payment up front. To check claim status, visit My Insurance Manager.
BlueCard Resources
For more information on providing care to BlueCard members, please refer to our BlueCard Provider Manual. It includes information on verifying eligibility, prior authorization and claims filing for out-of-area members. You can also view our BlueCard Webinar and our frequently asked questions.
If you have questions about the BlueCard Program or filing claims for out-of-area patients, please contact Provider Education.