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Name of Manual - Blue Cross and Blue Shield of Minnesota

Name of Manual - Blue Cross and Blue Shield of Minnesota

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Health Care Options<br />

Member ID Cards Your patient’s member ID card contains information that is<br />

essential for claims processing. We recommend that you look at<br />

the member’s ID card at every visit <strong>and</strong> have a current copy <strong>of</strong> the<br />

front <strong>and</strong> back <strong>of</strong> the card on file. There is a sample <strong>of</strong> some <strong>of</strong> the<br />

member ID cards issued at <strong>Blue</strong> <strong>Cross</strong> on our website. Not all <strong>of</strong><br />

the following information is found on each member ID card:<br />

Member ID Card<br />

Conversion<br />

• name <strong>of</strong> the plan<br />

• member’s ID number including alpha prefix<br />

• member’s name <strong>and</strong> group number<br />

• primary care clinic (PCC) name – for managed care plans only<br />

• <strong>Blue</strong> <strong>Shield</strong> plan code<br />

• <strong>Blue</strong> <strong>Cross</strong> plan code<br />

• prescription coverage<br />

• copay for prescription drugs<br />

• copay for <strong>of</strong>fice visits<br />

• dependent-coverage indicator<br />

• claims submission information<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> its affiliates converted member identification<br />

numbers from Social Security numbers as <strong>of</strong> December 31, 2004.<br />

Members from the following <strong>Blue</strong> <strong>Cross</strong> lines <strong>of</strong> business will<br />

retain their original identification number:<br />

• Federal Employee Program - Identification numbers are not<br />

the member’s social security number <strong>and</strong> are assigned by the<br />

federal government.<br />

• <strong>Minnesota</strong> government programs, including Prepaid<br />

Medical Assistance Program <strong>and</strong> <strong>Minnesota</strong> Care -<br />

Identification numbers are not the member’s social security<br />

number, they being with an “8”.<br />

• Workers’ Compensation - The <strong>Minnesota</strong> Department <strong>of</strong><br />

Labor <strong>and</strong> Industry requires the use <strong>of</strong> social security numbers<br />

for anyone who has ever filed a work compensation claim.<br />

5-4 <strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (12/27/10)

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