Name of Manual - Blue Cross and Blue Shield of Minnesota

BlueCard Introduction
BlueCard®
Overview The BlueCard Program links health care providers and the
independent Blue plans* across the country and abroad with a
single electronic network for professional, outpatient, inpatient
claims processing and reimbursement. The program allows Blue
Cross providers in every state to submit claims for Blue Cross
members to their local Blue plan, eliminating the need to track
receivables from multiple Blue plans.
Identifying BlueCard ®
Members
Through the BlueCard program, you can submit claims directly to
Blue Cross for your patients who have coverage with a Blue plan
other than Blue Cross. Blue Cross will be your contact for medical
records submission, claims payment, problem resolution and
adjustments.
BlueCard is a national program that enables Blue plan members to
obtain healthcare services wherever they are in the United States.
The program links participating healthcare providers with all the
Blue Cross plans across the nation through a single electronic
network for claims processing and reimbursement. Additionally,
the program links providers in more than 200 countries and
territories worldwide.
* Each Blue plan is an independent licensee of the Blue Cross and
Blue Shield Association.
BlueCard members can easily be identified by the three alpha
characters preceding their identification (ID) number and the
suitcase logos; either empty, or with letters “PPO” inside, on their
cards. Although the format of the identification number may vary
from plan to plan, you can always recognize the trusted Blue Cross
and Blue Shield emblems. Providers are encouraged to make a
copy of both the front and back of the member’s ID card. Please
enter the patient’s ID number on claims submitted exactly as it
appears on the card, including the alpha prefix.
Although all Blue plans participate in the BlueCard Program, there
are some programs that are exempt such as Medicaid. If the patient
is carrying a current Blue Cross ID card and there is no suitcase
logo on the card, but there is an alpha prefix, claims should still be
filed to Blue Cross as any other claim. We will facilitate the
processing of that claim on your behalf.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (12/30/10) 7-3