"Anthem Blue Cross Blue Shield of Nevada"
Emdeon EDI Transaction Center Page 1 of 1 Anthem Blue Cross Blue Shield of Nevada Line(s) of Business Medical, Hospital, Dental, and Encounter Claims FAST FACTS Last updated: 02/25/09 The following requirements are specific to Emdeon. Check with your vendor before making system changes. Payer ID SB765 Professional 12B20 Institutional 84101 Dental Products All lines of business for Anthem Blue Cross Blue Shield of NV, Bluecard (out-of-state BCBS) and FEP (Federal Employee Program) Member ID Required. Number Anthem BCBS of NV: 9-11 numeric or 2-3 alphas followed by 7-9 numbers BlueCard and NASCO: 3 alpha characters followed by 1-14 alpha-numeric characters HMO/BlueAdvantage: 9-11 alpha numeric characters or 3 alphas followed by 9-11 numbers FEP: R followed by 8 numbers Group Number Optional NPI / Provider Required. Format for Nevada providers: Number Professional Claims: NPI 10 numeric digits; For Exempt Providers only: 2 alpha followed by 4 numeric (BCBS NV Legacy ID), ie., CC1234 Institutional Claims: NPI 10 numeric digits; For Exempt Providers only: 2 alpha followed by 4 numeric (BCBS NV Legacy ID), ie., CC1234 Federal Tax ID Required. A 9 digit number. Federal Tax ID Number (TIN) or Social Security Number (SSN) of the facility or provider. Authorization Authorizations required for some services. Authorization number on claim when submitted electronically is Number optional yet recommended for faster claims adjudication. Attachments To confirm whether a procedure requires an attachment, log onto www.edianthem.com. If the procedure requires paperwork (PWK), submit the claim electronically and follow the instructions for submitting the supporting documentation. eCOB Secondary/COB claims can be submitted electronically to Anthem BCBS of NV Exclusions None. All claims can be submitted electronically. Encounters Encounters must be submitted with billed charges and will be adjudicated as encounters. Customer For questions or concerns regarding claim routing, clearinghouse rejections or transactions responses Service, Emdeon contact: Your vendor. If you use software maintained by a company other than Emdeon to submit your claims electronically, call your vendor. Your vendor should contact Emdeon if further assistance needed. ON 24/7. If you use an Emdeon product, you may have access to Emdeon's online support tool, ON 24/7, enabling you to obtain customer support online 24 hours a day, 7 days a week. Emdeon Batch Help Desk: 1.800.845.6592. If you use an Emdeon product to submit your claims, contact us directly at this phone number. Emdeon Customer and Sales Support: http://www.emdeon.com/support/support.php Electronic Claims Resource Center: http://transact.emdeon.com Customer Anthem BCBS: Service, Payer EDI Helpdesk: 1.800.332.7575 ...or... Email: firstname.lastname@example.org Real-Time Eligibility (270/271) Transactions Timely Filing Payer may consider the following Emdeon electronic reports as proof of timely filing: Limits RPT-04 RPT-10 or -11 ERA/EFT Electronic Remittance Advice (835) is available and utilization encouraged. To implement, contact your vendor. Contact payer directly regarding availability of Electronic Funds Transfer. Log onto http://transact.emdeon.com for list of payers offering ERA/EFT through Emdeon. http://testsite.transact.emdeon.com/factsheets/edi_fact_sheet_SB765.php 4/24/2009