Claim Forms and Electronic Claim submission
Provider Claim Forms and Electronic Submission
- AvailityTM – To register with Availity or learn more about services available to BCBSMT providers, visit the Availity website, or call Availity Client Services at 800-AVAILITY (282-4548). Have additional E-Commerce questions? Contact our Electronic Commerce Center by emailing firstname.lastname@example.org.
- Registered providers access Availity Software by clicking here.
- Other online options of Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) are also available.
Professional Providers should use the CMS-1500 form to be compensated. The CMS-1500 is available at most office supply stores. If you print our online form, you must print it in color so that our optical character scanner can "read" the form.
Hospitals and Facilities
Hospitals and facilities should complete the UB-04 claim form to receive compensation for medical services. If you print our online form, you must print it in color so that our optical character scanner can "read" the form.
Dental providers may use the Blue Cross and Blue Shield of Montana (BCBSMT) Dental Claim Form to receive compensation for services.
If the services are provided in Montana submit claims to:
Blue Cross Blue Shield of Montana
PO Box 6227
Helena, MT 59604
More claims filing information is published in the BCBSMT Provider Manual.
Claim Submission-Blue on Blue
How should claims be submitted when a member has two coverages with BCBSMT?
When a member is covered by two BCBSMT contracts with different Health Plan identification numbers (HPID), it is called Blue-on-Blue coverage. The claim should be submitted to BCBSMT containing the primary policy HPID. BCBSMT will process the claim on the primary policy and then transfer the claim information to the secondary policy for processing.