Blue Cross Medicare AdvantageSM

The Blue Cross Medicare Advantage Plan offers all of the coverage of Original Medicare — plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage.

  • The 2018 Blue Cross Medicare Advantage (PPO)SM plan offers health coverage to members who reside in Missoula, Cascade, Lake, Lewis & Clark, Flathead, Lincoln, Gallatin, Ravalli and Yellowstone counties.

Our strong brand recognition and our historical relationship with Medicare makes Blue Cross and Blue Shield of Montana (BCBSMT) an excellent choice for Medicare eligible individuals seeking new health coverage opportunities. Blue Cross Medicare Advantage maintains and monitors a network of participating providers including physicians, hospitals, skilled nursing facilities, ancillary providers, and other health care providers through which members obtain covered services.

Claims

Participating physicians, professional providers, and facility providers must submit claims to Blue Cross Medicare Advantage within 365 days of the date of service, using the standard CMS-1500 or UB-04 claim form, or electronically. Services billed beyond 365 days from the date of service are not eligible for reimbursement.

Paper Claim Mailing Address and Fax

Blue Cross Medicare Advantage
P.O. Box 3686
Scranton, PA 18505

New Payer ID (66006) – Beginning Jan. 1, 2017, Payer ID 66006 must be included on electronic claims received for Blue Cross Medicare Advantage PPO and Blue Cross Medicare Advantage HMO members. Blue Cross Medicare Advantage claims received with the commercial Payer ID (BCBS) will not be accepted.*

*If you utilize a practice management/hospital information system or billing service, and/or a clearinghouse other than AvailityTM or HeW for electronic claim submission, please contact your vendor to confirm they are using the new Payer ID for the alpha prefixes referenced above, rather than assigning their own unique number.

Contact Us

Provider Claims Address

Payment cycles for electronic funds transfers (EFT) will be changing from daily to weekly.

 Blue Cross Medicare Advantage (Claims)
P.O. Box 3686
Scranton, Pa. 18505
EDI Claims Payer ID 66006
Provider Disputes Blue Cross Medicare Advantage
P O Box 4555
Scranton, PA 18505
Medical Records Blue Cross Medicare Advantage
P O Box 4555
Scranton, PA 18505
Member Reimbursement Claims Blue Cross Medicare Advantage
P.O. Box 4195
Scranton, PA 18505
RPO, VOP, and EPIC – Claims Address PO Box 2888
Houston, TX 77252-2888
Magellan Claims Address P.O. Box 1289
Maryland Heights, MO 63043
Refund Address:

ERM (Electronic Refund Management), claims refund and inquiry process post 1/1/17 will not be available through ERM

 Health Care Service Claims Overpayment
29068 Network Place
Chicago, IL 60673-1290
Customer Service Phone Numbers Individual: 1-877-774-8592
Group: 1-877-299-1008

Join the Network

To join our Blue Cross Medicare Advantage network, follow the process for Network Participation.

Preauthorization Requirements

Resources