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.