Claims and Eligibility
Clinical Resources
Finding the right contact may save you time. Sometimes it's easy to know where to go for assistance. At other times, it's less clear. Use the drop down menus below to help guide you to the best point of contact for your answer.
You may also use the Provider Contact Reference Guide.
Contact based on member policy:
| Group & Individual Appeals | Non-Emergent Fax: 866-589-8256 Emergent Fax: 406-441-5569 |
| Healthy Montana Kids Appeals | Non-Emergent Fax: 866-589-8256 Emergent Fax: 406-441-5569 |
| Medicare Advantage Claim Disputes | Blue Cross Medicare AdvantageSM Attn: Claims Disputes P.O. Box 4555 Scranton, PA 18505 Fax: 855-674-9192 |
| Medicare Advantage Clinical Appeals | Blue Cross Medicare AdvantageSM Attn: Appeals Department P.O. Box 663099 Dallas, TX 75266 Standard Appeals Fax: 800-419-2009 Expedited Appeals Fax: 800-338-2227 |
Professional, Group, & Clinic Providers: Please fill out and submit the Provider OnBoarding Form.
Ancillary & Facility Providers: Please fill out and submit the Facility/Ancillary Participation Form.
See the How to Join page for more information.
Please fill out and submit the Demographic Change form to change any of the following:
Professional Providers may also update their information in Availity® Essentials. Anciliary and Facility Providers should continue to use the form above.
Contact based on member policy
| FEP Prior Authorization | P: 877-885-3751 |
| Case Management | P: 855-313-8908 |
| Disease Management | P: 866-412-8795 |
| HMK Recommended Clinical Review & Prior Authorization | P: 855-699-9907 F: 855-610-5684 |
| BH Prior Authorization | P: 855-313-8909 F: 855-649-9681 |
| Individual Plans Medical Prior Authorization | P: 855-458-9444 |
| Group Plans Prior Authorization | P: 855-313-8914 F: 866-589-8256 |
| Recommended Clinical Review | P: 800-447-7828 F: 866-900-2634 |
| MA Prior Authorization | P: 877-774-8592 |
| Federal Employee Program® | 800-634-3569 |
| Healthy Montana Kids | 855-258-3489 |
| Medicare Advantage Individual | 877-774-8592 |
| Medicare Advantage Group | 877-299-1008 |
| Medicare Advantage Peer to Peer Scheduling | 800-981-2795 |
| Christy McCauley | christy_mccauley @bcbsmt.com |
| Brian Coble | brian_coble @bcbsmt.com |
| Grace Zeigler | grace_zeigler @bcbsmt.com |
Leave a message. We will respond within 48 hours.
Provider’s Zip Code will route to WPS for Legacy Region and TriWest for Expansion Region