Claims & payment

Learn how to identify our members’ coverage, easily submit claims and receive payment for services and supplies.

Coding toolkit

View our clinical edits and model claims editing. Learn more about global periods, modifiers, virtual care, unlisted codes and NCCI bypass modifiers.

View the toolkit

Claims submission

Learn more about billing and how to submit claims to us for payment, including claims for BlueCross and BlueShield Federal Employee Program® (BCBS FEP®) members.

Learn about submitting claims

Receiving payment

We know it is essential for you to receive payment promptly. Learn more about our payment and dispute (appeals) processes.

View payment and appeals processes

Resources

Identify members

Quickly identify members and the type of coverage they have.

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Electronic transactions

Learn about electronic funds transfer, remittance advice and claim attachments.

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BlueCard® Program

Identify BlueCard members, verify eligibility and submit claims for out-of-area patients.

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