(Source: http://www.empireblue.com/wps/portal/ehpprovider?content_path=provider/noapplication/f3/s0/t0/pw_ad069634.htm&rootLevel=2&label=Plans%20^%20Benefits )
Plans & Benefits
Health Product Chart
Summary of our health products.
BlueCard®
BlueCard® is a national program that enables members of a BlueCross Blue
Shield Plan to obtain healthcare services while traveling or living in
another Blue Plan’s service area.
(Source: http://www.empireblue.com/wps/portal/ehpprovider?content_path=provider/noapplication/f3/s4/t0/pw_ad088410.htm&rootLevel=2&label=BlueCard^reg&rootLevel=2 )
BlueCard®
What is BlueCard?
BlueCard® is a national program that
enables members of a BlueCross Blue Shield Plan (Blue Plan) to obtain
healthcare services while traveling or living in another Blue Plan’s
service area. The program links participating healthcare providers with
the independent Blue Cross and Blue Shield Plans across the country and
in more than 200 countries and territories worldwide through a single
electronic network for claims processing and reimbursement. The program
allows you to submit claims for patients from other Blue Plans, domestic
and international, to your local Blue Plan, Empire BlueCross
BlueShield. As an Empire participating provider you are contractually
required to provide services to members from other Blue Plans.
How to Identify BlueCard Members
BlueCard Plan members have a three-character alpha
prefix at the beginning of their ID number. The alpha prefix is critical
for confirming membership and coverage and key to facilitating prompt
payments. In addition, the ID cards may have logos that appear on the
front of Blue Plan member ID cards:
 |  | PPO in a suitcase logo, for eligible PPO/EPO members |
| | Blank suitcase logo |
When you see these logos, it means that the cardholder
participates in the BlueCard Program, which provides healthcare
coverage for members outside their Blue Plan’s area.
Claim Submission
Out of area claims should be sent to Empire at:
| Empire BlueCross BlueShield |
| BlueCard Program |
| P.O. Box 3877 |
| Church Street Station |
| New York, NY 10008-3877 |
Quick Tip: For faster processing please submit
your claims electronically to Empire. Claims must be submitted within
180 days. The EDI# for Empire is 3154480080. If you would like more
information about electronic claims submission, or if you are having
problems submitting claims electronically, please call EDI at
1-866-899-7322.
Quick Claims Filing Tips (Border County Providers)
Do you contract with multiple Blue Plans in more than one state? Below are guidelines for filing claims for Blue members.
Border County Providers
| | For providers that practice in border areas (contiguous counties), the
standard rule is to always file the claim to the Plan located in the
state where you provided the service. |
| | Exception: When the member is from a bordering Blue Plan with which you
have a contract, then file the claim directly to the bordering Blue
Plan. |
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