The Blue Cross and Blue Shield Service Benefit Plan, also known as the BCBS Federal Employee Program® (BCBS FEP®), has been part of the Federal Employees Health Benefits Program (FEHBP) since its inception in 1960. It covers about 5.5 million federal employees, retirees and their families out of the nearly 8 million people who receive their benefits through the FEHBP. Show
The Blue Cross Blue Shield Association negotiates annually with the U.S. Office of Personnel Management (OPM) to determine the benefits and premiums for the Blue Cross and Blue Shield Service Benefit Plan. The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. Those Plans, including Regence, are responsible for processing claims and providing customer service to BCBS FEP members. Claims are processed according to the benefits, rules, guidelines and regulations of the federal government, which supersede state laws. Blue Cross and/or Blue Shield Plans offer three coverage options: Basic Option, Standard Option and FEP Blue Focus. Identifying membersAll FEP member numbers start with the letter "R", followed by eight numerical digits. Note: On the provider remittance advice, the member number shows as an "8" rather than "R". The enrollment code on member ID cards indicates the coverage type. View sample member ID cards. Pre-authorizationBoth the Basic and Standard Option plans require that some services and supplies be pre-authorized. The Blue Focus plan has specific prior-approval requirements. View the lists:
Submit pre-authorization requests via Availity Essentials. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association© Copyright Health Care Service Corporation. All Rights Reserved. File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com You are leaving this website/app ("site"). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy. Save time and money when you submit your claims electronically using Electronic Data Interchange (EDI). Learn more and enroll in EDI on our Manage electronic transactions page. If you still need to submit paper claims, use the Claims Routing Tool to determine the correct mailing address for each member. Because claims mailing addresses are different for different Blue Plan members, using the Claims Routing Tool is the most accurate way to determine a claims mailing address. However, if you are unable to use the Claims Routing Tool, use the current addresses listed below. Claims mailing addresses are also included in all online member eligibility results. List of claims mailing addressesBlueCard out-of-area program:Check subscriber ID for three-letter prefix before sending. Learn more about the BlueCard Program. CalPERS (California Public Employees Retirement System) Blue Shield of California, CalPERS Federal Employee Program (FEP)(Subscriber ID number begins with the letter "R.") Short-term claims for Blue Shield Life & Health Insurance Company Blue Shield Life & Health Insurance Company Blue Shield Medicare Advantage Blue Shield Medicare Advantage Plan Blue Shield of California Promise Health Plan Medicare, Medi-Cal and Cal MediConnect Blue Shield of California Promise Health Plan All other Blue Shield plans Blue Shield of California Where to send claims for foundations for medical careWhen the name of a medical foundation appears on a subscriber's identification card, the benefits for that subscriber are administered by that foundation. Forward all claims to that foundation for payment. Listed below, by county, are the addresses of medical foundations with which Blue Shield is affiliated. Foundation for Medical Care of Tulare & Kings Counties, Inc. Foundation for Medical Care of Tulare & Kings Counties Foundation for Medical Care of Mendocino-Lake Counties Foundation for Medical Care of Mendocino-Lake Counties Misdirected claims for HMO plan membersClaims for capitated services provided to a Blue Shield HMO member that are erroneously sent to Blue Shield for processing/payment will be forwarded to the appropriate capitated provider within 10 working days of the receipt. Additionally, Blue Shield will send an Explanation of Benefits (EOB) to the billing provider as notification that the claim was forwarded to the appropriate capitated provider. Claims for non-capitated services provided to a Blue Shield HMO member that are erroneously submitted to the capitated IPA or Medical Group for processing are required to be forwarded by the capitated IPA or Medical Group to Blue Shield within 10 working days. How do I submit a claim to Fepblue?You can also call 1-800-624-5060 for more information, claim forms and customer service assistance. The claim form provides detailed instructions for submission of the form and should be mailed to: Service Benefit Plan Retail Pharmacy Program, P.O. Box 52057, Phoenix, AZ 85072-2057.
Is BCBS the same as BCBS FEP?The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program® (FEP®), has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960.
What is the payer ID for Blue Cross Blue Shield Federal Employee Program?Claims Submission:
The Electronic Payor ID for BCBSTX is 84980.
What state is BCBS Federal Employee Program?They are responsible for processing claims and providing customer service to our members. BCBSA corporate headquarters are located at 225 North Michigan Avenue, Chicago, Illinois 60601.
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Blue cross blue shield federal employee program claim address
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