Below you’ll find frequently asked questions we've received from the provider community about Blue Shield Network filing guidelines, claim status and eligibility.
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Q: What is the BlueCard® Program through Blue Shield of California and the National Coverage Network?
A: The BlueCard® Program links participating healthcare providers and the independent Blue Cross and Blue Shield Plans across the country with a single electronic network for claims processing and reimbursement.
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Q: How can my provider identify that my health plan is part of the BlueCard® program?
A: UnitedAg Trust members are easily identified by their identification cards. Please show your ID card at each visit and share this information with the medical billing staff. Your provider should also review your ID card and contact our Members Services team for eligibility or benefits-related questions at 800.223.4590
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Q: If my provider is located outside of California how can they verify my eligibility and benefits coverage?
A: Your provider will be able to identify your benefits coverage by the three-character prefix on your member ID card which is the key element used to identify that you are part of the BlueCard® program also known as the Blue Shield National Network that grants you coverage through Blue Shield of CA and Blue Cross when outside of California. Lastly, the suitcase logo displays the PPO suitcase which indicates that you are enrolled in the Preferred Provider Organization (PPO) products.
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Q: Where would my provider submit my claim if they are located outside of California?
A: Your provider can find out where to submit your claim by entering the first three alpha characters displayed on your member ID card in the claims provider routing tool.