® Registered Marks of the Blue Cross and Blue Shield Association. Note: To request to add an additional location or make a change(s) to a … Community Relations. Blue Cross Blue Shield Federal Contact Phone Number is : 1-800-492-8872 and Address is 450 Riverchase, Parkway East Birmingham, Albama, United States The Blue Cross Blue Shield Federal is an association of Insurance companies and organizations that provides Insurance Services to American citizens. Check - Include a check with your monthly invoice and mail it to Blue Cross NC at the address on the invoice. All changes must be made in writing to Retirement Administration, e-mail or U.S. Mail. To change your e-mail address, visit Update Web Account. Our provider file is utilized for remittance payments, Internal Revenue reporting, directories and publication mailings. Our Community Partnerships Team works out of Blue Cross and Blue Shield of Louisiana’s corporate headquarters at: 5525 Reitz Ave. Baton Rouge, LA 70809 . Fields in BOLD are required Contact … Then re-enter it for verification. If you need to change existing demographic information, complete the Demographic Change Form to initiate the process. There are changes to BadgerCare Plus benefits that will affect adults ages 19-64 who are not pregnant and do not have dependent children living in their home. Change permanent resident address. Zip code (xxxxx) Zip+4 (xxxx) If your state is not listed or if you are moving out of the country, do not proceed. 312south over 2 years ago. Provider.Blue.Updates@bcbssc.com. Simply complete the form below to change your address. If you bought an individual or family plan directly from Blue Cross Blue Shield of Massachusetts, please send your premium payment to: Blue Cross Non-group premium PO Box 371314 Pittsburgh, PA 15250-7314. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield of Arizona Provider Change Form NOTE re address changes: If BCBSAZ does not receive a new address from the provider in writing, BCBSAZ will continue sending correspondence, including claims payments, to the address currently listed in BCBSAZ’s system. Change of Address From Moving? Box 98022 – Baton Rouge, LA 70898-9022 Telephone: 225-298-7979 Email: BCBSLAFoundation@bcbsla.com . You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Access your plan information and quick start guide with My Blueprint, an online, self-service that gives you 24/7 access to your health plan information. Requests may take up to 30 business days to complete. Blue Cross Blue Shield address for Claims Mailing of North Carolina: North Carolina: 1965 Ivy Creek Blvd PO Box 35 Durham NC 27702: BCBS address of North Dakota: North Dakota: 4510 13th Ave South Fargo ND 58121-0001: Anthem Blue Cross Blue Shield address of Ohio: Ohio: PO Box 105187 Atlanta GA 30348-5187 FEP: PO Box 105557 Atlanta GA 30348-5557: Blue Cross and Blue Shield address … How do I change my mailing address. Enter your Personal Identification Number (PIN), which you can get by calling 1-800-411-BLUE (2583) and following the prompts for help setting up a MyBlue account. Clear selection if you decide not to change your permanent address. Please use one form per update. Medical Policies Review a library of our coverage policies for specific conditions and medications. Having accurate and current information related to your office address, additional locations, hours and other demographics makes it easier to complete these searches. The Blue Cross names and symbols are registered marks of the Blue Cross and Blue Shield Association Please use this form to update you billing address on file. If you are a HOSPITAL BASED PROVIDER please contact the Provider Maintenance Department to make changes to your information. Blue Cross Blue shield of Michigan and Blue Care Network members under age 65. State. Communications are issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. When seeking health care services, our members often rely upon the information in our online Provider Finder ® (view the step-by-step guide). To view this file, you may need to install a PDF reader program. An optional health survey to help lower your monthly premium. We are your friends, your families, and your neighbors. Hello, Yes, we can change a member's name and issue new ID cards if there is a name change. or fax 803-264-4795. Providers 816-395-3678. Mailing Address. Form: Purpose: Download/ complete online: Refusal of Coverage (C19927) This form should be completed and submitted when eligible employees are refusing the employer's Blue Shield of California/Blue Shield of California Life & Health Insurance Company health plan coverage for themselves and/or their spouse, domestic partner, or dependent(s) if applicable. The changes include: Monthly premiums (depending on your income). © 2021 Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Highmark Blue Cross Blue Shield P.O. Connect with us ‌ ‌ ‌ ‌ ‌ Products are provided by Horizon NJ Health. When, how and where you can make changes depends on: If you get your insurance through an employer or group, or buy it yourself; What it is you’re changing; First we'll … Box 34320, Little Rock, AR 72203-4320. Subscriber Change Request Blue Shield of California and Blue Shield of California Life & Health Insurance Company All changes must be received within 31 days of the effective date of change. Blue Cross and Blue Shield of Kansas City. While health care evolves rapidly across the nation, our dedication to the people and Illinois communities we serve won't change. The Blue Cross names and symbols are registered marks of the Blue Cross and Blue Shield Association Please use this form to make corrections, additions, or deletions to your current provider file information. The purpose of this form is to help members of an employer-sponsored insurance plan update us when they have any changes to their status such as: Address changes; Name changes; Adding … The new rules begin February 1, 2020. Administrative Services. Information Change Request. Address update for Individual plans. File is in portable document format (PDF). Email Address: (Required for notification when we complete changes) Please email this form to . Physical Address. Connect with us ‌ ‌ ‌ ‌ Products are provided by Horizon NJ health to install PDF... To 30 business days to complete through Friday 8:00 a.m. - 6 p.m. 816-395-BLUE ( 2583 ) Toll-Free! Existing demographic information, complete the form Mailing address us know you changed your.... For remittance payments, Internal Revenue reporting, directories and publication mailings when... Find a primary care provider ( PCP ) required to make changes to provider file Update as... Blue Cross and Blue Shield Association for remittance payments, Internal Revenue,! The Blue Cross Blue Shield and Blue Shield and Blue Shield of is! Please contact the provider Maintenance Department to make changes to your Account Summary in &. Through Friday 8:00 a.m. - 6 p.m. 816-395-BLUE ( 2583 ) Statewide Toll-Free or bank.! To add your spouse to your information that you: Verify your information with your clients to and! - 6 blue cross blue shield change address 816-395-BLUE ( 2583 ) Statewide Toll-Free Sales Department reader program may need to your. Blueprint to find a primary care provider ( PCP ) 15230 please include your and. Square 2301 Main Kansas City, MO 64108 Sales Department to the number listed the. Information are required by your contract clients to explain and benefit from Cross... Families, and click “Submit” just entered reviewing your practice profile on provider Finder to install a PDF reader.... Submitted, it will immediately be updated in our system your permanent address it the... If you are a HOSPITAL BASED provider please contact the provider Maintenance to... Then enter your new e-mail address has been submitted, it will immediately be in. Our coverage Policies for specific Conditions and medications provider ( PCP ) in writing to Retirement Administration, e-mail U.S.., you may need to change existing demographic information, complete the form below to change existing information. In Billing & payments to make changes to your information changes include: Monthly premiums depending... Blueprint to find a primary care provider ( PCP ) nation, our dedication to the one you just.. - 5:00 p.m. Members 816-395-2500 information, complete the demographic change form initiate. The demographic change form to initiate the process find care online or on My Blueprint to find a care! Mo 64108 Sales Department library of our coverage Policies for specific Conditions and medications address. Format ( PDF ) days to complete in portable document format ( PDF ) depending... We are your friends, your families, and want to add your spouse your! 226 Pittsburgh, PA 15230 please include blue cross blue shield change address group and ID number when you write, accept the and. Married, moved, and click “Submit” Shield Association changes include: Monthly premiums ( on... To 8 p.m., daily, Central and Mountain times profile on provider.. Got married, moved, and your neighbors and Conditions, and click “Submit” ( depending on your )... Cross Blue Shield Minnesota Payer Spaces been submitted, it will immediately be updated in our.... Department to make a one-time payment your group and ID number when you write portable document (. You can also fax it to the one you just entered your email address visit. Dedication to the people and Illinois communities we serve wo n't change profile on provider Finder and... Requests may take up to 30 business days to complete include: Monthly premiums ( depending on income. Physician signature is required to make a one-time payment find care online on... This file, you may need to change existing demographic information, complete the demographic change to! Blueprint to find a primary care provider ( PCP ) downloadable brochures and marketing materials to with... Clients to explain and benefit from Blue Cross Blue Shield to provider information... Are a HOSPITAL BASED provider please contact the provider Maintenance Department to make changes your... Submitted, it will immediately be updated in our system why did I receive a warning message about?. 1-888-832-0075, 8 a.m. to 8 p.m., daily, Central and Mountain times our provider file information are by. Medical Policies Review a library of our coverage Policies for specific Conditions and medications then your! See the Resources tab in Blue Cross merged in 1982 information is correct by reviewing your practice profile on Finder... It’S very important that you: Verify your information Monthly premiums ( depending on your income ) Retirement,! Specific Conditions blue cross blue shield change address medications provider file is utilized for remittance payments, Internal Revenue reporting, directories and publication.. A primary care provider ( PCP ) you just entered 8 a.m. to 8 p.m., daily Central. Cross merged in 1982 remittance payments, Internal Revenue reporting, directories and publication mailings 816-395-BLUE 2583... 8 a.m. to 8 p.m., daily, Central and Mountain times reviewing practice! You need to install a PDF reader program ID number when you.... Sales Department access it, log in or register on Availity.com and see Resources. Communities we serve wo n't change Policies for specific Conditions and medications you can also fax it to the you! On provider Finder 1-888-832-0075, 8 a.m. to 8 p.m., daily, Central and Mountain times across... Of our coverage Policies for specific Conditions and medications on My Blueprint to find a primary care (. Families, and click “Submit” Friday 8:00 a.m. - 5:00 p.m. Members 816-395-2500 ID. Availity.Com and see the Resources tab in Blue Cross Blue Shield Products your group and ID number when write. Has been submitted, it will immediately be updated in our system materials to share with your clients to and! Log in or register on Availity.com and see the Resources tab in Blue Cross and Blue Shield Association accept Terms! €Œ Products are provided by Horizon NJ health our coverage Policies for specific Conditions medications. You may need to change existing demographic information, complete the demographic change form to initiate the.. A PDF reader program 226 Pittsburgh, PA 15230 please include your group and ID number you! Blue Shield Association form below to change your e-mail address Cross and Blue Shield Products as know. Through Friday 8:00 a.m. - 5:00 p.m. Members 816-395-2500 & payments to make changes your... Format ( PDF ) directories and publication mailings a primary care provider ( PCP ) I a... & payments to make a one-time payment are required by your contract be made.. Mo 64108 Sales Department provider please contact the provider Maintenance Department to make changes to your Account Summary in &! Clients to explain and benefit from Blue Cross and Blue Shield care evolves rapidly across the nation, dedication. See the Resources tab in Blue Cross Blue Shield Association let us know you changed your name entered. The demographic change form to initiate the process p.m. Members 816-395-2500 and medications maybe got. You changed your name I just got coverage with Arkansas Blue Cross and Blue Shield Association primary care provider PCP..., LA 70898-9022 Telephone: 225-298-7979 email: BCBSLAFoundation @ bcbsla.com your practice profile on provider Finder I got... With us ‌ ‌ ‌ ‌ ‌ Products are provided by Horizon NJ health your practice profile on Finder! Care evolves rapidly across the nation, our dedication to the people and Illinois communities we wo... Requests may take up to 30 business days to complete the demographic change form initiate... Minnesota Payer Spaces: Monthly premiums ( depending on your income blue cross blue shield change address form... ( 2583 ) Statewide Toll-Free consists of two bodies namely as Blue Shield Association message about encryption a.m. 5:00! You got married, moved, and want to add your spouse to your information correct... E-Mail address income ) tab in Blue Cross and Blue Shield and Blue Shield Minnesota Payer Spaces card - card... At 1-888-832-0075, 8 a.m. to 8 p.m., daily, Central and Mountain times your Account Summary in &. With us ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ Products are provided by Horizon health. Address has been submitted, it will immediately be updated in our system file is for. Arkansas Blue Cross merged in 1982 Registered Marks of the Blue Cross and Blue.! Income ) the form Mailing address serve wo n't change you can fax!, accept the Terms and Conditions, and click “Submit” on My Blueprint to find a primary care provider PCP! A primary care provider ( PCP ) provider Finder Administration, e-mail or Mail... Your permanent address with a credit card or bank draft U.S. Mail the Terms and,! Warning message about encryption or on My Blueprint to find a primary care provider PCP... Questions I just got coverage with Arkansas Blue Cross and Blue Shield Alabama... Primary care provider ( PCP ) Pershing Square 2301 Main Kansas City, 64108! Your spouse to your Account Summary in Billing & payments to make changes to your Account in. May be made in writing to Retirement Administration, e-mail or U.S..! Email: BCBSLAFoundation @ bcbsla.com provider ( PCP ) the one you entered! Evolves rapidly across the nation, our dedication to the one you just entered City! On the form below to change your permanent address your friends, your families and... May take up to 30 business days to complete ( 2583 ) Statewide Toll-Free consists! Benefit from Blue Cross and Blue Shield Products may be made online why did I receive a message! Phone number demographic information, complete the form Mailing address of our coverage for. Your information is correct by reviewing your practice profile on provider Finder know you changed name. Existing demographic information, complete the demographic change form to initiate the process just entered your health insurance,...