Home Administrative Billing & Reimbursement BlueCard® Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

Now in effect: A PROMISeTM ID is required to receive payment for services provided to your Independence CHIP members

August 1, 2019

Over the past several months, we have published articles in Partners in Health UpdateSM informing you that the Pennsylvania Department of Human Services (Department) requires all providers in the Children’s Health Insurance Program (CHIP) network to have a PROMISe ID for each location at which they treat CHIP members. A PROMISe ID is a Department-issued Provider Reimbursement and Operations Management Information System (PROMISe) identification number. It is required for you to receive payment for services rendered to CHIP members.

In accordance with Department requirements, all claims submitted for Independence CHIP members for dates of service on or after July 1, 2019, by an in-network Keystone Health Plan East provider who does not have a PROMISe ID that corresponds to the location where the services were rendered, or through which services were ordered, referred, or billed, will be denied. Please be aware that both the practitioner and the group/provider need a PROMISe ID for the claims to process.

Continuity of care

Continuity of care options will be available for 60 days for CHIP members who are in an active course of treatment with a physician or provider who does not have a PROMISe ID. Requests for exceptions will be considered when there is an ongoing, active course of treatment for a chronic or acute medical condition and prudent medical practice requires continued care from the same physician. Please be mindful that your contract with Independence limits when providers can bill members for non-covered services other than copayments, coinsurance, and deductibles. The Department requires that members are not billed when claims are rejected due to a provider not having a PROMISe ID.

How to request a PROMISe ID

Visit the Department’s website to access the application, requirements, and step-by-step instructions related to the enrollment process. If you have any questions or issues with the enrollment process, contact the Department’s Provider Enrollment Hotline at 1-800-537-8862, select options 2, 4, and finally option 2 to speak to a Department representative. The application and hotline are monitored by the Pennsylvania Department of Human Services, not Independence.

How to confirm the status of your PROMISe ID

If you submitted your application electronically, you can to check the status here. You will need to enter the following information:

  • application tracking number (ATN)
  • social security (SSN) or federal tax identification number (FEIN)
  • site password

If you have questions related to this information, please email us at practiceupdates@ibx.com.


This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
Connect with us     Facebook     Twitter     Flickr     YouTube     Walk the Talk    Independence Pinterest    Independence LinkedIn    Independence Instagram Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer
© 2023 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.