Through the BlueCard Program, providers can render services to patients who
are enrolled in a Blue Cross® and Blue Shield®
Plan – other than one offered by Independence – and patients can
visit physicians or facilities within the Independence five-county service area
(i.e., Bucks, Chester, Delaware, Montgomery, and Philadelphia counties) for
treatment.
Independence coordinates with other Blue Plans to process professional and
institutional electronic billing for Host claims. We strive to pay claims in a
timely manner, but missing details in a claim submission can delay the payment
process or cause a claim rejection.
Common reasons for claim rejections
Be sure to complete all information fields in the claim. The claim
cannot be processed if it is missing:
- actual ambulance mileage;
- attending physician information, including National Provider Identifier,
name, tax ID, and physical address;
- medical record number;
- name, dosage, and National Drug Code number;
- occurrence date or from and to date, code, and span code;
- operating physician number and qualifier;
- service facility location state and ZIP code;
- value amount and code.
More information
If you have questions about electronic claim submission guidelines, refer to
the Independence Blue Cross HIPAA Transaction Standard Companion
Guide, available on the Trading Partner Business Center.
For more information about the BlueCard Program, visit the BlueCard section or email us at provider_communications@ibx.com.
Independence Blue Cross is an independent licensee of the
Blue Cross and Blue Shield Association.