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. BlueCross BlueShield of South Carolina administers the Federal Employee Program (FEP) for eligible federal employees and retirees. In our continuous effort to increase provider satisfaction, we have enhanced the manner in which FEP dental providers submit claims and receive payments. Effective June 19, 2020, dental providers can submit claims electronically (837) via clearinghouse with payer ID 402. This enhancement speeds up claims processing and allows you to view the status of electronically submitted claims in My Insurance ManagerSM (MIM), the BlueCross secure online portal. You will also receive electronic remittance advices. What This Means To YouYou may continue to submit hardcopy dental claims, however, effective June 19, the preferred method to submit is electronically. Claims filed electronically with payer ID 402 will process expeditiously and claims status can be viewed via MIM. You will receive an electronic remittance advice and a hardcopy check for payment. Visit our website to learn more about checking Claims Status in MIM. Work with your clearinghouse or contact for electronic claims filing assistance. Should you have any questions about this bulletin, you may email .
Manage Your Health, Better Your LifeIf you have questions about your health or a condition that requires special care, we can help. The Healthy Endeavors ProgramWith Healthy Endeavors, you can talk with a trained nurse health coach and get helpful information about your health delivered right to your door, and there's no extra cost to you. Plus, there's no obligation – you can leave the program at any time.
You could be eligible if you have any of these health concerns:
Back to Programs Case Management ProgramIf you’ve been diagnosed with a complex health condition, our nurse case managers can teach you about your condition, give you reading materials to learn more, coordinate your care with your doctor, and help create a preventive care plan for healthier living. There's no extra cost to you.
You may be eligible if you have any of these health concerns:
Back to Programs Wellframe Mobile Health Checklist and Messaging*Blue Cross NC is pleased to offer a free mobile application for your smartphone and tablet that connects you to a confidential and supportive health care team when it's most convenient for you.
*Wellframe is only available for certain health conditions. Motivation, Advice and SupportWhen you need a little extra help managing your health, your Wellframe care team is ready:
Health ChecklistWellframe will send a short list of tasks, based on your particular condition, to your mobile device each day:
Your personal checklist is designed to help you stay on track with your condition care plan. Back to Programs Medication Therapy Management (MTM)Blue Cross NC provides MTM to members with a Service Benefit Plan. MTM covers a broad range of health care services from clinical pharmacists who can help you identify, prevent and resolve any medication-related problems.
Medication-related problems may include:
Back to Programs Member ResourcesHelp & Customer ServiceWhether it's a question about health insurance, a chronic condition or something else, we'll connect you with someone who has the answers. FEP Directory Pre-Approvals for Medical & Mental Health ServicesSome procedures and medications require pre-approval from Blue Cross NC. Work with your provider to lower your health care costs and avoid unwanted surprises later. Pre-Approval Guide  Member Forms, Printables & ResourcesWe have newsletters, articles, videos and other great resources to help you better understand your health plan and your health. FEP Resources Menu What type of insurance is BCBS Federal Employee Program?FEP offers a comprehensive suite of resources to help current and prospective members choose the best medical, dental and vision plan for them and their families, including the AskBlue medical, dental and vision plan finder tools, prescription drug cost tool and health cost advisor tool.
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.
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.
Is BCBS Federal Employee Program a PPO?Anthem Blue Cross of California - Federal Employee Program (FEP) - PPO Accepted By These Sutter Hospitals & Medical Groups.
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Blue cross blue shield federal employee program payer id
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