Blue cross blue shield of pennsylvania provider phone number

General Inquiries

1-215-241-2400

Independence Blue Cross
1901 Market Street
Philadelphia, PA 19103

Customer Service

Care Management Programs

Asthma

Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Coronary Artery Disease
Diabetes

General Inquiries

Highmark Inc.
Fifth Avenue Place
Pittsburgh, PA 15222

Claims

P.O. Box 890062
Camp Hill, PA 17089-0062

Customer Service

P.O. Box 890035
Camp Hill, PA 17089-0035

Mental Health/Substance Use Disorder Precertification

Case Management (adsbygoogle = window.adsbygoogle || []).push({});

Disease Management

Care Management Programs

Asthma
Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Coronary Artery Disease
Diabetes

General Inquiries

Capital BlueCross
2500 Elmerton Avenue
Harrisburg, PA 17177

Capital BlueCross Claims

P.O. Box 211457
Eagan, MN 55121-3057

Customer Service

1800 Center Street
Camp Hill, PA 17089

Precertification

Case Management

Mental Health/Substance Use Disorder Precertification

Care Management Programs

Asthma
Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Coronary Artery Disease
Diabetes

If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company.

Contact InformationFor providers

Important telephone numbers

AIM Specialty Health® (AIM)
	Philadelphia area	Outside Philadelphia
Precertification requests for CT/CTA, MRI/MRA, PET, nuclear cardiology, facility and home-based setting sleep study, continuous positive airway pressure titration, sleep equipment (APAP, BPAP, CPAP) and related supplies, Cardiology Utilization Management Program, and Musculoskeletal Utilization Management Program	1-866-745-1791
Anti-fraud and Corporate Compliance
Hotline	1-866-282-2707
Baby BluePrints®
Perinatal case management	215-241-2198	1-800-598-BABY (1-800-598-2229)
CareCore National, LLC d/b/a eviCore healthcare (eviCore)
Precertification requests for nonemergent outpatient radiation therapy services Precertification and/or prepayment reviews for genetic/genomic tests, certain molecular analyses, and cytogenetic tests	1-866-686-2649
Clinical Services – Utilization Management
Requests for authorization services should be entered through PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal.	1-800-ASK-BLUE (1-800-275-2583)
Credentialing
Credentialing violation hotline	215-988-1413
Credentialing Participation Request Form	Practitioner Participation Form
Credentialing and re-credentialing application status inquiries	Email:
Credentialing application corrections	Email: Fax: 215-238-2549
Customer Service
Keystone Health Plan East HMO/POS Mon. – Fri., 8 a.m. – 6 p.m.	1-800-ASK-BLUE (1-800-275-2583)
Personal Choice® PPO Mon. – Fri., 8 a.m. – 6 p.m.	1-800-ASK-BLUE (1-800-275-2583)
Federal Employee Program (FEP) Mon. – Fri., 8 a.m. – 5 p.m.	215-241-4400
Keystone 65 HMO/POS 8 a.m. – 8 p.m., 7 days a week (on weekends and holidays from April 1 through September 30, your call may be sent to voicemail)	215-241-2365	1-800-645-3965
Personal Choice 65SM PPO 8 a.m. – 8 p.m., 7 days a week (on weekends and holidays from April 1 through September 30, your call may be sent to voicemail)	215-561-4877	1-888-718-3333
MedigapSecurity, MedigapFreedom, and Security 65® 8 a.m. – 8 p.m., 7 days a week (on weekends and holidays from April 1 through September 30, your call may be sent to voicemail)	1-888-926-1212
TTY/TDD Language assistance services are offered through the AT&T Language Line for Members who have difficulty communicating because of an inability to speak or understand English.	711
FutureScripts® (Pharmacy Benefits)
Prescription drug prior authorization Mon. – Fri., 9 a.m. – 5 p.m.	1-888-678-7012 Fax: 1-888-671-5285
Direct Ship Drug Program	www.ibx.com/directship Fax: 215-761-9580
Blood Glucose Meter Hotline	1-888-678-7012
FutureScripts® Secure (Medicare Part D)
Prescription drug prior authorization 24 hours a day, 7 days a week	1-888-678-7015 Fax: 1-888-671-5285
Direct Ship Drug Program	www.ibx.com/directship Fax: 215-761-9580
Blood Glucose Meter Hotline	1-888-678-7012
Health Coaching
Case and Condition management 24 hours a day, 7 days a week	1-800-313-8628
Highmark EDI Operations
Mon. – Fri., 8 a.m. – 5 p.m.	1-800-992-0246
Independence Administrators
Provider Services (direct all inquiries or issues directly to Independence Administrators)	1-888-356-7899
Independence Blue Cross and Highmark Blue Shield Caring Foundation
Hotline	1-800-464-5437
Keystone First
Hours: Mon. – Fri., 8 a.m. – 5 p.m. Nurse on call 24 hours a day	1-800-521-6007
Mental Health/Substance Abuse
Magellan Healthcare, Inc. Customer Service and Precertification 24 hours a day, 7 days a week	1-800-688-1911
For Keystone Health Plan East Members with Caring Foundation benefits 24 hours a day, 7 days a week	1-800-294-0800
Independence Administrators 24 hours a day, 7 days a week	1-800-634-5334
PEAR Portal
PEAR support	1-833-444-PEAR (1-833-444-7327)
Provider Resources
Provider Automated System	1-800-ASK-BLUE (option 2) (1-800-275-2583, option 2) www.ibx.com/providerautomatedsystem
Provider Services Mon. – Fri., 8 a.m. – 5 p.m.	1-800-ASK-BLUE (1-800-275-2583)
Office Administration/Patient Education Resources Electronic Order Form	www.ibx.com/resourceorderform
Tandigm Health
Hotline	1-844-TANDIGM, option 5 Fax: 215-238-2271

PNS contact tool

Contact your designated Independence Provider Network Services (PNS) team contact.

Mailing address

1901 Market Street
Philadelphia, PA 19103-1480

Email

Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM.

What is the local BCBS for PA?

Independence Blue Cross (IBX)

Does PA have Blue Cross Blue Shield?

Highmark (as Highmark Blue Cross Blue Shield in western and northeastern Pennsylvania and Highmark Blue Shield in central Pennsylvania) serves nearly 4 million members through the company's health care benefits business and hundreds of thousands of additional members through the BlueCard® program.

Where do I send my claim for Highmark Blue Shield?

Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 • Attach: all original itemized bills to the claim form.