Is Florida Blue same as BCBS?
Florida Blue is a not-for- profit, policyholder-owned, tax-paying mutual company. Headquartered in Jacksonville, Fla., it is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.
Does Blue Shield send EOB?
After you use your health plan benefits, Blue Cross will send you an Explanation of Benefits (EOB). You may wonder what an EOB is and why you need it.
How do I contact Florida Blue?
You can reach us by phone at 800-352-2583 or chat live with us by clicking Chat. Or you can call 877-352-5830 to be automatically routed to your local Florida Blue Center.
What is Blue Cross EOB?
The Explanation of Benefits (EOB) shows the details of your medical and pharmacy expenses and how health insurance covers each. It’s a summary of your claims activity that includes: Total charge: The total amount a provider charged for the services. Member discount: Discounts are negotiated with providers.
Is Florida Blue a PPO or HMO?
Florida Blue offers PPO plans, which provide you with the most freedom to choose your doctors and health care service providers.
Can you use Florida Blue out of state?
Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.
How do I get an explanation of benefits?
After you visit your provider, you may receive an Explanations of Benefits (EOB) from your insurer. This is an overview of the total charges for your visit and how much you and your health plan will have to pay. An EOB is NOT A BILL and helps to make sure that only you and your family are using your coverage.
How do I request an explanation of benefits?
Make a direct, specific request for the explanation of benefits. For instance: “I would like to know what this bill was for and why it was not covered by my policy. I would like a detailed explanation of benefits sent to me at the address listed at the top of this letter.”
Where is BCBS of Florida located?
Jacksonville, Fla.
Headquartered in Jacksonville, Fla., it is an independent licensee of the Blue Cross and Blue Shield Association.
What is the payer assigned provider ID for Florida Blue?
5) Florida Blue will only accept the submission of the tax ID number 592015694 in this field.
How do I get Explanation of Benefits?
How do I read my insurance EOB?
How to read your EOB
- Provider—The name of the doctor or specialist who provided the service.
- Service/Procedure—The type of service you received.
- Total Cost—The amount we pay for the service.
- Not Covered—The amount of the service not covered (this usually only occurs if the service is denied).
What is the difference between Florida Blue and Florida Blue HMO?
BlueCare HMO (Health Maintenance Organization) is Florida Blue’s middle tier network. It has over 29,000 doctors, 231 hospitals and most major pharmacy chains. BlueCare offers no coverage for out-of-network services outside of Florida, except in an emergency.
Does Florida Blue PPO cover out of state?
Can I use my Florida health insurance in another state?
The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii.
Which is better a HMO or PPO?
HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.
How often are EOBs sent?
once per month
EOBs are usually mailed once per month. Some plans give you the option of accessing your EOB online. Your EOB is a summary of the services and items you have received and how much you may owe for them.
Who receives the Explanation of Benefits EOB report?
A health care provider will bill your insurance company after you’ve received your care. Then you’ll receive an EOB. Later, you may receive a separate bill for the amount you may owe. This bill will include instructions on who to direct the payment to—either a health care provider or your health insurance company.
How long does it take to get an explanation of benefits?
Almost 80 percent of claims are received within 30 days from the date of service. In some cases, it can take up to 60 days before your doctor or hospital submits a claim. How quickly we process the claim once it’s received. More than 90 percent of claims are processed within 7 days of receiving them.
Does Florida blue cover out of state?
Who owns Florida Blue?
GuideWellBlue Cross and Blue Shield of Florida / Parent organization
GuideWell Mutual Holding Corp, the parent company of Florida Blue, has acquired a majority share in Kansas-based New Directions Behavioral Health, a company with more than 16 million members.
What is the payer ID for BCBS of Florida?
Payer Name: Blue Cross Blue Shield of Florida|Payer ID: 590|Professional (CMS1500)/Institutional (UB04)[Hospitals]
What is the payer assigned provider ID?
The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.
How do you read an EOB for dummies?
How to Read Your Medical EOB – YouTube