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What are the exceptions to BlueCard claims submissions?

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What are the exceptions to BlueCard claims submissions?

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• You contract with the member’s Blue Plan. • The member’s ID card does not include an alpha prefix. • The benefits are excluded from the BlueCard Program (e.g., dental and prescription medications). • The member belongs to the Federal Employee Program (FEP) – please follow your FEP guidelines. When in doubt, please submit the claim to us electronically or send the paper claim to us at: Regence BlueShield P.O. Box 30805 Salt Lake City, UT 84130-0805 Please note: Occasionally you may be asked to submit BlueCard claims directly to the member’s Blue Plan. For instance, there may be a temporary processing issue at Regence BlueShield or the member’s Blue Plan or both that prevents completion of claims through the BlueCard Program • How do I handle Coordination of Benefit (COB) claims? Coordination of Benefits (COB) refers to how we ensure members receive benefits while preventing double payment for services when a member has coverage from two or more payers. The member’s contract language e

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