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What is the BlueCard program?

bluecard program
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What is the BlueCard program?

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BlueCard is a national program that enables members of one Blue Cross and/or Blue Shield Plan (Blue Plan) to obtain health care services while traveling or living in another Blue Plan’s service area. The program links participating health care providers with the independent Blue Plans across the country and in more than 200 countries and territories worldwide through a single electronic network for claims processing and reimbursement. The program allows you to conveniently submit claims for patients from other Blue Plans, domestic and international, to your local Blue Plan–Regence BlueShield. Regence BlueShield is your contact for claims payment, problem resolution and adjustments.

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The BlueCard program enables a member to receive medical services outside the service area (state of Arkansas) from a Blue Cross or Blue Shield (BlueCard) traditional network provider and limit expenses to the member’s in-network deductible (if applicable), copayment and coinsurance. Claims are filed with the local Blue Cross and/or Blue Shield plan with the XCH prefix and the member’s ID number and routed electronically to Health Advantage for payment. To locate the nearest participating BlueCard traditional network provider, members may go to bcbs.com or bluecares.com or call 1-800-810-2583 (BLUE). Services are covered according to the member’s out-of-area status.

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