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FAQs - General

  1. How do I get information regarding filing electronic claims?
  2. How do I get a provider number?
  3. How do I change our address?
  4. We are changing our tax identification number. What do we do?
  5. I have a Medicare question. Whom do I contact?
  6. How do I determine a MAP for a certain code?
  7. Why can't you send me a fee schedule?
  8. How do I determine if a doctor is participating in Blue Cross and Blue Shield of Kansas programs?
  9. Why is my claim being denied (or not paid as I expected)?
  10. How do I investigate how an out-of-Kansas Blue Cross and Blue Shield Plan processed my claim?
  11. As a contracting provider can I collect money at the time of service?
  12. Am I contracting in (BS, BVN, FEP etc.)?
  13. Am I a Blue Choice provider?
  14. I am interested in joining Blue Choice. How do I join?

  1. How do I get information regarding filing electronic claims?
    Contact BCBSKS Electronic Media Services.

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  2. How do I get a provider number?
    Call your professional relations representative or the provider network services in Topeka at (785) 291-4135 or toll-free at 1-800-432-3587

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  3. How do I change our address?
    Address changes need to be made in writing. Either fax the address change to us on letterhead at (785) 290-0734 or mail on letterhead to PO Box 239, Topeka, KS 66629 (It must be on provider's letterhead so we can confirm the request is coming from the provider).

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  4. We are changing our tax identification number. What do we do?
    A tax identification number requires a new contract. Call the provider network services in Topeka at (785) 291-4135 or toll-free at 1-800-432-3587 to ask for a new contract.

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  5. I have a Medicare question. Whom do I contact?
    You may call WPS at 1-800-782-2680.

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  6. How do I determine a MAP for a certain code?
    Providers are encouraged to establish their fees based on the cost to deliver the service, not on what BCBSKS allows for the service.

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  7. Why can't you send me a fee schedule?
    BCBSKS does not publish a fee schedule. The provider may request one annual charge comparison report for procedures billed to BCBSKS on behalf of our members. Lab fees are included in the annual charge comparison.

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  8. How do I determine if a doctor is participating in Blue Cross and Blue Shield of Kansas programs?
    Check our online provider directory, or call the provider network services in Topeka at (785) 291-4135 or 1-800-432-3587.

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  9. Why is my claim being denied (or not paid as I expected)?
    Call the BCBSKS customer service center in Topeka at (785) 291-4180, or 1-800-432-3990.

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  10. How do I investigate how an out-of-Kansas Blue Cross and Blue Shield Plan processed my claim?
    You will need to direct your question to our BlueCard customer service center for their determination of whether the services were submitted correctly to the other Plan and if we processed the claim according to the other Plan's instructions. BlueCard customer service can be reached by calling 1-800-432-3990, ext. 4058.

    Our role in BlueCard processing as the Host Plan is to receive the claim, apply our contracting provider maximum allowable payments and our content of service guidelines. We are also responsible to send this information to the Home Plan. When they have applied their eligibility and benefits guidelines they return the instructions to us and we pay the claim.

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  11. As a contracting provider can I collect money at the time of service?
    Providers may collect at the time of service these amounts identified as patient responsibility: copays, coinsurance, deductible, indemnified payment and balances, and non-covered amounts.

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  12. Am I contracting in (BS, FEP etc.)?
    Search our online provider directory, or call the provider network services in Topeka at (785) 291-4135 or 1-800-432-3587.

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  13. Am I a Blue Choice provider?
    If you are a contracting BCBSKS provider with the CAP, you are automatically a Blue Choice provider.

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  14. I am interested in joining Blue Choice. How do I join?
    If you are currently contracting with BCBSKS CAP (Competitive Allowance Program), you are automatically a Blue Choice provider. Blue Choice is a PPO, which affects the patient on the hospital side. If a patient goes to a non-PPO hospital, they have greater out-of-pocket costs.

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