{"id":65994,"date":"2024-03-14T21:45:42","date_gmt":"2024-03-14T16:15:42","guid":{"rendered":"https:\/\/www.seminarsonly.com\/news\/?p=65994"},"modified":"2024-03-15T11:01:11","modified_gmt":"2024-03-15T05:31:11","slug":"blue-cross-medicare-advantage-provider-portal","status":"publish","type":"post","link":"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/","title":{"rendered":"Blue Cross Medicare Advantage Provider Portal"},"content":{"rendered":"

Blue Cross Medicare Advantage Provider Portal<\/span><\/h1>\n

The Blue Cross Medicare Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.<\/strong><\/em><\/p>\n

Your digital resource for all news and announcements related to policy updates, digital tools, reimbursement and prior authorization changes, educational opportunities, and more.<\/p>\n

At Availity, you can:<\/h3>\n
\n
Request authorizations<\/div>\n
Submit claims<\/div>\n
Access reports<\/div>\n<\/div>\n
<\/div>\n
The Blue Medicare Advantage (BMA) local PPO plan is a managed care plan in which members pay less out-of-pocket costs when they use providers who are part of the Blue Medicare Advantage PPO network. Local PPOs are available in select counties within a state. CMS allows the Medicare Advantage plan to select the counties they want to participate in.<\/div>\n
<\/div>\n
BMA has a contract with the federal government that allows BMA to administer all Medicare benefits. Medicare Advantage PPO members are strongly encouraged, but not required, to select a PCP. MA PPO members are also not required to obtain a referralfor specialty care but should coordinate with their PCP. Blue Medicare Advantage PPO members can use providers both in and out of the network. Prior Authorization is required for some services.<\/div>\n
\n

To Redeem in Store.<\/span><\/h2>\n

1. Let the cashier know you\u2019re using your OTC benefit. Then show your Member ID card before the cashier begins to scan products. Your Member ID is used to verify eligibility, not as a form of payment.<\/p>\n

2. Give this QR Code to the cashier to finish the transaction<\/p>\n

<\/div>\n

Is the cashier having trouble? Give them these instructions:<\/span><\/h2>\n

1. Scan QR Code.<\/p>\n

2. You will be automatically redirected to the OTCHS App on the POS terminal.<\/p>\n

3. Ask the member for their plan ID Card.<\/p>\n

4. Select the member\u2019s plan.<\/p>\n

5. Enter the Member ID or the member\u2019s first and last name.<\/p>\n

6. Scan eligible products and follow instructions on the POS system to complete the transaction.<\/p>\n

7. If you\u2019re having trouble locating the member or processing the transaction, please call the dedicated OTCHS Store Support line for assistance.<\/p>\n

\"Pennsylvania<\/p>\n

How to identify eligible items in store<\/b><\/span><\/h2>\n

Online<\/h3>\n

Order online 24\/7 at bcbstmedicare.com\/OTC. Online orders must be submitted by 11:59 PM ET to be processed the same day.<\/p>\n

1. You\u2019ll need to create an account if it\u2019s your first time placing an order online<\/p>\n

– Then, choose the \u201cCreate Account\u201d button and follow the instructions.<\/p>\n

– You will need your Member ID, date of birth, ZIP code and current email address. Each member registering needs to have a separate email address. If a member shares an email address with a spouse or caregiver who also has an OTC account, they will only be able to register one account.<\/p>\n

– You will also need to create a password.<\/p>\n

\u2022 If you need help locating your Member ID, select \u201cGet help locating your Member ID.\u201d<\/p>\n

\u2022 Remember to save your password for future orders. You will need your Member ID or email address along with your password to sign in again.<\/p>\n

\u2022 If you forget your password, choose the \u201cForgot Password?\u201d button to create a new one.<\/p>\n

Phone<\/b><\/h3>\n

1. Orders can be placed by calling 1-888-628-2770, TTY 711. You can speak to a live agent Monday to Friday, from 9 AM to 8 PM ET. Please have your ID and order ready when placing your order by phone. You can always use the automated Interactive Voice Response (IVR) system24\/7 to:<\/p>\n

\u2022 Place an order<\/p>\n

\u2022 Track an order<\/p>\n

\u2022 Cancel an order<\/p>\n

\u2022 Hear benefit information<\/p>\n

\u2022 Order a catalog<\/p>\n

2. When your account is located, you will be asked to input your date of birth in MMDD format.<\/p>\n

3. The account authentication process will start and the system will verify the name and address on the account.<\/p>\n

4. Please enter the numerical portion of the item code.<\/p>\n

\u2022 Example: If you would like to order item \u201cB33 unscented wipes,\u201d you will select \u201c33\u201d and wait for the prompt to confirm the item. Once the system locates the item, it will read back the product name and quantity and ask if the selection is correct. Please allow the system to complete the statement before making your selection.<\/p>\n

\u2022 If yes, the system will add the item to your cart.<\/p>\n

\u2022 If no, the system will provide an option to edit the product or the quantity.<\/p>\n

5. Once the order is completed, you will have the choice to review the items in the cart or submit the order<\/p>\n

.\u2022 If you submit the order without review, the system will provide a confirmation number and the call will be disconnected.<\/p>\n

\u2022 If you want to review your order, the system will allow you to edit the items, start over, submit the order or speak with a representative. Note:\u00a0 Should you choose to speak to a representative, your items will not be saved and you will have to restart your order<\/p>\n<\/div>\n

<\/div>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"

Blue Cross Medicare Advantage Provider Portal The Blue Cross Medicare Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5868],"tags":[],"class_list":["post-65994","post","type-post","status-publish","format-standard","hentry","category-login"],"yoast_head":"\nBlue Cross Medicare Advantage Provider Portal - Seminarsonly.com<\/title>\n<meta name=\"description\" content=\"The Blue Cross Medicare Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Blue Cross Medicare Advantage Provider Portal\" \/>\n<meta property=\"og:description\" content=\"The Blue Cross Medicare Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/\" \/>\n<meta property=\"og:site_name\" content=\"Seminarsonly.com\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/facebook.com\/seminarsonly\" \/>\n<meta property=\"article:published_time\" content=\"2024-03-14T16:15:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-15T05:31:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/providernews.elevancehealth.com\/img\/logos\/logo-PAIBC.png\" \/>\n<meta name=\"author\" content=\"Freddy John\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@seminarsonly\" \/>\n<meta name=\"twitter:site\" content=\"@seminarsonly\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Freddy John\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/\"},\"author\":{\"name\":\"Freddy John\",\"@id\":\"https:\/\/seminarsonly.com\/news\/#\/schema\/person\/75cf706896b7210fb0a84651adc258bd\"},\"headline\":\"Blue Cross Medicare Advantage Provider Portal\",\"datePublished\":\"2024-03-14T16:15:42+00:00\",\"dateModified\":\"2024-03-15T05:31:11+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/\"},\"wordCount\":796,\"image\":{\"@id\":\"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/providernews.elevancehealth.com\/img\/logos\/logo-PAIBC.png\",\"articleSection\":[\"Login\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/\",\"url\":\"https:\/\/seminarsonly.com\/news\/blue-cross-medicare-advantage-provider-portal\/\",\"name\":\"Blue Cross Medicare Advantage Provider Portal - 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