The launch of the new Provider Automated System, which was slated for
December 1, 2015, has been postponed. We will post updates on the
NaviNet® web portal and the Provider News Center once the new
system is available.
What to expect
When you call 1-800-ASK-BLUE, be sure to say ?Provider? or
press 2 when prompted.
Once in the Provider Automated System, you will need to have your National
Provider Identifier (NPI) or tax ID number, as well as the member?s information
(member ID number and date of birth), ready in order to access the information
below.
The Provider Automated System will enable providers to retrieve the
following information by following a series of self-service voice prompts and
questions specific to your inquiry:
- Eligibility. Check coverage status, effective dates, and
group name information.
- Benefits. Verify copayment, coinsurance, and deductible
information.
- Claims. Obtain paid status, claim denial reasons, paid
amount, and member responsibility information.
Note: Within the eligibility, benefits, and claims inquiries, you
will have the option to have information faxed to you, so be sure to have your
fax number ready during the call.
For authorizations, you will be directed to a Customer Service
representative for further assistance. This function is not available via
self-service; however, you can enter and retrieve authorization information
through NaviNet.
A new user guide will be available on our
Provider Automated System web page once the
system has launched.
NaviNet is a registered trademark of NaviNet, Inc., an
independent company.