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New member ID cards and submitting claims for members migrated to the new platform

October 2, 2013

As previously communicated, IBC is in the process of transitioning to a new claims processing platform, which will offer greater capabilities, increased flexibility in benefit design, and enhanced functionalities for an improved overall customer experience.During this transition, we will be working with you in a dual claims-processing environment until all of our membership is migrated to the new platform. In other words, as members are migrated, their claims will be processed on the new platform; however, we will continue to process claims on the current IBC platform for members who have not yet been migrated.You will see changes to the following as members are migrated to the new platform:
  • Member ID numbers. As members are migrated to the new platform, they will be issued a new ID card and assigned a new member ID number. Both the subscriber and all dependents will share the same member ID number — dependents will no longer have a unique suffix. You must submit claims using this new ID number. Please discontinue use of any outdated member ID numbers.

    It is imperative that all providers ask members for their current ID card at each visit and make a copy for your records, as all member ID numbers eventually will be reassigned through 2015. In addition, be sure to verify member eligibility and benefits using the NaviNet® web portal.
  • Alpha prefixes. Alpha prefixes for many of our benefit plans will be updated during the migration process. We will post updated payer ID grids. These documents will identify alpha prefixes by product for both migrated and non-migrated members.
Adhering to these claims submission requirements will help to make the claims submission process smooth during this time of transition. If you submit a claim that uses outdated information, your claim may not be paid. For more information, please visit our Business Transformation web page. On this site, you will find a communication archive and Frequently Asked Questions (FAQ) document. If you still have questions after reviewing the FAQ, email us at provider_communications@ibx.com.

PLEASE NOTE: To ensure proper claims processing, be sure to submit claims using your NPI and taxonomy code.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.

This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
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