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​Claims Submission and Payment

​During our transition to a new operating platform for our core processing activities, 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 Independence platform for members who have not yet been migrated.

As a result, providers will see changes related to claims submission and payment, including, but not limited to, the following:

  • updated member ID numbers and alpha prefixes
  • taxonomy code requirement
  • new format for Provider Explanation of Benefits (EOB) and Provider Remittance (formerly known as Statement of Remittance)
Provider EOB/Remittance
Please refer to the following guides, which provide an explanation of the fields used in the new Provider EOB and Provider Remittance:
 
Spending Account Explanation of Payment
The following guides provide detailed information to assist providers in reading their spending account Explanation of Payment:

 
 
 


Below is an archive of communications regarding changes to claims submission and payment. We encourage you to visit this page frequently for updated information.


Communications

 


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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.