Home Administrative Billing & Reimbursement BlueCard® Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

Check member ID cards and verify eligibility

February 1, 2021

​Some Independence patients received a new member ID card for coverage effective in 2021.

Please confirm the member's coverage and eligibility at each visit and before rendering services.

Medical Policy/PreCertification for out-of-area Blue Plan members

The Medical Policy/Precertification Router allows an Independence network provider access to information about the out-of-area Blue members Home Plan through NaviNet Open.* For more detailed information about NaviNet Open and for access to our NaviNet Open transaction user guides, visit the NaviNet Open section.

Best practices

  1. Make a copy of their ID card. Use the most recent member information when submitting claims.

    For out-of-area Blue Plan members, refer to the Quick guide to Blue member ID cards.

  2. Verify eligibility and benefits. Use the Eligibility and Benefits Inquiry transaction on the NaviNet® web portal (NaviNet Open).*

    For out-of-area Blue Plan members, use the BlueExchange® Out of Area transaction.

  3. Complete the COB, as applicable. For out-of-area Blue Plan members, have them complete the Coordination of Benefits (COB) Questionnaire for Out-of-Area Members, if applicable.

If a member does not have their new ID card yet or forgot it, ask the member to print a temporary ID card by logging on to our secure member portal available at ibx.com.

For your convenience, NaviNet Open* and ibx.com are available seven days a week.

*If your organization has transitioned to use PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal, you can use the Eligibility & Benefits and BlueExchange® Out of Area transactions to view this information. Additional information and self-service training materials are available in the PEAR ​Help Center.

NaviNet® is a registered trademark of NantHealth, 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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