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Blue Cross and Blue Shield of Vermont

BCBS VT

Blue Cross and Blue Shield of Vermont logo
Primary payer ID
Compare transaction IDs ↓
Last successful claim statusWithin the past weekObserved across Substrate's claim-status network.
Claim statusSupportedEDI 276/277EligibilityAvailableEDI 270/271

Coverage profile

Work Blue Cross and Blue Shield of Vermont across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Blue Cross and Blue Shield of Vermont.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Cross and Blue Shield of Vermont.

Available

Other aliases

Also known as

  • BCBSVT
  • 10624
  • 12B32
  • 4967
  • 7493
  • SB915
  • VTBCBS
  • VTBLS
  • Blue Cross Blue Shield Vermont
  • Blue Cross Blue Shield of Vermont
  • BCBS VERMONT

2027 maternity billing research

When does Blue Cross and Blue Shield of Vermont change OB/GYN billing?

Confirmed 2027 guidance

For a first visit after confirmation of pregnancy on or after September 1, 2026, bill the appropriate E/M code appended with modifier -TH and an appropriate Z34.XX or O00-O9A diagnosis code. Global maternity care and delivery codes are deleted effective January 1, 2027. A vaginal or cesarean delivery in 2026 uses the appropriate current global obstetrics codes. Seven or more antepartum visits in 2026 with delivery in 2027 use CPT 59426. Four to six use CPT 59425.

Transition start
2026-09-01 — first prenatal visit after confirmation
Billing start
2027-01-01 — global codes deleted; September 1, 2026 E/M + TH rule remains
Published
2026-06
Current As Of
October 2026

Scope: Blue Cross and Blue Shield of Vermont obstetric claims. The August notice remains the upstream edition.

Provider Changes to Maternity Care Services Coding and Billing, October 2026. Verify the payer source before claim submission.

Frequently asked questions

Blue Cross and Blue Shield of Vermont payer FAQs

How do I check claim status with Blue Cross and Blue Shield of Vermont?

Providers check Blue Cross and Blue Shield of Vermont via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Blue Cross and Blue Shield of Vermont?

The primary payer ID for Blue Cross and Blue Shield of Vermont is BCBSVT. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for Blue Cross and Blue Shield of Vermont?

The 837P and 837I payer ID for Blue Cross and Blue Shield of Vermont is BCBSVT via Stedi.

What is the 835 payer ID for Blue Cross and Blue Shield of Vermont?

The 835 payer ID for Blue Cross and Blue Shield of Vermont is BCBSVT via Stedi.

What is the 270 payer ID for Blue Cross and Blue Shield of Vermont?

The 270 payer IDs for Blue Cross and Blue Shield of Vermont are BCBSVT via Stedi and BCBSVT via Availity.

What is the 276 payer ID for Blue Cross and Blue Shield of Vermont?

The 276 payer ID for Blue Cross and Blue Shield of Vermont is BCBSVT via Stedi.

What state does Blue Cross and Blue Shield of Vermont operate in?

Blue Cross and Blue Shield of Vermont operates in VT.

Routing reference

Blue Cross and Blue Shield of Vermont payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Blue Cross and Blue Shield of Vermont payer name, operating states, and transaction-specific payer IDs
Payer nameBlue Cross and Blue Shield of VermontSource: Substrate payer directory · data last changed
Operating statesVTSource: Substrate payer directory · data last changed
837P professional claims payer IDStediBCBSVTSource: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStediBCBSVTSource: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStediBCBSVTEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStediBCBSVTSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityBCBSVTSource: Availity payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStediBCBSVTSource: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Blue Cross and Blue Shield of Vermont. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer ID; matched record: BCBS VERMONT. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Blue Cross and Blue Shield of Vermont. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Payer contact directory

Blue Cross and Blue Shield of Vermont phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Eligibility / benefits phone
(800) 676-2583BLUE CROSS AND BLUE SHIELD OF VERMONT
Payer fax
(888) 282-1321BLUE CROSS AND BLUE SHIELD OF VERMONT
Blue Cross and Blue Shield of Vermont payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
fax(866) 411-2573Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION
  • SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION
Hospital
fax(866) 411-2585Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION
Hospital
fax(410) 781-7661Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
fax(800) 348-3804Other stated contextBenefit context: Co-Insurance
  • BCBS OF MISSISSIPPI
Hospital
fax(833) 453-0101Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
fax(833) 610-1575Other stated contextBenefit context: Co-Insurance
  • CREDENCE BCBS
Hospital
fax(833) 938-9934Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible
  • CREDENCE BCBS
Hospital
fax(844) 295-4637Other stated contextBenefit context: Co-Insurance
  • BLUE SHIELD OF CALIFORNIA
Hospital
fax(866) 606-6021Other stated contextBenefit context: Coverage Basis
  • PA LOGIC SOLUTIONS
fax(877) 665-5542Other stated contextBenefit context: Limitations
  • AMERICAN HEALTH HOLDING
Hospital, Hospital - Inpatient
fax(479) 527-2323
  • ABCBS EXCHANGE
fax(501) 212-8518
  • HEALTH ADVANTAGE
fax(501) 379-1200
  • SKAI BLUE CROSS BLUE SHIELD
fax(888) 282-1321
  • BLUE CROSS AND BLUE SHIELD OF VERMONT
phone(630) 516-8008Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Tuckpointers Local 52
Hospital - Inpatient
phone(800) 248-1062Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • RESTAT
Pharmacy
phone(800) 255-5681Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DDS
Dental Care
phone(800) 321-0935Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CHESTERFELD RESOURCES, INC.
Dental Care
phone(800) 322-6384Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTI-CAL
Dental Care
phone(800) 334-8134Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • RXBENEFITS
Pharmacy
phone(800) 373-3727Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Telligen
Hospital, Hospital - Inpatient
phone(800) 407-4627Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDI-CAL BHA
Mental Health
phone(800) 424-0472Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MAGELLAN RX MANAGEMENT
Pharmacy
phone(800) 450-8753Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Hospital, Pharmacy
phone(800) 451-0287Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 520-3368Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SELE-DENT INC
Dental Care
phone(800) 631-7780Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDCO
Pharmacy
phone(800) 635-1928Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BCBSIL
Hospital, Hospital - Inpatient
phone(800) 672-2378Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 676-2583Eligibility / benefits, Other stated contextBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Active Coverage
  • BCBS IL
  • BCBSIL
  • BCBSTX
  • BLUE CARE NETWORK
  • BLUE CROSS AND BLUE SHIELD OF VERMONT
  • BLUECROSSBLUESHIELDVERMONT
  • CAPITAL BLUE CROSS
  • CUSTOMER SERVICE
  • Customer Service
  • HEALTH ADVANTAGE
Chiropractic, Chiropractic, Hospital, Hospital - Inpatient, Hospital - Outpatient, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Health Benefit Plan Coverage, Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Urgent Care, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Physician Visit - Office: Well, Professional (Physician) Visit - Office
phone(800) 711-0917Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS
Pharmacy
phone(800) 765-6003Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL
Dental Care
phone(800) 854-7771Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDI-CAL LA CARE BHA
Mental Health
phone(800) 877-7195Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VSP
  • VSP Vision
Vision (Optometry)
phone(800) 972-8088Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
  • Customer Service
Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Hospital - Outpatient, Vision (Optometry), Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Vision (Optometry)
phone(800) 977-2273Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MAGELLAN
Pharmacy
phone(800) 981-3546Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(800) 987-8357Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS
Pharmacy
phone(800) 999-5431Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DAVIS VISION
  • Davis Vision
Vision (Optometry)
phone(833) 267-2133Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • INGENIORX
Pharmacy
phone(833) 293-0659Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • PA AUTH CENTER
Pharmacy
phone(833) 321-7117Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Acentra
Hospital, Hospital - Inpatient
phone(833) 741-1362Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS CAREMARK
Pharmacy
phone(833) 848-8730Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(844) 239-7644Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VSP
Vision (Optometry)
phone(844) 260-5889Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS CAREMARK
Pharmacy
phone(844) 306-8650Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAPITAL RX
Pharmacy
phone(844) 387-1441Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS
Pharmacy
phone(844) 462-7812Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • HEALTHCHECK 360
Hospital, Hospital - Inpatient
phone(844) 770-1500Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Davis Vision
Vision (Optometry)
phone(855) 347-6900Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EyeMed
Vision (Optometry)
phone(855) 350-1267Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CARELON RX
Pharmacy
phone(855) 592-2895Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(855) 811-2218Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUMRX
Pharmacy
phone(855) 862-4300Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EyeMed
Vision (Optometry)
phone(866) 458-4002Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • American Health Holdings
Hospital, Hospital - Inpatient
phone(866) 718-2375Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BROADREACH MEDICAL RESOURCES INC
Pharmacy
phone(866) 723-0515Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(866) 819-4298Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR VISION
Vision (Optometry)
phone(877) 225-2267Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM HEALTH BEHAVIRL SOLU OF CA
Mental Health
phone(877) 604-2142Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DECARE DENTAL
Dental Care
phone(888) 334-0870Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDI-CAL BHA
Mental Health
phone(888) 349-3706Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(888) 352-7924Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(888) 661-9141Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM BEHAVIORAL HEALTH
Mental Health
phone(888) 741-5232Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MED IMPACT
Pharmacy
phone(800) 274-7767Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital
phone(800) 305-4271Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(800) 627-7244Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(800) 832-7850Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(833) 277-5222Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(833) 794-0312Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(844) 889-2273Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(855) 343-4851Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(855) 984-2583Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 316-8438Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 470-6244Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 773-2884Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information
  • Pre Service Review
  • UTILIZATION MANAGEMENT
Chiropractic
phone(866) 840-2466Utilization managementBenefit context: Limitations
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 871-1419Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(877) 284-0102Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(877) 477-3600Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(877) 540-6663Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(888) 322-0928Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital
phone(888) 779-7247Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Chiropractic
phone(916) 228-4300Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(916) 642-1867Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(916) 779-7656Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(800) 924-7141Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description
  • BLUECROSS AND BLUESHIELD OF TENNESSEE
  • MAGELLANRX
Hospital - Inpatient, Hospital - Outpatient, Pharmacy
phone(855) 381-1661PharmacyBenefit context: Active Coverage
  • CVS CAREMARK
Pharmacy
phone(888) 286-3197PharmacyBenefit context: Active Coverage
  • CVS CAREMARK
Pharmacy
phone(855) 339-8558Behavioral health, Other stated contextBenefit context: Active Coverage; Benefit context: Coverage Basis
  • LUCET
Mental Health
phone(866) 322-1657Behavioral healthBenefit context: Active Coverage
  • BEHAVIORAL HEALTH MANAGER
Mental Health
phone(800) 275-2583Other stated contextBenefit context: Co-Payment
  • AUTHORIZATIONS
Physician Visit - Office: Well
phone(800) 352-6465Other stated contextBenefit context: Other or Additional Payor
  • MAGNACARE
Health Benefit Plan Coverage
phone(800) 397-7337Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment; Benefit context: Deductible
  • Availity Auth and Referrals Page
Hospital - Inpatient
phone(800) 424-8270Other stated contextBenefit context: Coverage Basis
  • PRIME THERAPEUTICS
phone(800) 441-2411Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Urgent Care
phone(800) 452-8507Other stated contextBenefit context: Active Coverage
  • HIGHMARK MEDICAL MANAGEMENT & POLICY
Hospital
phone(800) 476-0677Other stated contextBenefit context: Non-Covered
  • SOUTHLAND NATIONAL INSURANCE CORP
Vision (Optometry)
phone(800) 523-6435Other stated contextBenefit context: Co-Payment
  • LABLUE Clinical Inquiry
Chiropractic, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services
phone(800) 533-1120Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital
phone(800) 541-6652Other stated contextBenefit context: Co-Insurance
  • BLUE SHIELD OF CALIFORNIA
Hospital
phone(800) 664-2583Other stated contextBenefit context: Active Coverage
  • HORIZON BCBSNJ
Health Benefit Plan Coverage
phone(800) 827-4814Other stated contextBenefit context: Limitations
  • MEDICAL AUDIT AND REVIEW
  • SKAI BLUE CROSS AND BLUE SHIELD
Hospital - Inpatient, Hospital - Inpatient, Hospital - Outpatient
phone(800) 841-9659Other stated contextBenefit context: Co-Insurance
  • BCBS OF MISSISSIPPI
Hospital
phone(800) 845-4742Other stated contextBenefit context: Co-Insurance
  • EMPIRE MEDICAL MANAGEMENT
Hospital
phone(800) 920-2485Other stated contextBenefit context: Active Coverage
  • EXCELLUS BLUE CROSS BLUE SHIELD
Health Benefit Plan Coverage
phone(800) 922-8778Other stated contextBenefit context: Co-Insurance
  • INTEGRATED HEALTH MANAGEMENT
Hospital
phone(800) 982-8089Other stated contextBenefit context: Co-Insurance
  • ANTHEM MEDICAL MANAGEMENT
  • EMPIRE MEDICAL MANAGEMENT
Hospital
phone(800) 992-2583Other stated contextBenefit context: Co-Insurance
  • EMPIRE HEALTHCHOICE ASSURANCE, INC
Professional (Physician) Visit - Office
phone(833) 447-4397Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
phone(833) 462-0104Other stated contextBenefit context: Limitations
  • AMERICAN HEALTH HOLDING
Hospital, Hospital - Inpatient
phone(833) 592-9956Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Chiropractic
phone(833) 647-9355Other stated contextBenefit context: Co-Insurance
  • MONTEFIORE CMO 833-MHS-WELL
Hospital
phone(833) 663-8703Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible; Benefit context: Coverage Basis
  • CREDENCE BCBS
  • PA LOGIC SOLUTIONS
Hospital
phone(833) 663-8705Other stated contextBenefit context: Co-Insurance
  • CREDENCE BCBS
Hospital
phone(833) 798-6733Other stated contextBenefit context: Coverage Basis
  • BCBSAL
phone(833) 800-4033Other stated contextBenefit context: Coverage Basis
  • BCBSAL
phone(844) 235-4454Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • EMPIRE MEDICAL MANAGEMENT
Chiropractic
phone(844) 241-7087Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Chiropractic, Hospital, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(855) 243-3326Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible
  • Sleep Management Solutions
Hospital - Inpatient
phone(866) 205-5107Other stated contextBenefit context: Coverage Basis
  • PA LOGIC SOLUTIONS
phone(866) 803-8002Other stated contextBenefit context: Coverage Basis
  • CARELON MEDICAL BENEFITS MANAGEMENT
  • EVICORE HEALTHCARE
phone(866) 945-9839Other stated contextBenefit context: Other or Additional Payor
  • CAREFIRST ADMINISTRATORS - CFA
phone(877) 288-0719Other stated contextBenefit context: Coverage Basis
  • HEALTH EQUITY
phone(877) 291-0360Other stated contextBenefit context: Co-Insurance
  • CARELON
Hospital
phone(877) 324-2990Other stated contextBenefit context: Co-Insurance
  • QUANTUM HEALTH
Hospital
phone(800) 214-4844
  • BLUE CROSS AND BLUE SHIELD OF VERMONT
phone(800) 327-6716
  • BLUE CROSS AND BLUE SHIELD OF VERMONT
phone(800) 392-2512
  • BLUE CARE NETWORK
phone(800) 432-3990
  • BLUE CROSS AND BLUE SHIELD OF VERMONT
phone(800) 727-2227
  • BLUE CROSS AND BLUE SHIELD OF VERMONT
phone(800) 800-4298
  • ABCBS EXCHANGE
phone(844) 465-5227
  • SKAI BLUE CROSS BLUE SHIELD
phone(877) 444-2374
  • BLUE CROSS AND BLUE SHIELD OF VERMONT
phone(888) 233-8351
  • BLUE CROSS AND BLUE SHIELD OF VERMONT

Phone and fax numbers sourced directly from the payer response

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.