Members' most important relationship is their relationship with their healthcare provider
Our Network Providers are partners in helping our members learn about their health status and how to be healthy. Healthcare providers can find useful information on this site through the links on the left.
Important Provider Information You Need To Know For 2010
Changes related to prior authorization of testosterone medications are effective August 1, 2010, and co-pay changes for some medications will be effective September 1, 2010. More information about this is on the Articles and Updates page. Also on that page are several enhancements and medical policies that became effective January 1, 2010 or shortly thereafter. It is important to review the Articles and Updates page and determine how they impact your office. Please refer to that page for updates in the upcoming months. We encourage all providers and office staff to take time to read about each of these changes.
Expansion of BCBSMS Allied Therapy Network
As part of our commitment to a healthier Mississippi, Blue Cross & Blue Shield of (BCBSMS) is proud to announce that effective August 1, 2009, the BCBSMS Allied Therapy Network will be expanded to include the following providers:
- Licensed Social Workers
- Licensed Professional Counselors
- Psychologists
If you are interested in becoming a BCBSMS Allied Therapy Network Provider, please contact Provider Administration at 601-664-4618.
Alert! Protect Your Personal and Business Identity
We have been made aware that someone posing as a Blue Cross & Blue Shield of Mississippi employee is contacting providers at their home or office to obtain provider tax identification and social security information. Please do not give this information.
Blue Cross & Blue Shield of Mississippi is committed to protecting your personal and business identifying information such as social security number, tax identification number and National Provider Identifier.
Please be aware that Blue Cross & Blue Shield of Mississippi employees will not call your home to request any identifying information for you or your business. This information should always be requested from your office location and we will always require you to submit this information to us in writing (i.e. a provider application, network communication form or W-9 form). If you call our office for assistance, you should be prepared to share your identifying information with us in order to complete Health Insurance Portability & Accountability Act (HIPAA) privacy verification.
To ensure the safety of your secure information, please do not release your social security number, tax identification number or National Provider Identifier to anyone who may call your home or office. If you suspect fraudulent activity, always ask for the caller's name, telephone number and extension before ending the call. You should report this activity to Provider Services at 800-257-5825.
Our Services
The Provider Services department of Blue Cross & Blue Shield of Mississippi provides a wide range of electronic, telephone and on-site services. To learn more about each of these offerings, click on Our Services.
Medical Policy
We publish our Medical Policy through the website to help members and healthcare providers understand the policies that guide our benefit decisions. Network Providers should be familiar with these policies.
Forms and Downloads
We provide you with forms to help the efficiency of our work through standardization. Many forms can be found and downloaded from this site. The site also contains publications and other documents that may be downloaded.
Automatic Crossover for All Medicare Claims Implemented
While most Medicare claims already crossover to Blue Cross & Blue Shield of Mississippi, effective April 1, 2008, we will begin receiving all crossover Medicare claims for services covered under Medigap and Medicare Supplemental coverage. This reduces or eliminates the need for the provider to submit an additional claim to us as the secondary carrier. Read more information about this claims submission enhancement.
Provider Reporting of Overpayment Procedures
Overpayments identified by the provider should be promptly reported to Blue Cross & Blue Shield of Mississippi. The methods of reporting overpayments are detailed on the Reporting Overpayments page.
Contact Info
Much of our communication with Network Providers can be handled more efficiently through the Contact Blue section of the secure myAccessBlue website. When phone calls are necessary, you will find this list of numbers helpful.
- Provider Customer Service: 601-932-1122 or 1-800-257-5825
- EDI Services: 601-664-4357 or 1-800-826-4068
- Provider Service Coordinators: 601-664-4258
- Utilization Management: 601-664-4597 or 1-800-841-9659
State and School Employees Health Plan
- Benefits, Eligibility and Claims Status: 1-800-709-0973
- Pre-Certification (through Intracorp): 1-800-523-8739
| 
