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13 11/2005
To check on claims submitted to BCBSGa/BCBSHP:
• A claim status may be verified via the internet at www.bcbsga.com. Please
access the Claim Status through the Provider Corner of our web site.
• Please wait at least thirty (30) calendar days after submitting a claim before
checking the claim status via our web site or calling BCBSGa/BCBSHP to verify
the status of the claim. This will allow sufficient time for complete processing
of the claim.
• If the claim is submitted electronically, verify that the claim was not rejected
electronically (see EDI Services on page ) and if rejected, and the claim status is
not available through our web site, that it was corrected and resubmitted.
• The status of the claim may also be obtained by calling the appropriate
BCBSGa/BCBSHP telephone number based on the member’s benefit plan.
The following information is required to verify a member’s eligibility and benefits
and/or to inquire on the status of a submitted claim:
• Type of plan (ie: BlueChoice Healthcare Plan, FEP, NASCO, etc.)
• Member’s name
• Member’s ID number including the alpha prefix and numeric suffix
• Member’s date of birth (MM/DD/YYYY)
• Date of service (required for claim status inquiries only) (MM/DD/YYYY)
• Charges submitted (required for claims status inquiries only)
Identification Cards
A member ID card is issued to each member for use when receiving health care
services. The ID card is for identification purposes only and may not be considered a
verification of eligibility.
Please find examples of member ID cards on the following page.