Frequently Asked Questions

General

• What is your electronic payor ID?

  Submit medical claims to Blue Cross Blue Shield and include the three-character alpha prefix (e.g., TEA) in the member’s unique ID number. Submit dental claims to TeamCare as indicated on the back of the member’s ID card. TeamCare’s electronic payor ID for dental claims is 36215.

• What types of services require precertification?

  Blue Cross Blue Shield requires precertification of in-patient admissions. Submit precertifications to Blue Cross Blue Shield and include the three-character alpha prefix (e.g., TEA) in the member’s unique ID number.

• Where do I submit claims?

  Submit medical claims to Blue Cross Blue Shield and include the three-character alpha prefix (e.g., TEA) in the member’s unique ID number. Submit dental claims to TeamCare as indicated on the back of the member’s ID card.

• How long does it take to process a claim?

  Medical claims are processed by Blue Cross Blue Shield. Dental claims are processed by TeamCare. Electronic claims may take up to 30 days to process after being received by TeamCare, especially if further information needs review. Paper claims may take up to 30 days from submission.

• How do I tell if a claim was received?
  You can check the status of claims in your provider dashboard.
• Are there any specific plan exclusions?

  TeamCare does not cover procedures that are cosmetic, experimental, or investigational in nature. A list of other plan exclusions is available in the Summary Plan Description.

• How long do I have to file a claim?

  Unless your network contract states otherwise, there is a 12-month filing limit on claims.

• Does TeamCare provide coverage for pre-existing conditions?

  Yes, TeamCare covers pre-existing conditions.

• Do I contact the Network or TeamCare regarding a claim payment dispute?

  Medical providers, please contact Blue Cross Blue Shield for assistance. Dental providers can contact TeamCare regarding the claim payment dispute.