BlueCard

BlueCard

The BlueCard Program links participating health care providers and the independent BlueCross and/or BlueShield plans across the country and around the world through a single electronic network for claims processing and reimbursement.

The BlueCard Program also allows Members who are away from (traveling or living) their Home Plan’s* service area to receive medical care from participating Providers wherever services may be required and in many instances, to receive the same level of benefits they would receive if the services were rendered in their Home Plan’s service area.

The program allows Providers to submit claims for BlueCross and/or BlueShield planMembers from other BlueCross and BlueShield plans, including international BlueCross and BlueShield plans, directly to the Provider’s local plan (Host Plan**). That plan will be the Provider’s contact for claims filing, claims payment, adjustments, inquiries, and problem resolution.

  • *Home Plan is the plan that "owns" the Member’s coverage
  • **Host Plan is the Practitioner’s local BlueCross BlueShield Plan – for Tennessee Practitioner’s treating Members of other Blue Plans, it is BlueCross BlueShield of Tennessee.
Page Modified:May 21, 2012