provider services
Provider services — group, BlueCard and individual plans (claims, benefits, eligibility, remits, PA status)
Menu guidance in the source recordOption 2 per the page
Menus can change. No live call verification is claimed.
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Page lists option 2 for claims questions, benefits, member eligibility, remit questions and prior authorization status.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Availity handles benefits, claim status, eligibility, prior authorization requests (BlueApprovR), EFT/ERA enrollment and fee schedule.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Carelon Medical Benefits Management (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
eviCore healthcare — Medicare Advantage specialty UM and recommended clinical review for radiation therapy and molecular testing (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Page says Medicare Advantage requires eviCore prior authorization for specialty utilization management; group and individual plans use eviCore for recommended clinical review of radiation therapy and molecular and genomic testing.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
dental
Dental benefits customer service (Montana, commercial)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Commercial dental plans only.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
provider services
Special Investigations Department fraud hotline (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Confidential fraud reporting; not for claims or eligibility.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
eligibility benefits
Federal Employee Program (FEP) — eligibility, benefits and claim status, EHB plans (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). PSHB plans use 877-707-2786; FEP behavioral health 800-528-7264.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
eligibility benefits
Federal Employee Program (FEP) — PSHB eligibility, benefits and claim status (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
behavioral health
Federal Employee Program (FEP) behavioral health services (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Federal Employee Program (FEP) prior authorization (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
eligibility benefits
BlueCard — out-of-state Blue member eligibility and benefits (Montana page)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Published as 800-676-BLUE (2583).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
behavioral health
Behavioral health unit and prior authorization (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Phone is listed under Behavioral Health and BH Prior Authorization; fax is the BH prior authorization fax.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Individual plans medical prior authorization (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Group plans medical prior authorization (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). The same fax 866-589-8256 is listed for non-emergent group and individual appeals.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
Recommended Clinical Review fax (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Page lists P: 800-447-7828 and this fax for Recommended Clinical Review.
case management
Case management (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
case management
Disease management (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
provider services
Healthy Montana Kids (HMK) provider contact
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Healthy Montana Kids recommended clinical review and prior authorization
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax appeals
Group, individual and Healthy Montana Kids appeals — non-emergent fax (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Emergent appeals fax 406-441-5569 per the same page.
fax appeals
Group, individual and Healthy Montana Kids appeals — emergent fax (Montana)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
provider services
Blue Cross Medicare Advantage (MT) provider customer service — individual plans
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Also listed as the Medicare Advantage prior authorization number.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
provider services
Blue Cross Medicare Advantage (MT) provider customer service — group plans
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Blue Cross Medicare Advantage (MT) peer-to-peer scheduling
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
claims
Blue Cross Medicare Advantage (MT) paper claims (payer ID 66006)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Electronic payer ID 66006 via Availity or preferred vendor.
fax appeals
Blue Cross Medicare Advantage (MT) clinical appeals — standard fax and mail
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Expedited appeals fax 800-338-2227.
fax appeals
Blue Cross Medicare Advantage (MT) expedited clinical appeals fax
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
fax claims
Blue Cross Medicare Advantage (MT) provider claim disputes fax and mail
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana).
fax appeals
Blue Cross Medicare Advantage (MT) grievances fax
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Member grievances; filed by member or authorized representative.
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Credentialing issues; onboarding and demographic changes use forms on the page or Availity.
patient billing
1099 inquiries — Corporate Tax (Montana provider payments)
Montana provider Contact Us page (HCSC-operated Blue Cross and Blue Shield of Montana). Duplicate or corrected 1099 requests need provider name, TIN, mailing address and contact; not for claims.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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