The BlueCard®

Program makes filing claims easy

As a participating provider of BlueCross BlueShield of Western New York you may render services to patients who are national account members of other BlueCross and/or BlueShield Plans, and who travel or live in our service area. This manual is designed to describe the advantages of the program, while providing you with information to make filing claims easy. This manual will offer helpful information about: 

  1. identifying members 
  2. verifying eligibility
  3. obtaining pre-certifications/pre-authorizations, 
  4. filing claims and 
  5. who to contact with questions.


BlueCard Manual

Find out what the BlueCard program is and how it works.

Local Alpha Prefix Listing

View a list of WNY plan prefixes. 

We automatically cross-over Medicare claims for services covered under Medigap and Medicare Supplemental products to secondary payers so you do not need to submit an additional claim to the secondary carrier.

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Do you practice in a county bordering another state? Do you have contracts with Blue Plans in your state and the neighboring state? File claims with the local Blue Plan based on where the service was provided (unless the member has coverage with the neighboring state’s Blue Plan).

Learn More

Out-of-Area Members

Access the information you need about servicing out-of-area Blue members, including:


Out-of-Area Members: Contiguous Areas

If you operate in a contiguous area, get answers to your questions about:

  • Contiguous area claim filing 
  • Overlapping service area claim filing
  • Ancillary providers claim filing 
  • Air ambulance providers 
  • Pharmacy, dental and vision providers
  • Telemedicine providers

Servicing Out-of-Area Members
Contiguous Areas


BlueCard® Claims Adjustments

We have been notified by the BlueCross BlueShield Association that due to a system defect, all BlueCross and/or BlueShield plans are required to adjust BlueCard® claims that were processed during a two-week period in October, 2013.

There will be no change to your payments. This status adjustment is the plan’s responsibility and is related to the cost of claims processing between plans. The adjustments will appear on your vouchers and member Explanation of Benefits. 

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