Filing for Border County Providers

Quick access to our online Provider tools and resources makes it easy to spend more time where it matters most – with your employees.

In this section, you can get the answers you need about Medicare Part D and Creditable Coverage, as well as fast access to a variety of administrative and HIPAA forms.

As always, if you have any questions, simply contact a representative on our sales team.
We’re here to help you sell Blue!

 

 

neny_map1

Example 1—Provider has contracts with BlueShield of Northeastern New York and BlueCross BlueShield of Vermont.

  • Claims for a BlueShield of Northeastern New York member are filed directly with their plan.
  • All other claims are filed with BlueCross BlueShield of Vermont.

neny_map2

Example 2—Provider is located in a Northeastern New York county that borders Vermont but only has a contract with BlueShield of Northeastern New York.

  • All claims are filed with BlueShield of Northeastern New York.

neny_map1

Example 3Provider is located in a New York county that borders Vermont but only has a contract with BlueCross BlueShield of Vermont.

  • When this provider renders a service to a BlueShield of Northeastern New York member, the claim is filed with BlueShield of Northeastern New York.
  • All other claims are filed with BlueCross BlueShield of Vermont.

Need Assistance?

phone icon
By Phone:

Call Us

evelope icon
Have a Comment
or Question?
Submit



Tools