Fall 2009

Submitting medical records 
for BlueCard^® members

Are you familiar with how to submit medical records related to BlueCard members to Blue Cross and Blue Shield of Florida, Inc. (BCBSF)? Submit your records to the BlueCard fax number at 
(904) 361-0711.

The members' identification (ID) cards will have a suitcase logo and alpha prefix. Our BlueCard Fast Tracker lists the five steps to follow when providing services to a BlueCard member, which includes the BCBSF networks they may use while in Florida with balance billing protection (e.g., BlueCard HMO members use the Traditional/PPS/PHS).

Suitcase Logos

 A "PPO" inside the logo identifies PPO members. These members use the PPO network for the lowest out-of-pocket costs; in Florida that is BCBSF's PPC network. PPO members may also use the Traditional/PPS/PHS network, but will usually have higher out-of-pocket costs.

 A "blank" suitcase logo identifies Traditional, Indemnity, POS, HMO and some Medigap (Medicare Complementary/Supplemental) members. These BlueCard members use the Traditional/ PPS/PHS network while in Florida.

In July, the fax number was updated in the BlueCard^® Program Manual on page 18. That page also includes the following information:

Helpful Hints

• If the records are requested following submission of the claim, forward all requested medical records to BCBSF.

• Follow the submission instructions given on the request. Fax the specific records requested and a copy of the request to (904) 361-0711. Only send BlueCard documentation to this fax line.

• Include the cover letter you received with the request when submitting the medical records. This is necessary to make sure the records are routed properly once received by BCBSF.

• Submit the information to BCBSF within ten business days to expedite processing.

• Only send the information specifically requested. Quite often, complete medical records are not necessary.

• Please do not proactively send medical records with the claim. Unsolicited claim attachments may cause claim payment delays.

• Status inquiries should be directed to BCBSF at (800) 727-2227.

The BlueCard fast tracker and manual are available on our website, www.bcbsfl.com; click Physicians & Providers, Tools & Resources, then Fast Trackers or Manuals & Billing Instructions.