- Business Transformation
- Policies & Guidelines
Claims and Billing
- X12 Gateway Transition
- National Provider Identifier (NPI)
- Electronic Data Interchange (EDI) Services
- Claims Requirements and Communications
- Claims Submission Addresses
- Claims Requiring Submission of Clinical Information
- Chiropractic Billing Guide
- Clear Claim Connection and Significant Edits Disclosure Report
- Tools and Resources
- Pharmacy Information
- Resources for Patient Management
- Contact Us
Claims and Billing
X12 Gateway TransitionGet information about the upcoming transition to the Highmark operating platform.
National Provider Identifier (NPI)Register your NPI with Independence Blue Cross (IBC) and learn why it’s important to do so. Also get answers to common questions about the NPI.
ICD-10Prepare for and understand the required transition to the newest International Classification of Diseases (ICD-10) code sets.
Electronic Data Interchange (EDI) ServicesElectronic Data Interchange Services is your electronic way to submit information. Providers can access important documents and data online, such as HIPAA Companion Guides, sample transactions, and regulation updates.
BlueCard®BlueCard is a national program that enables Blue Cross and Blue Shield members of one Blue Plan to obtain health care service benefits while traveling or living in another Blue Plan’s service area.
Claims Requirements and CommunicationsAccess important news, information, and resources related to the billing and submission of IBC claims.
Claims Submission AddressesGet a list of all claims–related mailing addresses.
Claims Requiring Submission of Clinical InformationIBC may require you to submit clinical information in connection with processing or adjudicating claims for certain categories of services. View a list of the most common types of claims that may require submission of clinical information.
Chiropractic Billing GuideReview the Chiropractic Billing Guide for clear, helpful information about billing requirements.
Clear Claim Connection™ and Significant Edits Disclosure ReportClear Claim Connection is a web–based reference tool designed to mirror how ClaimCheck® evaluates code combinations during the auditing of professional claims. The Significant Edits Disclosure Report is a searchable list of ClaimCheck significant edits.