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Claims processing for Freedom Blue
The payer ID for Freedom Blue in both Pennsylvania and West Virginia has changed recently. The correct payer ID for Freedom Blue PA is 15460 and the correct payer ID for Freedom Blue WV is 15459.
These payers may also be known as Highmark Senior Advantage.
To ensure that your claims are being submitted to the proper payer, in MicroMD PM, Maintenance Plan, highlight your Freedom Blue plan(s), double click to open to the detail and tabs. Click on the ID tab, and in the third field down on the left side, PAYER ID, make sure the correct payer ID is present.
If it is not the correct payer id, in the PAYER ID field, type either 15460 for PA or 15459 for WV and hit the enter button on your keyboard.
A search options window will open and if the entry highlighted in blue has the payer ID 15460 or 15459 appropriately, click on the green checkmark to bring that data back into the ID tab fields and save your changes.
If the entry highlighted in blue does NOT have the payer ID 15460 or 15459, then click the INSERT button. A new line will appear at the very bottom of the list. In the first column, type FREEDOM BLUE WV, or FREEDOM BLUE PA, whichever is appropriate, then tab to the second column, add the appropriate payer id (15460 for PA or 15459 for WV) and tab to the third column and type BNC. Then click the green checkmark to bring that data back into the ID tab fields and save your changes.
You may then be prompted to respond YES to change payer ID for all patients with this plan.
Click the Pharmacy Manager, click the add button, look up the pharmacy, and click the OK button to insert it into the practice preferred list.