Blue Cross Blue Shield Kansas City | Employers | Employer Portal | Login Employer Login Username: Password: Forgot Username? The Blue KC Provider's Guide has been developed to support you and your staff with basic, important information about Medicare Advantage plans with Blue Cross Blue Shield of Kansas City. Learn More Provider Portal; Member Login; Customer service Monday - Friday from 8am - 8pm from April 1 - September 30. If you have a question about your MyBlueKC account, call the phone number below and we'll connect you with the right team member. Log In Create an Account Need help registering? Blue Cross and Blue Shield of Kansas City One Pershing Square 2301 Main Kansas City, MO 64108 Sales Department Monday through Friday 8:00 a.m. - 6 p.m. 816-395-BLUE (2583) Statewide Toll-Free 800-875-3596 Federal Employee Program Inquiries Monday through Friday 8:00 a.m. - 5:00 p.m. Members 816-395-2500 . 438.242(b)(5) (by reference to 42 C.F.R. Claims and encounter data* concerning your interactions with health care providers; and. No wonder you want to do business with the most trusted name in health insurance. An example of interoperability is the special formatting of the routing number and account number on paper checks so that any bank can read that information from a check issued by any other bank. Step one Log in to BlueAccess Step two Begin your search Step three View search results Primary doctor/hospital search Register here. The information includes the following information for as long as we maintain it in our records: * Encounter data is information about office visits and other interactions with providers that are paid for under a monthly (or annual) fee that Blue KC pays a provider for furnishing care to members. This website is owned and operated by USAble Mutual Insurance Company, d/b/a Arkansas Blue Cross and Blue Shield. Thats how you cover all of lifes plans. 1-785-291-7000. Your member ID card is the fastest way to find your provider. Be able to use apps or devices to access your healthcare data to better understand, analyze, track and manage your healthcare needs. 431.60(f)); CHIP MCOs: 42 C.F.R. Register Now Username Password How to Use the Provider Portal Forgot Username? Your health information may include very sensitive information. Interoperability is the ability of different information systems, devices, and apps to access, exchange, integrate and use data in a coordinated manner to provide timely and seamless portability of information and optimize the health of individuals and populations. Medicare Plans to Fit Your Needs. One of those regulations is known as the Health Insurance Portability and Accountability Act or HIPAA. Enter Zip Code Speak with a local Medicare advisor: (855) 2088246 (TTY:711) '; Learn the basics of Medicare. Find care and estimate your cost in three easy steps Search results close to you, refine search, compare costs. Will the App permit me to access my data and correct inaccuracies? For Prescription Drugs: Name of drug/medication; Strength of the drug (example 5 mg) Quantity being prescribed; Days supply . Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live . You can find more information regarding the FTC here: https://www.ftc.gov/tips-advice/business-center/guidance/complying-ftcs-health-breach-notification-rule. Good health starts with good support. Basically, interoperability refers to the ability of two electronic systems to interact with one another. This process of asking the app about this is called Attestation.. As part of the alliance, Availity serves as the designated EDI Gateway providing portal and clearinghouse services for Arkansas Blue Cross and Blue Shield. What impact could sharing my data with this App have on others, such as my family members? Will the App allow me to limit how it uses, discloses, or sells my data? The HMO products are offered by Blue-Advantage Plus . for a provider to appeal on their behalf. This is part of Blue KC helping you to protect your data and ensure that only apps you authorize can access your health data. A BCBSKS medical policy may apply to professional providers, to institutional providers or to both. At Blue KC, we're committed to creating a meaningful impact for our community by focusing on initiatives that improve the health and wellness of Kansas City residents. If such and app asks for access to your data you will receive a warning message that looks like this: If the Apps privacy policy does not satisfactorily answer these questions, you may wish to reconsider using the App to access your health information. Looking for your Blue KC Insurance portal? Blue KC believes you own and should have access to your healthcare information, and should be able to: Interoperability is the ability for electronic systems to be able to communicate and exchange data in the same way, which will make it for app developers to create connections to Blue KC and your health data. Often this is called software as it is the set of instructions that control how the hardware, or physical device, behaves. If you wish to continue using the Blue KC employer portal, you must contact your company's Organizational Administrator (OA) for registration assistance. The prompt will open a logon page controlled and owned by Blue KC. Use the following guidelines to better understand the network and your coverage. Once this has been signed, please have your provider fax or mail this form with an appeal letter to: Blue KC Attn: Appeals PO Box 417005 Kansas City, MO 64179-9773 Fax (816) 278-1920 Will this App DISCLOSE my data to third parties for purposes such as research or advertising? Other people cannot authorize access to your health data unless they have legal authority to authorize access to your health data (e.g., a personal representative). If you wish to access your data directly you can do so through our member portal at . Find and compare providers and get cost estimates for more than 1,400 common medical procedures. Each app creates a privacy policy and other policies that explain how they will use your health data and whether they can sell your health data to others. Blue KC is committed to helping you protect your health data, but interoperability rules prevent us from blocking apps from requesting you to let the app access your health data. This information can be obtained by contacting your prescribing physician. Blue KC is required to provide a Patient Access API. This provides a simple way for apps to access your data when you allow them to do so. Need help? The FTC provides information about mobile App privacy and security for consumers here: https://www.consumer.ftc.gov/articles/0018-understanding-mobile-apps. For more information regarding Blue KC's Privacy and Security policies, including contact information for Blue KC Privacy Office, go here https://www.bluekc.com/consumer/privacy-security.html. If you're enrolled in a Blue KC Medicare plan, there's a member portal available to give you easy online access to the information you need. If you believe an App inappropriately used, disclosed, or sold your information, you should contact the FTC. How will this App USE my data? You get to decide if you want to allow this and use the services that the app provides, giving you more freedom and more choices on how to use your health data. For what purposes? Check the initial credentialing status for new providers. If you want to find out who sells a prescription for the lowest price in your area or a list of nearby pharmacies that accept your insurance plan there is an app that can help. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Usually, this means creating standards around data formatting and structure and defined patterns on how to access the data. What is the Apps policy for DELETING my data once I terminate access? Institutional Provider Forms Change facility information, update room rate, submit claim inquiry and find other forms. Find a BCBS Company by Prefix. Will the App collect non-health data from my device, such as my location? If you decide to access your information through the Patient Access API, you should carefully review the privacy policy of any App you are considering using to ensure you are comfortable with what the App will do with your information. An App that publishes a privacy notice is required to comply with the terms of its notice, but generally is not subject to other privacy laws. This type of payment arrangement is referred to as a capitation arrangement.. Only use apps that are trusted and well known. These limits are designed to control the use of selected drugs for quality . Other information that could be disclosed might include claims and encounter data related to your interactions with health care providers, and clinical data that we collect in the process of providing case management, care coordination, or other services to you. This means you will need Microsoft authenticator installed on a mobile device or set up SMS one-time pins to authorize and app to access your data. There are government regulations that also help ensure your data is protected by health care and insurance companies. An independent licensee of the Blue Cross and Blue Shield Association The Federal Trade Commission Act protects against deceptive acts (such as an App that discloses personal data in violation of its privacy notice). Request a call back from Member Services. Forgot Password? We're here to help answer all your questions Monday - Friday, 8 a.m. - 8 p.m. Central. General Inquiries. Blue Cross & Blue Shield of Kansas City (Blue KC) is committed to the idea that you own your own health data and should be able to consume it and use it as you desire. You bank online, shop online, and can get a degree online, so we believe its time that youre at the center of your own care and can digitally obtain a complete view of your health information. Forgot Password? It is important for you to understand that the App you select will have access to ALL of your information. All rights reserved. For most hospitals, doctors offices, and health insurance companies, HIPAA governs the privacy and security of health records stored online. To see what plans we offer and apply online for health insurance, explore our website. Availity is a multi-payer site where you can use a single user ID and password to work with Arkansas Blue Cross and Blue Shield, Health Advantage, and other participating payers online. Interoperability means that Blue KC has virtually no control over which apps can ask you for access to your data, so the responsibility shifts to you to decide which apps you want to access your health data. Thats why every Blue KC member has access to the resources they need to live healthy. Contact the company that publishes the app and follow their procedure for removal of your data from their records. What coverage will work best for your company and your employees? The process will prompt you to provide consent for the app to access your data or for members that you represent, such as a child, on your policy. This shift in responsibility for protecting your data means that you as the member have more control over who can access your health care data and you have more responsibility to protect your health care data. https://www.hhs.gov/hipaa/for-individuals/index.html, https://www.hhs.gov/hipaa/filing-a-complaint/index.html, https://www.consumer.ftc.gov/articles/0018-understanding-mobile-apps, https://www.ftccomplaintassistant.gov/#crnt&panel1-1, https://www.bluekc.com/consumer/privacy-security.html, https://www.bluekc.com/consumer/contact.html. Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Interoperability provides certain controls around access to your health data. (Note that correcting inaccuracies in data collected by the App will not affect inaccuracies in the source of the data.). Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs . 457.1233(d)(2) (by reference to 42 C.F.R. Part of these changes include a simplified and consistent mechanism for apps to be able to ask you to allow their app to access your data. How will this App inform me of changes in its privacy practices? The goal of you controlling your health data is to open options for how you can make better use of your data. Take your Health Risk Screener (HRS) View your contact info. You will need your member ID number to register (located on your . The information we will disclose may include information about treatment for Substance Use Disorders, mental health treatment, HIV status, or other sensitive information. Choose from a range of Blue KC plans designed to fit your needs, their lives and everyones budget. View publications Medical Policies FTC enforcement began on February 22, 2010. With access to your secure account, you can: Change your primary care provider (PCP). Access Forms Latest News Find past email notifications on a variety of important topics such as the closure of BCBSKS offices on holidays, possible systems shut down and workshops and training opportunities. If so, how difficult will it be to terminate access? The App is NOT subject to the Health Insurance Portability and Accountability Act (HIPAA) Rules and other privacy laws, which generally protect your health information. Do I have to do more than just delete the App from my device? You can find more information about your rights under HIPAA and who is obligated to comply with HIPAA here: https://www.hhs.gov/hipaa/for-individuals/index.html. 1133 SW Topeka Boulevard. If you want to see your latest health care expenses or your remaining deductible there is an app for that. Welcome to MyBlueKCMA Your Personalized member portal with easy access to your ID card, coverage details, and more. Discover whats best for your company, employees and retirees. Youre a big company. 156.221(g). Then, select "Go." We'll immediately redirect you to your provider, where you can access your BCBS login. The interoperability standards defined by the government will make it easier and cheaper for others to develop applications or mobile apps that can look at your health data to help you make better decisions about your health care needs and health care spending. Consider looking at the apps privacy policy if the app can sell your data and whether or not you trust the app publishers. Blue KC will include information we collect about you while you have been enrolled in all Lines of Business that relate to your membership(s) with Blue KC since January 1, 2016, for as long as we maintain the information. October 1 - March 31 open 7 days a week from 8am - 8pm. An App generally WILL NOT be subject to HIPAA. Provider Payment Policies What are Payment Policies Blue KC has developed Provider Payment Policies to provide guidance on payment methodologies as they pertain to submitted claims. If you have questions as you look at our plan options, contact a Blue KC marketing representative at 800-860-2227. Blue KC is here to help you make the right choices when it comes to Medicare for your retirees. The Patient Access API is specifically for applications as an API is a mechanism for software to communicate with other software. Blue KC is leading the healthcare industry in finding ways to provide you with digital access to your healthcare data. . With Blue KC Medicare, we'll help you find a plan that works for your wellness goals now and tomorrow. . Were enhancing the way you access your health information to help you get the care you need when you need it. But many web-based businesses that collect peoples health information are not covered by HIPAA. Access training resources Publications Newsletters, manuals, credentialing information, policy memos and other helpful information. 2023 Blue Cross and Blue Shield of Kansas City. From prenatal programs to preventive care. You may also file a complaint with Blue KC by contacting Customer Service at 888-989-8842. So app is a computer program for interacting with people. You can do this by contacting Customer Service by clicking the link listed here: The second step is to contact the app and ask them to delete your data. Not Registered for the Portal? Blue KC is subject to HIPAA as are most health care providers, such as hospitals, doctors, clinics, and dentists. Just type in the first three characters of your ID number. You can take advantage of these capabilities by downloading an Application (App) on your smart phone, tablet, computer or other similar device and checking to see if they have created a connection to Blue KC. Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas. The Centers for Medicare & Medicaid Services put forth new rules that create a more consistent framework for interoperability and shifted responsibility of your health care data to you as the member and owner of that data. Things you may wish to consider when selecting an App: Blue KC is at helping to lead the industry by ensuring that data is protected by strong encryption while in transit and strong authentication when transmitted to third party applications. (888) 989-8842. Forms and Guides; Policies, Guidelines & Manuals; . The app is also responsible for reporting inadvertent disclosure of your health data to you and appropriate government authorities. Will this App sell my data for any reason? Were committed to improving the health of our members and our community. Log in to Availity You can find more information about your rights under HIPAA and who is obligated to comply with HIPAA here: https://www.hhs.gov/hipaa/for-individuals/index.html. Register for a BlueAccess account Communications issued by Capital Blue Cross in its capacity as administrator of programs and provider relations for all companies. All health care providers such as hospitals, doctors, clinics, and dentists are subjected to HIPAA and are required to keep your information safe. Missouri Back to Help Center Blue Cross and Blue Shield of Kansas City General Inquiries 1-816-395-2222 1-800-221-2362 Blue Cross and Blue Shield of Kansas City 2301 Main Street Kansas City, MO 64108 www.bcbskc.com Customer Service 1-816-395-2500 Mental Health/Substance Use Disorder Precertification 1-800-528-5763 Precertification 1-816-395-3989 Access your personalized insurance portal-from accessing benefits information to tracking claims to viewing your plan usage-here: MyBlueKC Insurance Portal MyBlueKC Insurance Portal for Medicare Advantage members Let's Talk Call 913-29-SPIRA (77472) to talk to a nurse or Care Guide. Medications (Quantity Limits) Quantity limit refers to the amount of a drug needed to take the daily dose, according to the recommendations of the U.S. Food and Drug Administration (FDA). For doctors and health care providers Learn about the resources you have as a Healthy Blue Missouri care provider. Help your employees better understand how to make the most out of their health insurance plan, plus the programs that come along with it. Interoperability makes it easier for third party apps to access your health data. . Access Professional Provider resources Medicare Advantage Provider Access Medicare Advantage resources COVID-19 Provider Information Access COVID-19 resources Need access to Availity? Your health data exists separately from interoperability, but interoperability makes it much easier for apps to consume your health data and for you to authorize and allow an app to access your health data. That's why the medical policy format shows separate effective dates for professional and institutional providers. Please allow at least two business days from the date of receipt of all necessary information for a determination on a prior authorization request. You bank online, shop online, and can get a degree online, so we believe it's time that you're at the center of your own care and can digitally obtain a complete view of your health information. Provider Resources - MO HealthNet Provider Resources - Medicare Approved 9/8/2020 MOC21068 You may also call the Customer Service department at 816-395-2583 or 800-645-8346. Learn more My Health Data gives digital access to your health data when and where you need it. Blue KC provides important information here for members. Medicare Advantage organizations: 42 C.F.R. Credentialing Status Obtain forms for: Pre-authorization Pharmacy, Pre-service, Utilization Management, and Blue KC is leading the healthcare industry in finding ways to provide you with digital access to your healthcare data. If I no longer want to use this App, or if I no longer want this App to have access to my health information, can I terminate the Apps access to my data? What security measures does this App use to protect my data? These policies control what they will do with your data, so it is important that you understand what you are agreeing to when you download a third-party app. And you think big, too. Instead, the Apps privacy policy describes self-imposed limitations on how the App will use, disclose, and (possibly) sell information about you. You may file a complaint with the FTC using the FTC complaint assistant: https://www.ftccomplaintassistant.gov/#crnt&panel1-1. Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Will this App disclose my data to third parties for purposes such as research or advertising? You should therefore be careful to choose an App with strong privacy and security standards to protect it. October 1 - March 31 open 7 days a week from 8am - 8pm.
How Much Barbed Wire Was Used In Ww2,
Charles River School Tuition,
Work From Home Jobs Fresno,
Valencia College Faculty Incentive Plan,
Treat Him How He Treats You,
Articles B