bcbs kansas city provider portal

1133 SW Topeka Boulevard. Will this App disclose my data to third parties for purposes such as research or advertising? Consider looking at the apps privacy policy if the app can sell your data and whether or not you trust the app publishers. Weve got big options for small groups like yours. Register for a BlueAccess account My Health Data gives digital access to your health data when and where you need it. That's why the medical policy format shows separate effective dates for professional and institutional providers. Blue Cross and Blue Shield of Kansas. Provider Portal; Member Login; Customer service Monday - Friday from 8am - 8pm from April 1 - September 30. 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. Third party apps cannot get access to your Blue KC health data unless you grant them permission to do so. Many of these things can already be found on our member portal at https://member.bluekc.com, but should you desire to access this through a third-party application that also accesses your health care records from your physician, interoperability will help make that possible. The U.S. Department of Health and Human Services Office for Civil Rights (OCR) enforces the HIPAA Privacy, Security, and Breach Notification Rules. Blue KC provides important information here for members. What is the Apps policy for DELETING my data once I terminate access? Provider Payment Policies - Blue KC Independent licensees of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. 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. Good health starts with good support. My Health Data | Blue Cross and Blue Shield of Kansas City And as a Blue KC member, all you have to do is reach out. From prenatal programs to preventive care. Blue Access login page | Blue Cross and Blue Shield of Kansas - BCBSKS Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross and Blue Shield Association. Use the following guidelines to better understand the network and your coverage. Centers for Medicare & Medicaid Services rules on interoperability limit what health insurance companies can do to stop apps from asking you to access your health data. Explore Employer Plans - Blue Cross and Blue Shield of Kansas City Blue Benefit Bucks (BBB) Intro Video Blue Benefit Bucks Your Blue Benefit Bucks (BBB) card works like a debit card and comes loaded with the benefits from the plan you choose. Professional Provider Education and Workshops Training workshops at locations throughout the state, web-based educational modules and webinars. Interoperability provides certain controls around access to your health data. What Blue KC can do under the rules is ask the app to promise that they will have a privacy policy and follow good practices on protecting your data. The information available through the Patient Access API includes information we collect about you while you have been enrolled in certain lines of business since January 1, 2016. This means for you, as a member, you may be prompted to allow an application to access your health data from Blue KC. For doctors and health care providers Learn about the resources you have as a Healthy Blue Missouri care provider. From Health Risk Assessments to physical and behavioral health and wellness programs. 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. Email us at GROUPMEDICARE@BLUEKC.COM for more information on all the group Medicare options from Blue KC. An independent licensee of the Blue Cross and Blue Shield Association 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. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live . Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs . Email us atGROUPMEDICARE@BLUEKC.COMfor more information on all the group Medicare options from Blue KC. . Theres even an online health portal A Healthier You that puts health information in peoples hands. Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More Interoperability empowers members, which leads to better health, improved affordability and stronger communities. An app developer may simply not respond to our request or may indicate that they do not follow the best practices that weve outlined. Discover what's best for your company, employees and retirees. Each app is voluntarily complying with their own privacy policy which includes data retention policies. Provider Portal - Arkansas Blue Cross and Blue Shield Once that is done, the app will be able to get your health data from Blue KC. Find a BCBS Company by Prefix. We believe member health data, such as their electronic health records, should be available and accessible with a member's consent. What coverage will work best for your company and your employees? To see what plans we offer and apply online for health insurance, explore our website. 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. But many web-based businesses that collect peoples health information are not covered by HIPAA. It is important to carefully consider which apps you trust to access your health data. Non-Discrimination Notice & Information in other Languages. Will the App collect non-health data from my device, such as my location? Provider Powered by PAHub A+ A-Help Before you get started, in addition to your insurance card, you will need the following information. Check the initial credentialing status for new providers. Learn More. Easily retrieve all healthcare data that is meaningful or actionable and share that information securely with whom you choose. Check the initial credentialing status for new providers. Instead, the Apps privacy policy describes self-imposed limitations on how the App will use, disclose, and (possibly) sell information about you. Please allow at least two business days from the date of receipt of all necessary information for a determination on a prior authorization request. Will this App SELL my data for any reason? Forgot Password? Medicare Plans in Kansas City | Blue KC Medicare 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. Will this App DISCLOSE my data to third parties for purposes such as research or advertising? Be able to use apps or devices to access your healthcare data to better understand, analyze, track and manage your healthcare needs. By agreeing to share your data with an app, you authorize Blue KC to disclose certain information, which may include your name, address, diagnoses, treatments performed on you, amounts paid to providers, etc. The Federal Trade Commission Act protects against deceptive acts (such as an App that discloses personal data in violation of its privacy notice). Take your Health Risk Screener (HRS) View your contact info. Member Secure Application And you think big, too. An App that violates the terms of its privacy notice is subject to the jurisdiction of the Federal Trade Commission (FTC). Chat with a live person or send us a secure message. Once you choose to allow an app to have access to your personal heath data, that data is no longer protected by HIPAA or Blue KC. 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. Discover whats best for your company, employees and retirees. 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. 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. As part of the alliance, Availity serves as the designated EDI Gateway providing portal and clearinghouse services for Arkansas Blue Cross and Blue Shield. The value of the Patient Access API is that it makes it much cheaper and easier for apps to be developed that can access your data when you allow them to. Youre a big company. 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. Thats why every Blue KC member has access to the resources they need to live healthy. Clinical data that we collect in the process of providing case management, care coordination, or other services to you. 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 View publications Medical Policies Will the App permit me to access my data and correct inaccuracies? PROVIDER LOGIN Members Have It Made with Blue Blue KC members can access doctors, hospitals and pharmacies through a variety of networks. 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. Register Now Username Password How to Use the Provider Portal Forgot Username? How will this App use my data? 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). 1-785-291-7000. 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. Often this is called software as it is the set of instructions that control how the hardware, or physical device, behaves. Medical providers - Arkansas Blue Cross and Blue Shield 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. You may also file a complaint with Blue KC by contacting Customer Service at 888-989-8842. 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). What impact could sharing my data with this App have on others, such as my family members? 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. If you wish to access your data directly you can do so through our member portal at . Medicare Advantage Members click here to log in or create a profile Don't have an account with us? Access Professional Provider resources Medicare Advantage Provider Access Medicare Advantage resources COVID-19 Provider Information Access COVID-19 resources Need access to Availity? Contact Anthem in Missouri: Phone & Live Chat | Anthem.com Log in 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. Will the App allow me to limit how it uses, discloses, or sells my data? Individual and family plans If you live in Kansas and are not eligible for coverage through an employer, Medicare or Medicaid these medical and dental plans are for you. You may also call the Customer Service department at 816-395-2583 or 800-645-8346. This type of payment arrangement is referred to as a capitation arrangement.. Blue KC believes its important to provide you with educational resources concerning the privacy and security of your protected health information in the context of disclosures of your information to third-party apps. For most hospitals, doctors offices, and health insurance companies, HIPAA governs the privacy and security of health records stored online. 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. If you have questions as you look at our plan options, contact a Blue KC marketing representative at 800-860-2227. 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. Will this App sell my data for any reason? Only use apps that are trusted and well known. If you have a question about your MyBlueKC account, call the phone number below and we'll connect you with the right team member. 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. 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 The app is also responsible for reporting inadvertent disclosure of your health data to you and appropriate government authorities. SM1070_060122 Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross Blue Shield Association IMPORTANT: Your employer is offering the BlueSelect Plus on an Exclusive Provider Organization (EPO) plan type, including Spira Care options. 431.60(f)); CHIP MCOs: 42 C.F.R. With everything from dental plans to life insurance to travel medical insurance. 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. Your health information may include very sensitive information. For what purposes? 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. 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. Professional Provider Home | Blue Cross and Blue Shield of Kansas - BCBSKS The term app is short for application, which is how people interact with computers and mobile devices. 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. It is important for you to understand that the App you select will have access to ALL of your information. We're here to help answer all your questions Monday - Friday, 8 a.m. - 8 p.m. Central. If you wish to continue using the Blue KC employer portal, you must contact your company's Organizational Administrator (OA) for registration assistance. Blue KC is leading the healthcare industry in finding ways to provide you with digital access to your healthcare data. 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. Blue Cross Blue Shield Login Choose your plan type to get to the right portal. AGENT LOGIN For Healthcare Providers Visit the secure portal to access a variety of Blue KC information - including medical policies, claim information and more. These policies are written following industry standard recommendations from sources such as: Current Procedural Terminology Centers for Medicare and Medicaid The HMO products are offered by Blue-Advantage Plus . These limits are designed to control the use of selected drugs for quality . Find care and estimate your cost in three easy steps Search results close to you, refine search, compare costs. Here are a few things you can do: View coverage and claims Find care providers and pharmacies Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross and Blue Shield Association. The first step is to stop the app from accessing any data immediately. The HMO products are offered by Blue-Advantage Plus . Blue Cross Blue Shield Kansas City | Employers | Employer Portal | Login Employer Login Username: Password: Forgot Username? Medicare Advantage - Blue KC This website is owned and operated by USAble Mutual Insurance Company, d/b/a Arkansas Blue Cross and Blue Shield. Your Blue KC health data is yours and only people or apps you authorize can access it. The Centers for Medicare and Medicaid Services (CMS) has provided specific rules for interoperability that require data from health insurance companies to be formatted and presented in a consistent way so that systems permitted to utilize that data can do so in a standard fashion. If you want to see your latest health care expenses or your remaining deductible there is an app for that. You should therefore be careful to choose an App with strong privacy and security standards to protect it. When life calls for more than health insurance, Blue KC answers. PDF 7.31.19 Member Auth Form The information we will disclose may include information about treatment for Substance Use Disorders, mental health treatment, HIV status, or other sensitive information. Access training resources Publications Newsletters, manuals, credentialing information, policy memos and other helpful information. 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. PDF Blueselect Plus Network (Epo) Provider Login - Blue KC Does the App have a process for collecting and responding to user complaints? Behavioral health services for Blue KC members - Mindful by Blue KC Our secure Blue Medicare Advantage member portal has resources to help you manage your plan and maximize your coverage with a personalized view of your health benefits based on which Blue Medicare Advantage plan you're enrolled in. Register Now Username Password How to Use the Provider Portal Forgot Username? Enter Zip Code Speak with a local Medicare advisor: (855) 2088246 (TTY:711) '; Learn the basics of Medicare. Spreadsheets, word processing programs, browsers and email clients are all applications. On your mobile device, the various icons on your home screen that allow you to interact on your phone are all apps. Often app refers to an application on a mobile device, but in general, it is just software, or a computer program, designed for human interaction. 2023 Blue Cross and Blue Shield of Kansas City. Blue KC | Employer | Prior Authorization This process of asking the app about this is called Attestation.. So app is a computer program for interacting with people. All health care providers such as hospitals, doctors, clinics, and dentists are subjected to HIPAA and are required to keep your information safe. Forms and Guides; Policies, Guidelines & Manuals; . Institutional Provider Home | Blue Cross and Blue Shield of Kansas - BCBSKS Blue KC . Providers home | Blue Cross and Blue Shield of Kansas - BCBSKS Find the Best Medicare Plan for You | Blue KC Medicare Home | Blue Cross and Blue Shield of Kansas - BCBSKS If you believe an App inappropriately used, disclosed, or sold your information, you should contact the FTC. Blue KC is leading the healthcare industry in finding ways to provide you with digital access to your healthcare data. 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. View or print your member ID card. Medical Policies | Blue Cross and Blue Shield of Kansas - BCBSKS A BCBSKS medical policy may apply to professional providers, to institutional providers or to both. 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. In a unique role exclusive to Blue KC health plans, there is a Mindful Advocate in your corner who is available to help 24/7. 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. For what purposes? (888) 989-8842. Blue Medicare Advantage Member Portal | Blue KC Blue KC is here to help you make the right choices when it comes to Medicare for your retirees. Kansas - Blue Cross and Blue Shield's Federal Employee Program Forgot Password? An App generally WILL NOT be subject to HIPAA. Provider Resources - MO HealthNet Provider Resources - Medicare Approved 9/8/2020 MOC21068 Navigation. Welcome to MyBlueKCMA Your Personalized member portal with easy access to your ID card, coverage details, and more.

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