BCBS Global Solutions Member Portal

BCBS Global Solutions

Through your BCBS Global Solutions Member Portal, you can submit your claims, track the status, access your Explanation of Benefits, and more! We strongly recommend that you register for your account as soon as your coverage starts.

Register for your BCBS Member Portal:


How Claims Are Processed

Medical Claims

After seeking medical care, please follow the steps below so your claims can be processed as quickly as possible.

  1. Find a nearby provider using the online provider search tool.
  2. Make an appointment (if necessary), and let them know your plan is with the BlueCross BlueShield Network.
  3. Present your insurance ID card at your appointment, and be prepared to pay your deductible or copay, if your plan has one.
  4. If you choose an out-of-network provider or if you are required to pay upfront for your treatment, please complete a claim form and submit this to BCBS Global Solutions for processing.

Prescriptions

Your plan includes access to the BCBS Prescription Rx Network, so you should only need to present your insurance ID card at the pharmacy and pay any copay or coinsurance amounts associated with your plan.

If you are required to pay for your medication out-of-pocket for any reason, you can file a claim with BCBS Global Solutions to be reimbursed for your eligible expenses.

Need help with a prescription? Call the pharmacy help line at: 800-788-2910.

When you’ve registered for your BCBS Mobile Portal, you will receive a notification via email once your claims have been processed. If any additional information is needed from you, you will be able to submit this right online through your account.


Claims Submission and Assistance

All claims can be submitted through your BCBS Member Portal or the BCBS Mobile App (recommended).

Learn more about filing an EClaim

You can also submit a paper claim form directly to BCBS via email, fax, or mail.

For assistance submitting your claim or to check on the status of your submission, contact BCBS Global Solutions directly.

  • Secure Messaging through BCBS Member Portal
  • Inside the U.S.: 1-844-268-2686
  • Outside the U.S.: 1-610-263-3847
  • Prescription Rx Questions: +1 (800) 788-2910

Frequently Asked Questions

Learn more about filing a claim below.

Do I need to file a claim after every visit?

You will only need to file a claim if you paid for your visit or any prescription medication out of pocket. You will be able to submit your claim, along with any itemized receipts, bills, medical notes, etc., right online through your BCBS Member Portal or the BCBS Mobile App.

If you were NOT required to pay for your visit upfront, you do NOT need to file a claim, and the doctor's office or hospital should submit the claim to BCBS Global Solutions directly for processing. Once your claim has been processed, or if any additional information, like an Accident Questionnaire or medical records, are requested, you’ll receive an email letting you know to log in to your BCBS Member Portal account to check on the status.

Please note: You will only receive an email notification if you’ve already registered for your BCBS Member Portal. We recommend registering for your account as soon as possible!

How long does it take for claims to be processed if I paid out-of-pocket?

BCBS Global Solution strives to process your claim within 48 hours of receipt, as long as all of the necessary information has been submitted. The following steps will assist BCBS in promptly processing your claim. Submitting an incomplete form will result in delays in the payment of your claim.

  1. Complete the claim form in full for each new injury or illness if you are required to pay out-of-pocket for the services. Answer all questions, even if the answer is "none" or "N/A."
  2. Bills submitted must include the original detailed Physician's bill, including:
    • Patient's Name
    • Insured's name
    • Charges incurred
    • Diagnosis
    • Date of service
    • U.S. claims only - Federal Tax ID Number of the provider -- you may need to ask the provider for this.
  3. If there are no physician's charges, such as when services are rendered at a Student Health Service (SHS), you will need to ask the physician or provider to complete Part B of the claim form indicating the date seen and the diagnosis. Please include the full name and address of the provider. Part B of the claim form is found on the reverse side of the form.
  4. If another health insurance plan is the primary payer, you must include a copy of the other plan's Explanation of Benefits (EOB) when you submit your claim form.
  5. Be certain that the name on the bill you are submitting is the same as that which is indicated on your ID card. If not, please enclose a short note of explanation.
  6. Automobile Coverage — Benefits payable under this Plan will be coordinated with any other automobile coverage. Benefits under our Plan will also be coordinated with benefits provided or required by any no-fault automobile coverage statute, whether or not a no-fault policy is in effect. This Plan will be applied on a secondary basis to any state-mandated automobile coverage for services and supplies eligible for consideration under this Plan.
  7. All claims must be filed with BCBS Global Solutions within the twelve (12) month period from the date of the incurred expense.

What does my claim status mean?

Depending on the stage of processing, you may see a few different statuses when checking on your claim. Here’s what each status means.

  • Action Required: We’ve reviewed your claim, but we need more information before we can move forward. You can find the details and next steps on the My Claims page with the corresponding claim number. Once those steps are completed, you can resubmit the claim.
  • In Process: We’ve received your claim and it is being reviewed. Any amounts shown are in U.S. dollars.
  • Payment Processing: We’ve finalized your claim and your payment is on the way. Amounts listed will show in U.S. dollars until the claim is marked complete.
  • Complete: Your claim has been processed. This status doesn’t apply to duplicate claims.
  • Duplicate: We’ve reviewed your claim and found that it matches a claim we’ve already processed.

What is an Explanation of Benefits (EOB)?

When a claim is processed, you will have access to an Explanation of Benefits (also called an EOB), which will also be accessible through your BCBS Member Portal and the BCBS Mobile App. This will explain how your claim has been processed or if any additional information has been requested that you will need to submit. The following PDF document will help you read your EOB and understand how the claim has been processed.

Understanding your EOB

I received a bill, what should I do next?

If you receive a medical bill, you should log in to your BCBS Member Portal to make sure the claim associated with the bill is on file.

  • If you do not see this claim through your BCBS Member Portal, we recommend contacting the phone number on the bill you received to make sure the doctor/hospital has your insurance information on file. You can provide them with the USA claims address listed on your ID card and ask that they submit the claim to the insurance company for processing.
  • If the claim is on file, you can download the Explanation of Benefits through your BCBS Member Portal to show how it was processed. If any additional information is needed to get the claim finalized, you can submit this through your account.
  • If you aren’t sure if the claim is on file or how it’s been processed, you can contact BCBS Global Solutions directly using the contact information on your insurance ID card.

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