Filing for Border County Providers
Quick access to our online Provider tools and resources makes it easy to spend more time where it matters most – with your employees.
In this section, you'll find the answers you need about Medicare Part D and Creditable Coverage, as well as fast access to a variety of administrative and HIPAA forms.
As always, if you have any questions, simply contact a representative on our sales team. We’re here to help you sell Blue!
Example 1— Provider has contracts with Highmark Blue Shield of Northeastern New York and Blue Cross Blue Shield of Vermont.
- Claims for a Highmark Blue Shield of Northeastern New York member are filed directly with their plan.
- All other claims are filed with Blue Cross Blue Shield of Vermont.
Example 2— Provider is located in a Northeastern New York county that borders Vermont but only has a contract with Highmark Blue Shield of Northeastern New York.
- All claims are filed with Highmark Blue Shield of Northeastern New York.
Example 3— Provider is located in a New York county that borders Vermont but only has a contract with Blue Cross Blue Shield of Vermont.
- When this provider renders a service to a Highmark Blue Shield of Northeastern New York member, the claim is filed with Highmark Blue Shield of Northeastern New York.
- All other claims are filed with Blue Cross Blue Shield of Vermont.