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 BlueShield of Northeastern New York and BlueCross BlueShield of Vermont.
- Claims for a BlueShield of Northeastern New York member are filed directly with their plan.
- All other claims are filed with BlueCross BlueShield of Vermont.
Example 2— Provider is located in a Northeastern New York county that borders Vermont but only has a contract with BlueShield of Northeastern New York.
- All claims are filed with BlueShield of Northeastern New York.
Example 3— Provider is located in a New York county that borders Vermont but only has a contract with BlueCross BlueShield of Vermont.
- When this provider renders a service to a BlueShield of Northeastern New York member, the claim is filed with BlueShield of Northeastern New York.
- All other claims are filed with BlueCross BlueShield of Vermont.