CommercialAdministrativeMedium impact
See Our BlueCard® Program Checklist for Out-of-Area Member Claims
BCBS Montana·MT·Reimbursement
Effective date
May 22, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of Montana updated their BlueCard program checklist for processing out-of-area member claims. This provides guidance on verifying eligibility, obtaining prior authorization, and submitting claims for BCBS members from other states who receive care while traveling.
Action Required
Immediately: Front desk staff must request current ID card AND photo ID from all out-of-area BCBS members. Include the three-character prefix when recording member ID numbers. Billing team must verify eligibility through Availity Essentials before services and submit all BlueCard claims electronically to BCBSMT. Check claim status online rather than submitting duplicate claims.