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Healthcare Providers Reference Guide
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1.0 - 4.0 Introduction & Overview
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4.0 Identifying Blue Cross Members

4.0 Identifying Blue Cross Members

4.1 Overview

There are different types of identification that you can use to verify that your customer is covered by Blue Cross. Members are to present their identification cards prior to receiving the Equipment or Services in connection with a Claim.

4.2 Pacific Blue Cross Identification Cards

A Member's Pacific Blue Cross identification card is either a single-sided paper card that is the size of a bank card or a digital card.

Pacific Blue Cross identification cards first indicate the Member's policy number, which is a unique number assigned to each participating company or group (Plan Administrator). The ID number shown next on the card is unique to the Member. The same policy and ID numbers should be used for each member of the family.

In some instances, a third party administers employee benefits on behalf of Pacific Blue Cross and may issue their own wallet-sized card (e.g. student plans). In these cases, the Pacific Blue Cross logo does not appear on the card; however, Pacific Blue Cross is listed as the carrier (insurer). These cards should also be accepted as valid cards.

Sample ID Card showing:
  • Policy Number: 123456
  • Identification Number: 123456789

4.3 My PBC Benefits Identification Cards

Important Information

Some Blue Cross National members transitioned to My PBC Benefits and their Claims are adjudicated through our partner, TELUS Adjudicare (https://providerportal.telushealth.com/).

My PBC Benefits ID Card sample showing Group Number and Certificate Number

My PBC Benefits members have membership cards with the TELUS|Assure and My PBC Benefits identifier. The cards include a Group Number (equivalent to Policy Number), a Certificate Number (equivalent to ID Number) and the applicable carrier numbers for Claim adjudication.

Action Required

To ensure Claims adjudicate correctly, please update your files with the My PBC Benefits policy and ID information. As with any Policy, if a Claim is declined due to lack of coverage or coverage not valid, ask your patient/client if they have updated card/plan information.

To submit electronic Claims for My PBC Benefits members, you must register with TELUS Adjudicare (https://www.telushealth.co/eclaims/), if applicable.