Sample BCBS prefix list. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Independence Blue Cross(BC) of Philadelphia(Phi) and the Southeastern Pennsylvania(PA), Carefirst BCBS of Maryland the (MD), District of Columbia (DC) and the Northern Virginia (VA). <> By knowing the details of BCBS home plan, including BCBS insurance plan benefits, coverage options, and costs, you can make better decisions about your healthcare needs. BCBS Prefix will not only have numbers and the digits 0 and 1. The coverage that the organization holds on travel, medical and other conditions. State Lookup. <> Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania, Maryland/District of Columbia/Northern Virginia, Anthem Blue-Cross Blue-Shield of Virginia, Excellus Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Missouri, Blue-Cross Blue-Shield of Western New York, Empire Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Colorado, Anthem Blue-Cross Blue-Shield of Wisconsin, Highmark Blue-Cross Blue-Shield of Pennsylvania, Horizon Blue-Cross Blue-Shield of New Jersey, Anthem Blue-Cross Blue-Shield of Connecticut, Anthem Blue-Cross Blue-Shield of Kentucky. It also files on checking the incorrect address and submits the correct form of claiming the right details. Most PDF readers are a free download. For Example: ABC, A2B, 2AB, 2A2 etc. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. BCBS Blue Care Network Michigan (MI) UAB. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. endobj Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . Note: Most out-of-network services require utilization management review. Does united healthcare community plan cover chiropractic treatments? Most PDF readers are a free download. BCBS of Kansas City. Any individuals who impact HCSC's Medicare or Medicaid contract(s) are expected to abide by the Medicare and Government Contracts Compliance Program, the Code of Business Ethics and Conduct and the Medicare Compliance Policies. The alpha prefix is very important to the identification number. When does health insurance expire after leaving job? We update BCBS prefix data on daily basis to provide latest BCBS prefix information. Always check eligibility and benefits first,via theAvailityEssentialsor your preferred web vendor, prior to rendering care and services. <> We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. 107. Here you can find the BCBS prefix finder along with BCBS home plan name and website for BCBS member IDs ranging from F2A to F9Z. 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MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Earn Money by doing small online tasks and surveys, McKesson Corporation: Company Overview & History (2023), AAPC: What it is and why it matters in the Healthcare (2023). J7Wr}pY+Gqpgx ck 4=!omPyC]6bRw@;-:.L^]UMw6xAjAA8 et Provider Finder . will be denied. Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . However it has several policies for its customers. This includes strict observance of and compliance with the laws and regulations governing the business operations of HCSC, and in particular, the services that it performs or has delegated to others to perform pursuant to its Medicare and Medicaid contract(s). Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, Behavioral Health IP PA - IVR Caller Guide, Behavioral Health OP PA - IVR Caller Guide, Inpatient Preauthorization - IVR Caller Guide, Outpatient Preauthorization - IVR Caller Guide, Preauthorization: Check Request Status - IVR Caller Guide, Utilization Management Process Overview (Commercial), Patients medical or behavioral health condition, Date of service, estimated length of stay (if the patient is being admitted), Provider name, address and National Provider Identifier (NPI), Government Programs 877-774-8592 (MA PPO); 877-860-2837 (BCCHP); 877-723-7702 (MMAI). It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. What If BCBS Member ID doesnt have Prefix mentioned on Card? It has also helped customers during emergencies by providing the proper medical treatments and other sources. To view this file, you may need to install a PDF reader program. You may also want to know: United Healthcare Claims Address Information. Blue Cross Blue Shield Federal Phone Number. <> Admin 22. Commercial Communications BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. 2/1/2023. Account Specific Prefix are assigned by BCBS to national accounts. Business health insurance plans designed to fit any size small business and budget. The prefixes identify the member's BCBS prefix list plan or national account and become essential when routing claims for processing. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Once a prior authorization request is received and processed, the decision is communicated to the provider. This new site may be offered by a vendor or an independent third party. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; AAA: Alabama: Blue-Cross Blue-Shield of Alabama: AAB: Michigan: Blue-Cross Blue-Shield of Michigan: AAC: Illinois: Blue-Cross Blue-Shield of Illinois: AAD: South Carolina: Blue-Cross Blue-Shield of South Carolina: AAE: Nevada: Anthem Blue-Cross Blue-Shield of Nevada: AAF: Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. The alpha prefix is always three letters followed by the member's ID number which can be from 6 up to 14 characters total. -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz BCBS Alpha Prefix are first three letters of BCBS Member ID to identify correct Blue Cross Blue Shield department responsible for managing the patient eligibility, benefits and claims etc. Hi, Im Kim Keck! Suppose assume claims filed with an incorrect member ID number or BCBS prefix by Provider or Billing companies, then BCBS insurance will deny the claim stating Incorrect member ID, please submit with an correct member ID number. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] V2A to V9Z. Skip to content. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Join us as we build the next generation of health insurance. BCBS Alpha Prefix List of "Z"-series. Compliance, Fraud, Waste and Abuse Program and Reporting: HCSC and its subsidiaries are founded on the basic principles of good business behavior. BCBS prefix are easy to identify using our BCBS prefix lookup because theyre part of every BCBS member ID and we included all of them here in the BCBS prefix list. FA%[: Always make sure to submit claims to insurance company on time to avoid timely filing denial. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. Customer services are indulged with great services. The consent submitted will only be used for data processing originating from this website. *!uB9^AwjF(v,o One option is Adobe Reader which has a built-in reader. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. 11 0 obj All claims must be submitted to Blue Cross Blue Shield. The alpha prefix is very important to the identification number. For accurate and quick claims processing, it is necessary to get complete patient insurance information. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. BCBS Prefix should be included along with ID number, exactly as it appears on the member ID card when filing the claims to insurance company. In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Continue with Recommended Cookies. <> % We make sure to share latest data but in case you find some misinformation, please let us know so that we can help you to provide most accurate BCBS Alpha Prefix List. endobj Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . We cant decide Blue cross Blue shield members state just by looking first alpha prefix. What is 25 modifier and how to use it for insurance Payment, How to code for diagnosis and procedures related to Monkey pox, BCBS Alpha Prefix List from YAA to YZZ Updated 2023, Timely Filing Limits for all Insurances updated (2023), Blue Cross Blue Shield insurance Companies Statewise, BCBS of South Carolina (SC) / Southcarolinablues, Highmark Blue Shield (BS) of Pennsylvanaia (PA), Blue shield(BS) of Northeastern New York (NeNY). BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. It helps to cover up the flights or any delays. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. <> The first two characters of such BCBS prefix spots member plan and the third character is to identify the type of product in which the BCBS member is enrolled. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) endobj BCBS Insurance goes on dealing with the oldest and largest health insurance system. Now, with more than 15 years of experience as a medical biller and revenue cycle manager, I am on a mission to serve the medical billing industry with my vast knowledge and years of expertise. Not assigned prefix: GAX: BCBS Illinois: GAY: Anthem Central Region (OH, IN, KY) GAZ: Not assigned prefix: GBA: BCBS Montana: GBB: Anthem Blue Cross California: GBC: Wellmark BCBS: GBD: '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR The manual is organized into the following sections for your convenience. BCBS of Arkansas Blue Advantage Administrators. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. M+. For government programs prior authorization requests handled by eviCore healthcare (eviCore): To view this file, you may need to install a PDF reader program. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. 6 0 obj In the USA, people prefer to use and apply for BCBS insurance as it is considered one of the trustworthy applications and has the maximum facilities to deal with. The health of your eyes and teeth can affect your overall health. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Empire Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Kentucky, Maryland/District of Columbia/Northern Virginia, Highmark Blue-Cross Blue-Shield of Pennsylvania, Anthem Blue-Cross Blue-Shield of Connecticut, Anthem Blue-Cross Blue-Shield of Colorado, Anthem Blue-Cross Blue-Shield of New Hampshire, Anthem Blue-Cross Blue-Shield of Missouri, Blue-Cross Blue-Shield of Western New York, Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania, Anthem Blue-Cross Blue-Shield of Virginia, Excellus Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Wisconsin, Highmark Blue-Cross Blue-Shield of West Virginia, Horizon Blue-Cross Blue-Shield of New Jersey, Highmark Blue-Cross Blue-Shield of Delaware. Find a BCBS Company by Prefix. BCBS Alpha Prefix Lookup. <> This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. The prefix acts as a key element in confirming the members' eligibility and coverage information. This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. First Character Z assigned to the BCBS Plan. New to Blue Access for Members? Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. Prefix UTS assigned to University of Texas. mr+*W@B UAA. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. How To Identify Blue Cross Blue Shield Member? In order to get rid of this denial or sometimes delay in processing, Provider or Billing companies has to find out the correct address by BCBS prefix from the above list before filing the claim. Yes, Policy number same as member ID number and also known as subscriber ID number. 7 0 obj endobj BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. Blue Cross Blue Shield Federal Phone Number. endstream Among these principles are a commitment to the highest standard of business ethics and integrity. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. Most of the coverages are associated with baggage loss. Secondly, it ensures that you have the most up-to-date information about each and every BCBS prefix home plan because we update the BCBS prefix list on daily basis. Step 1 Confirm if Prior Authorization is Required. <> 5 0 obj XCC. BCBS Company. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox 14 0 obj The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. X2A to X9Z. F1Xkt~ n_]}M,h>@iB;jVhX8M5%s9A}SHB+;zwOUR*7Y@"Z/j[xW[,5ygwxxe7cjgj;=d sXT >oTL{ $(5V7Ev-BNlJaZw7F^Uv >U$+o\!je mR[D-h?jkC: .cJ]QC,1p 9ArnWP) v5s]M*I'vv JFIF x x C Final Remarks about BCBS Prefix Lookup Directory. 2/1/2023. BCBS Prefix will not only have numbers and the digits 0 and 1. Most PDF readers are a free download. T2A to T9Z. xyl prefix provider phone number aqt bcbs prefix bcbs of minnesota prefix bcbs prefix lookup anthem prefixes by state 2022 bcbs illinois prefix list 2022. This new site may be offered by a vendor or an independent third party. BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. Search with My Member ID Card: Go. The content shared in this website is for education and training purpose only. Here we have listed down all the Blue Cross Shield Prefix along with BCBS home plan name and website for BCBS member IDs ranging from W2A to W9Z. HOME; . BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify members eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim. It also storms up the stability of ones financial condition. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. Emergency services are an exception. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Search for doctors, dentists, hospitals and other health care providers. External link You are leaving this website/app (site). The cross also goes through the analysis of gaining health insurance and forms a series of packages. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Ans. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee
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