Have a look at BCBS alpha prefix and alpha numeric prefix directory below. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. BCBS Alpha Numeric Prefix from T2A to T9Z. In recent years medical treatment and its cost has increased, which has become unbearable to manage. Bcbs prefix list is showing the exact BCBS plan of the patient, so you can easily call to exact location plan and handle AR follow-up effectively. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. For example: A2A12345678. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . BCBS prefix are easy to identify using our BCBS prefix lookup because they're part of every BCBS member ID and we included all of them here in the BCBS prefix list. 4 0 obj BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. You may also be interested to read about denial code 27 reason and solutions. endobj To view this file, you may need to install a PDF reader program. U2A to U9Z. BCBS Blue Care Network Michigan (MI) UAB. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> Ans. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. 2/1/2023. In the USA, the BCBS is a very well-known health insurance statement that conveys more association and deals with numerous activities. 7aM- I|x,# In most ways, the policy numbers and their section move forward with a unique number to get respective orders and their identification to analyze the main purposes of billing the healthcare system. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. UAC. 9 0 obj eviCore healthcare (eviCore) is an independent company that has contracted with BCBSIL to provide prior authorization for expanded outpatient and specialty utilization management for members with coverage through BCBSIL. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. *!uB9^AwjF(v,o BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. Does policy number same as member ID number? I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. 18 0 obj New to Blue Access for Members? 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: BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. In addition, some sites may require you to agree to their terms of use and privacy policy. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. By using this directory, you can ensure that you have the most up-to-date information about BCBS home plans and make more informed decisions about choosing right insurance plan. Yes, Policy number same as member ID number and also known as subscriber ID number. Note: Most out-of-network services require utilization management review. Most of the coverages are associated with baggage loss. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Curious to know what are national Accounts? 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. 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. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. Ans. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. Commercial Communications BCBS member ID card will have a suitcase logo at the bottom of card which will also help you to identify patient plan like HMO, PPO, POS etc. BCBS Alpha Prefix List of "U"-series. Unassigned Prefix. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Learn more. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. 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). Emergency services are an exception. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. Livestock Protection. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. Want to be part of our amazing team? XCC. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" endobj Learn more about timely filing limits and CO 29 Denial Code. M. members covered. Other providers are available in our network. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. And to manage such a big network, they divided it into different departments state wise or employer specific. Livestock Protection. <> So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. For providers and medical billers who are performing medical billing services, BCBS alpha prefix are helpful to identify the correct payer ID and address for claims submission. First Character Z assigned to the BCBS Plan. It also files on checking the incorrect address and submits the correct form of claiming the right details. BCBS Alpha Prefix List of "E"-series: Blue Cross Blue Shield insurance Companies - Statewise: EAA: Not assigned prefix: EAB: BCBS of Kansas City: EAC: Anthem BCBS of Virginia (VA) EAD: BCBS of Illinois (IL) EAE: Regence BCBS: EAF: BCBS of Massachusetts (MA) EAG: Capital Blue Cross of Pennsylvania (PA) EAH: BCBS of Alabama (AL) EAI: Not . Continue with Recommended Cookies. 6 0 obj . The organization is famous just for this particular service apart from the other policies. LAA. The programs main benefit is that it allows one to receive and understand the health care benefits. Business health insurance plans designed to fit any size small business and budget. It is one of the giant sectors that provide more than 106 million health facilities. These BCBS prefix may include alpha and numerical characters. One option is Adobe Reader which has a built-in reader. External link You are leaving this website/app (site). Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. The content shared in this website is for education and training purpose only. This new site may be offered by a vendor or an independent third party. $ 382. Second Character G assigned to the BCBS Plan as well. <> Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. The cross also goes through the analysis of gaining health insurance and forms a series of packages. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. <> We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. Health Care DeliveryPolicy and Procedures, Blue Cross Community Health Plans ProviderManual, Medicaid Provider Orientation(Professional), Medicaid Prior Authorization RequestForm, Medicaid Provider Orientation (Professional), Blue Cross Community OptionsSMBehavioral Health Benefit Grid. The terms of the members plan control the available benefits. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. &UMDU}%h UX[_kRGyzte,.-pD?^]Yt%i7=$Foy*ja(5}31$9w}eLvdA oV;_$myuVLW5v^{=GW;ig)aYff,WW(/-"*{Wf;x5qS:@-q$QJLgvCd2>OXe|lqc;Kv.&Pkuz?&jm*1qm1UqmeETH}6Iq?} Dl]mh*MNgUh9dzQ!hTk H:Azif+ ]V"U23 Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: For accurate and quick claims processing, it is necessary to get complete patient insurance information. LAB. These blue shield companies negotiate with the doctors and the other hospitals. Click on a section title to view the content. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. 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. BCBS Prefix will not only have numbers and the digits 0 and 1. BAA. The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. Every Blue Cross and Blue Shield plan starts with an alpha prefix so they are called in medical terms BCBS Alpha Prefix. UAA. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. Always check eligibility and benefits first,via theAvailityEssentialsor your preferred web vendor, prior to rendering care and services. 16 0 obj What kind of cases do personal injury lawyers handle? 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. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. The presence of the members in the organization deals with decisions on certain critical conditions of the customers and getting steps to solve the issues. stream The prefixes include filling up the claims of the insurance details.It also checks out the incorrect members of gaining the claim setting up the correct number about the IDs. BSBS insurance involves unique prefixes and follows up a unique ID number. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. I Don't Have My Member ID Card. <> Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. Include the alpha prefix and all alpha characters preceding the alpha prefix on all correspondence and claims submitted to Blue Cross Blue Shield of Texas. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. 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). HOME; . Health Exchange. Blue-Cross Blue-Shield of Illinois. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. The health of your eyes and teeth can affect your overall health. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. 13 0 obj Blue Cross Blue Shield insurance Companies - Statewise. The site may also contain non-Medicare related information. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) BCBS Prefix List 2021 - Alpha. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. One of the biggest issues in todays generation is where medical treatments and conditions lie. Assistance Available For Members Impacted by Severe Weather, 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). 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. Medicare Advantage is an alternative to original Medicare where a private health insurance . In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. Sometimes, a plan may require the member to request prior authorization for services. BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. Learn more about Ezoic here. Save my name, email, and website in this browser for the next time I comment. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. Search with My Member ID Card: Go. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. We are also the largest provider of health benefits in Illinois, serving more than 8.1 million members in all 102 counties across the state. In addition to verifying membership/coverage status and other important details,this step returns information on prior authorization requirements and utilization management vendors, if applicable. endobj To view this file, you may need to install a PDF reader program. An example of data being processed may be a unique identifier stored in a cookie. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. XCD. } !1AQa"q2#BR$3br Third, it can help you make more informed decisions to choose right insurance plan and benefits. BCBS Alpha Numeric Prefix from L2A to L9Z (Updated 2023), BCBS Provider Phone Number for Claims and Eligibility Verification, PR 27 Denial Code Description and Solution, How to Improve Your Coding Accuracy? There are several benefits of using our BCBS Prefix Lookup tool. Claims that are submitted after . Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. BCBS is the biggest private insurance company in the United States after federal insurance and there are hundreds of BCBS plans according to state and geographical areas. We offers a wide range of RCM solutions to improve your healthcare services financial health and allows you to focus on patients care rather than collecting payments from insurances and patients for services performed. Here " A2A" is BCBS alpha numeric prefix. This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. In addition, some sites may require you to agree to their terms of use and privacy policy. Member Prefix List Patient Roster Claims & Payments. <> It comes up with the facilities such as dental, vision and other body issues. CAA. Although we regularly update the BCBS Prefix information but in case youre unable to get information about correct BCBS plan from our BCBS Prefix lookup, feel free to contact us OR call BCBS directory phone number at 800-676-2583. 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. In that situation, health insurance makes the right baggage and passport coverage decisions. The alpha prefix is very important to the identification number. State Lookup. If you donotget prior approval via the prior authorization process for services and drugs on our prior authorization lists: When and how should prior authorization requests be submitted? For more than 85 years, we've provided our members with comprehensive, affordable health . We cant decide Blue cross Blue shield members state just by looking first alpha prefix. BCBS Prefix List 2021 - Alpha. endobj Preferred PPOSM Alpha Prefix Codes December 15, 2015 As a reminder, the alpha prefix codes on Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have been updated. CPT is registered trademark of American Medical Association. -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz This new site may be offered by a vendor or an independent third party. 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: September 30, 2022 by Rebecca Williams. <> Y2A to Y9A. Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. mr+*W@B BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. <> Create an account. Language Assistance (opens in a new window) and Non-Discrimination Notice . Calls will be returned the next . document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. BCBS Insurance goes on dealing with the oldest and largest health insurance system. BCBS Company. endobj The main benefits of having insurance plans and coverages are not only getting monotonous services but also enjoying the perfect scheduling of other facilities, i.e., international travel and coverages. Hi, Im Kim Keck! Prefix UTS assigned to University of Texas. BCBS Company. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. ZAA. BCBS Prefix will not only have numbers and the digits 0 and 1. For example, baggage and other items will get lost if you fall sick before or during the trip. For commercialprior authorization requests handled by AIM Specialty Health(AIM): Commercial non-HMO prior authorization requests can be submitted to AIM intwo ways. Some requests are handled by BCBSIL; others are handled by utilization management vendors. Here " ABC" is BCBS alpha prefix. In plan-specific alpha prefixes, the first two characters denote a given plan, while the third character identifies the product type chosen by the member, explains the BCBS of Texas. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. For Example: XYZ123456789. BCBS Prefix will not only have numbers and the digits 0 and 1. BAB. The benefits that BCBS Insurance provides are. Search your plan's drug list, find a pharmacy, and more. It shows that these type of BCBS member IDs are different. Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. Blue Cross Blue Shield Federal Phone Number. To get information about such member IDs, you can contact BCBS directory phone number i.e. Skip to content. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and the health care provider. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. T2A to T9Z. 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). The Blue cross blue shield company mainly provides proper health insurance coverages. 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. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. %PDF-1.5 BCBS Insurance mainly focuses on medical treatments and providing maximum support for the financial condition. These prefixes may include alpha and numerical characters. BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. [ 15 0 R] Get the most from your BCBSIL pharmacy benefits. endobj <> An Independent Licensee of the Blue Cross Blue Shield Association 020469 (03-01-2023) Prefix BCBS Plan Prefix BCBS Plan Prefix BCBS Plan A2T Premera Blue Cross A9P Premera Blue Cross ACF Premera Blue Cross AGL Premera Blue Cross/Shared Admin GUJ AHC Premera Blue Cross AJX Premera Blue Cross GVY ALK Premera Blue Cross If youre a medical biller or a provider and going to submit BCBS plan member claim to the insurance, make sure to submit member ID including prefix. 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. 800-676-2583. You may also want to know: United Healthcare Claims Address Information. Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information, BCBS Alpha Numeric Prefix from U2A to U9Z (Updated 2023), BCBS Alpha Prefix from TAA to TZZ (Updated 2023). 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. Do not delay the billing of a claim for any reason. 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