In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. These BCBS prefix may include alpha and numerical characters. 2/1/2023. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. UAA. Ohio. Want to be part of our amazing team? BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). 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. 17 0 obj <> Calls will be returned the next . Today you will find The BCBS Alpha Prefix List from UAA to UZZ. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. <> Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. Blue Cross Blue Shield Federal Phone Number. 2/1/2023. Below is a list of the old and new alpha prefix codes. The programs main benefit is that it allows one to receive and understand the health care benefits. 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. Save my name, email, and website in this browser for the next time I comment. The site may also contain non-Medicare related information. BCBS Insurance mainly focuses on medical treatments and providing maximum support for the financial condition. 107. <> BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. In the USA, the BCBS is a very well-known health insurance statement that conveys more association and deals with numerous activities. An example of data being processed may be a unique identifier stored in a cookie. Commercial Communications BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Join us as we build the next generation of health insurance. %PDF-1.5 What If BCBS Member ID doesnt have Prefix mentioned on Card? Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . <> In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. Highmark BCBS of Pennsylvania (PA) ZAC. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Search for doctors, dentists, hospitals and other health care providers. You can also contact us for specialty medical billing services. The prefix acts as a key element in confirming the members' eligibility and coverage information. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. Prefix UTS assigned to University of Texas. 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. If you have any questions, call the number on the member's ID card. Final Remarks about BCBS Prefix Lookup Directory. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. X2A to X9Z. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. 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). |d&`{ ^^I|Wp:K|~._s Always use the BCBS prefix on the members current ID card followed by the member id number. It shows that these type of BCBS member IDs are different. 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. BCBS Blue Care Network Michigan (MI) UAB. <> 16 0 obj To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). These documents are located inhttp://www.hisccompliance.com. Hi, Im Kim Keck! First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. BCBS Prefix BCBS Plan Name E2A Blue Cross Blue Shield Texas E2B Blue Cross Blue Shield Texas E2C Anthem BCBS Indiana E2E Regence Blue Cross . Livestock Protection. One option is Adobe Reader which has a built-in reader. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox First Character P is symbolizing that member plan/product type is BCBS PPO. To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. ZAA. 3 0 obj It has also helped customers during emergencies by providing the proper medical treatments and other sources. Anthem Blue-Cross Blue-Shield of Ohio. The prefixes identify the member's BCBS prefix list plan or national account and become essential when routing claims for processing. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. [ 15 0 R] BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. October 1, 2022 by Rebecca Williams. 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. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. 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. endstream BCBS Prefix will not only have numbers and the digits 0 and 1. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. Medicare Advantage is an alternative to original Medicare where a private health insurance . From April 1 to September 30, on weekends and holidays you may be required to leave a message. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. w !1AQaq"2B #3Rbr 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). Admin 22A. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Michigan. Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. 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. 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. from the date of service. For accurate and quick claims processing, it is necessary to get complete patient insurance information. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. Admin 83A. <> Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. BCBS Prefix IAA - IZZ | List Of BCBS Prefixes Health Care Providers | Blue Cross Blue Shield of Illinois - BCBSIL For government programs prior authorization requests handled by eviCore healthcare (eviCore): Member Services | Blue Cross Blue Shield <> Blue Cross Blue Shield insurance Companies - Statewise. How To Identify Blue Cross Blue Shield Member? !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? Most PDF readers are a free download. For Example: XYZ123456789. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Note for Front Desk and Providers: When Blue Cross Blue Shield members comes to your facility or office, make sure to ask them for their active BCBS plan member ID card. And to manage such a big network, they divided it into different departments state wise or employer specific. Prior Authorization Requirement Summaries, Code Lists and - BCBSIL In recent years medical treatment and its cost has increased, which has become unbearable to manage. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. The alpha prefix is very important to the identification number. If possible, make copies of the member's ID card (front and . Phone - Call eviCore toll-free at 855-252-1117 . Every Blue Cross and Blue Shield plan starts with an alpha prefix so they are called in medical terms BCBS Alpha Prefix. 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. Step-by-Step Guide for Provider Finder . In general, there arethreestepsprovidersshould follow. Most PDF readers are a free download. $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| PDF Chapter 6: Billing and Payment endobj These BCBS prefix may include alpha and numerical characters. Topics include everything from improving your well-being to explaining health coverage. It also files on checking the incorrect address and submits the correct form of claiming the right details. The blue cross deals with the features to make it easier for the customers to deal with the situation. Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. Among these principles are a commitment to the highest standard of business ethics and integrity. 1 0 obj BCBS Company. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. 365days . Illinois.