These prefixes may include alpha and numerical characters. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Information current and approximate as of December 31, 2018. XCE. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. 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. 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. Does blue cross blue shield cover shingles vaccine? 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. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. BCBS Alpha Numeric Prefix from T2A to T9Z. The terms of the members plan control the available benefits. For example, baggage and other items will get lost if you fall sick before or during the trip. The Blue cross blue shield company mainly provides proper health insurance coverages. <> Learn more about timely filing limits and CO 29 Denial Code. From April 1 to September 30, on weekends and holidays you may be required to leave a message. For . Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. BCBS Alpha Prefix List of "U"-series. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. BCBS Prefix will not only have numbers and the digits 0 and 1. BCBS Company. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. These blue shield companies negotiate with the doctors and the other hospitals. 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: Yes, Policy number same as member ID number and also known as subscriber ID number. <> <> endobj Commercial Communications 6 0 obj &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 For government programs prior authorization requests handled by eviCore healthcare (eviCore): Click on a section title to view the content. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. BCBS Insurance mainly focuses on medical treatments and providing maximum support for the financial condition. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. The programs main benefit is that it allows one to receive and understand the health care benefits. In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. All claims must be submitted to Blue Cross Blue Shield. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR <> Save my name, email, and website in this browser for the next time I comment. The prefix acts as a key element in confirming the members' eligibility and coverage information. 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. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . Benefits will be determined once a claim is received and will be based upon, among other things, the members eligibility and the terms of the members certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. Here " A2A" is BCBS alpha numeric prefix. Most PDF readers are a free download. External link You are leaving this website/app (site). Anthem BCBS of Connecticut. Customer services are indulged with great services. What is Medical Billing and Medical Billing process steps in USA? Returning Shopper? 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. Curious to know what are national Accounts? The first two alphabets of the prefix denote the plan and the third alphabet prefix denotes the type of product the insured choose for coverage. First Character P is symbolizing that member plan/product type is BCBS PPO. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. The coverage that the organization holds on travel, medical and other conditions. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Hi, Im Kim Keck! W2A to W9Z. 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? 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 Numeric Prefix list. The prefix acts as a key element in confirming the members' eligibility and coverage information. Five most Workers Compensation Mistakes to Avoid in Maryland. Availity is a trademark of Availity, LLC., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. The alpha prefix is very important to the identification number. If the provider or member doesnt get prior authorization for out-of-network services, the claim may be denied. BCBS FEP Its indicated with letter R followed by the id number. Here " ABC" is BCBS alpha prefix. By doing it may cause delay in processing or handling the claim. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. Access Your Payment Options. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox endobj Prior authorization requests for our Blue Cross Medicare Advantage (PPO) SM (MA PPO), Blue Cross Community Health Plans SM (BCCHP SM) and Blue Cross Community MMAI (Medicare-Medicaid Plan) SM members can be submitted to eviCore in two ways. . I Don't Have My Member ID Card. Continue with Recommended Cookies. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. 107. endobj 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). '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR 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. Anthem BCBS of Wisconsin (WI) Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. The employees suggest to the customers select the packages and illustrate more about the service. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. w !1AQaq"2B #3Rbr It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. endstream BCBS Prefix List 2021 - Alpha. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee %PDF-1.5 Claims that are submitted after . Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. <> Y2A to Y9A. In addition, some sites may require you to agree to their terms of use and privacy policy. Emergency services are an exception. What If BCBS Member ID doesnt have Prefix mentioned on Card? In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. 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 Alpha Prefix Its a three letter alpha prefix followed by id number. It also storms up the stability of ones financial condition. 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. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ZAA. Member Prefix List Patient Roster Claims & Payments. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. 365days . Have a look at BCBS alpha prefix and alpha numeric prefix directory below. UAA. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. One option is Adobe Reader which has a built-in reader. 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, HMO Medical Service Agreement Highlight and Process Summary, 3rd Trimester Pregnancy IPA Transfer Policy, 3rd Trimester Pregnancy IPA Transfer Procedure, Ancillary Hospital Institution Care Transition Exceptions Policy, Ancillary Hospital Institution Care Transition Exceptions Procedure, Contract Management Firms Confidentiality Agreement Policy, Contract Management Firms Confidentiality Agreement Procedure, Corrective Action for Failed Utilization Management Audit of Participating IPAs Policy, Corrective Action for Failed Utilization Management Audit of Participating IPAs Procedure, Collaborative Improvement Coaching for HMO Quality Improvement Projects Policy, Collaborative Improvement Coaching for HMO Quality Improvement Projects Procedure, IPA Availability andAccessibility Requirements forImmediate Care Services Policy, IPA Availability andAccessibility Requirements forImmediate Care Services Procedure, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure, IPA Process for Establishing Out of Area for Emergency Services Policy, IPA Process for Establishing Out of Area for Emergency Services Procedure, IPAs Request for Member Transfer Procedure, Member Access to Behavioral Health Services Policy, Member Access to Behavioral Health Services Procedure, Member Notification Process when a Provider Leaves the IPA Policy, Member Notification Process when a Provider Leaves the IPA Procedure, Oversight of Contracted Infertility Vendor Policy, Oversight of Contracted Infertility Vendor Procedure, Primary Care Physician (PCP) Affiliation with Multiple IPAs Policy, Primary Care Physician (PCP) Affiliation with Multiple IPAs Procedure, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Policy, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Procedure, Accountable Care Organization (ACO) Dual Claimed Physician Policy and Procedure, BCBSIL Marketing Communications HLA Policy Procedure, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Policy, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Procedure, Provider Handling of Member Inquiries Complaints and Appeals, Provider Urgent/Expedited Clinical Appeal Process, Recovery of Provider Overpayments due BCBSIL, MA HMO Detailed Explanation ofNon-coverage, MA HMO Notice of Dismissal of Organization Determination Request, MA HMO UM Approval In Network ProviderLetter, MA HMO UM Approval Out of Network ProviderLetter, MA HMO Sample Provider Appeal Language for Explanation ofPayment, MA HMO Sample Waiver of LiabilityStatement, MA HMO Transition to Transplant ManagementForm, HMO Provider Credentialing Pre-application. 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). <> What is Medical Billing and Medical Billing process steps in USA? Medical Billing and Coding Information Guide. 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. It also suggests that the members enjoy the networks participating with the hospital and other medical costs. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. 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.. BAA. Other providers are available in our network. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. BCBS Alpha Prefix from BAA to BZZ. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. There are several benefits of using our BCBS Prefix Lookup tool. BCBS is one of the largest medical insurance company by total members of more than 45 million. Calls will be returned the next . endobj BCBS Prefix will not only have numbers and the digits 0 and 1. You can also contact us for specialty medical billing services. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. BCBS Company. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. It also issues for automation extension of the travel insurance plan. In general, there arethreestepsprovidersshould follow. T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. endobj Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: CPT is registered trademark of American Medical Association. To view this file, you may need to install a PDF reader program. 4 0 obj Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. 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. 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. Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. endobj 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. _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. . from the date of service. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. 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. Unassigned Prefix. stream To run such a large number of people, they divided Blue Cross Blue Shield Insurance Association into different departments which is employer specific or state wise. What kind of cases do personal injury lawyers handle? Business health insurance plans designed to fit any size small business and budget. BAB. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ Learn more about Ezoic here. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. M. members covered. Search articles and watch videos; ask questions and get answers. Blue Cross Blue Shield insurance Companies - Statewise. 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 To view this file, you may need to install a PDF reader program. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . A prior authorization isnota guarantee of benefits or payment. Ans. Renew Illinois Individual, Family & Medicaid Health Insurance, Blue Cross Community MMAI (Medicare-Medicaid Plan), Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, Learn About Colon Cancer Screening Options. For Example: XYZ123456789. State Lookup. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. 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. The benefits that BCBS Insurance provides are. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. % For example: A2A12345678. [ 15 0 R] It comes up with the facilities such as dental, vision and other body issues. } !1AQa"q2#BR$3br The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. 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. This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. 13 0 obj Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. One of the biggest issues in todays generation is where medical treatments and conditions lie. For Example: ABC, A2B, 2AB, 2A2 etc. The site may also contain non-Medicare related information. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. endobj So, to answer this query, we have mentioned below few important points to consider. 17 0 obj It holds a huge role in the cancellation policy, hotel booking and loss of passports. 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. State Lookup. 9 0 obj They always offer packages within the amounts mentioned. Below is a list of the old and new alpha prefix codes. Account Specific Prefix are assigned by BCBS to national accounts. BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. 10 0 obj Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . 16 0 obj 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. It covers the plans and analyses the services with the complete access of the employees. |d&`{ ^^I|Wp:K|~._s Our trusted community experts can give you the one-on-one help you need to shop for health insurance. The information you're accessing may not be provided by Excellus BCBS. 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. 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. Does policy number same as member ID number? The site may also contain non-Medicare related information. endobj *!uB9^AwjF(v,o So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. You can: Pay a bill online or sign up for auto bill pay.

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