The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. 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.. Most PDF readers are a free download. -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz LAA. The content shared in this website is for education and training purpose only. 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 . Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) The programs main benefit is that it allows one to receive and understand the health care benefits. BCBS Company. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. 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. X2A to X9Z. 2 0 obj If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. Want to be part of our amazing team? BCBS Prefix List 2021 - Alpha. BCBS FEP Its indicated with letter R followed by the id number. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. Z2A to Z9A. Does blue cross blue shield cover shingles vaccine? In that situation, health insurance makes the right baggage and passport coverage decisions. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. You may also be interested to read about denial code 27 reason and solutions. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. endstream ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) To view this file, you may need to install a PDF reader program. For . 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. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Yes, Policy number same as member ID number and also known as subscriber ID number. Emergency services are an exception. The prefix acts as a key element in confirming the members' eligibility and coverage information. 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. endobj 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. Provided on the website you will find the following documents: Medicare and Government Contracts Compliance Program, Blue Cross Medicare Advantage HMO Non-Delegated Model Manual, Blue Cross Medicare Advantage PPO ProviderManual, CMS Qualified Medicare Beneficiary Program, 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). } !1AQa"q2#BR$3br 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: Born in Texas, USA. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. 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. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. 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 . 18 0 obj Do not delay the billing of a claim for any reason. 107. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Ans. 855-854-1438. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. This new site may be offered by a vendor or an independent third party. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. Highmark BCBS of Pennsylvania (PA) ZAC. Connecticut. Provider Finder . J7Wr}pY+Gqpgx ck 4=!omPyC]6bRw@;-:.L^]UMw6xAjAA8 et BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. FA%[: 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 following travel insurance helps to deal with all the medical costs and also covers the family expenses. These documents are located inhttp://www.hisccompliance.com. Michigan. endobj Admin 22A. Admin 83A. $ 382. BAA. 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. Blue Cross Blue Shield insurance Companies - Statewise. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Search with My Member ID Card: Go. The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. Topics include everything from improving your well-being to explaining health coverage. Skip to content. 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. 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 Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. 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. Anthem BCBS of Connecticut. It shows that these type of BCBS member IDs are different. BCBS of Arkansas Blue Advantage Administrators. The benefits that BCBS Insurance provides are. . BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. From April 1 to September 30, on weekends and holidays you may be required to leave a message. 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: Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. Hi, Im Kim Keck! Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] 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. Ans. The plans and system go on covering up the international travel ventures. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. within 365 days . Click on a section title to view the content. Access Your Payment Options. endobj Blue Cross Blue Shield insurance Companies - Statewise. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox XCE. BCBS Blue Care Network Michigan (MI) UAB. 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. To get information about such member IDs, you can contact BCBS directory phone number i.e. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. Save my name, email, and website in this browser for the next time I comment. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. . Our trusted community experts can give you the one-on-one help you need to shop for health insurance. In addition, some sites may require you to agree to their terms of use and privacy policy. The organization is famous just for this particular service apart from the other policies. In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. One option is Adobe Reader which has a built-in reader. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Account Specific Prefix are assigned by BCBS to national accounts. Most PDF readers are a free download. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. Prior authorization requests for our Blue Cross Medicare Advantage (PPO)SM(MA PPO), Blue Cross Community Health PlansSM(BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SMmembers can be submitted to eviCore in two ways. Normally, account specific prefix associates to the employer group name. It also files on checking the incorrect address and submits the correct form of claiming the right details. 16 0 obj 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 There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. For more than 85 years, we've provided our members with comprehensive, affordable health . The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. 1 0 obj Step 1 Confirm if Prior Authorization is Required. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. 7 0 obj You may also want to know: United Healthcare Claims Address Information. For government programs prior authorization requests handled by eviCore healthcare (eviCore): endobj So, to answer this query, we have mentioned below few important points to consider. 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. If possible, make copies of the member's ID card (front and . <> BCBS Alpha Numeric Prefix from T2A to T9Z. Log In to the Shopping Cart, Need to Make a Payment? The terms of the members plan control the available benefits. The insurance company also provides facilities for the senior citizens and claims to give the best facilities for them and get them admitted to the nearest hospital. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. 6 0 obj To view this file, you may need to install a PDF reader program. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. The prefix acts as a key element in confirming the members' eligibility and coverage information. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. 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. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. ZAA. The manual is organized into the following sections for your convenience. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. BSBS insurance involves unique prefixes and follows up a unique ID number. &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 Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. JFIF x x C <> :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ It also states the important papers for identification that would help safeguard the situation and also save the expenses. BAB. 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. 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. 8 0 obj For example: A2A12345678. The Home and Host plan is also working in the Blue Cross Blue Shield plan. 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 Learn more. 17 0 obj <> Once a prior authorization request is received and processed, the decision is communicated to the provider. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. Y2A to Y9A. Admin 22. Health Exchange. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. A Google Certified Publishing Partner. _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Sample BCBS prefix list. It helps to cover up the flights or any delays. In recent years medical treatment and its cost has increased, which has become unbearable to manage. <> These prefixes may include alpha and numerical characters. The employees suggest to the customers select the packages and illustrate more about the service. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. endobj <> 5 0 obj 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. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. Online - The eviCore Web Portal is available 24x7. Certain employer groups may require prior authorization or pre-notification through other vendors. BCBS Prefix will not only have numbers and the digits 0 and 1. The site may also contain non-Medicare related information. endobj So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. Always make sure to submit claims to insurance company on time to avoid timely filing denial. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Claims that are submitted after . The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. BCBS Alpha Prefix from BAA to BZZ. Step-by-Step Guide for Provider Finder . It is one of the giant sectors that provide more than 106 million health facilities. Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. BCBS Prefix will not only have numbers and the digits 0 and 1. 365days . Lets dig into it! M. members covered. 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. stream The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. 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. Availity provides administrative services to BCBSIL. 12 0 obj Blue Cross Blue Shield Federal Phone Number. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. Do not create one or use the BCBS prefix from another member ID card. M+. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. Illinois. 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? It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. It has also helped customers during emergencies by providing the proper medical treatments and other sources. 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. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. endobj For Example: XYZ123456789. Continue with Recommended Cookies. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. Second Character G assigned to the BCBS Plan as well. In the USA, the BCBS is a very well-known health insurance statement that conveys more association and deals with numerous activities. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. % The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. <> 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. will be denied. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. BCBS Alpha Prefix Lookup. 13 0 obj BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. One option is Adobe Reader which has a built-in reader. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. Member Prefix List Patient Roster Claims & Payments. 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. A prior authorization isnota guarantee of benefits or payment. Does United Healthcare cover the cost of dental implants? endobj Menu. endobj 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. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. By doing it may cause delay in processing or handling the claim. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Always use the BCBS prefix on the members current ID card followed by the member id number. 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. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. Request a new replacement member ID card, or download a temporary copy. Returning Shopper? <> Prefix UTS assigned to University of Texas. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. Unassigned Prefix. XCC. BCBS Insurance goes on dealing with the oldest and largest health insurance system. The alpha prefix is very important to the identification number. On the other hand, host plans indicate more services in the health care services and competition within the area. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. 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. 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. What kind of cases do personal injury lawyers handle? 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. 3 0 obj Blue Cross Blue Shield companies provide a best-in-class, comprehensive suite of international products and services for people who live, work and travel internationally, giving them confidence that quality care can be accessed wherever and . BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors.