BCBS Blue Care Network Michigan (MI) UAB. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. BCBS Insurance goes on dealing with the oldest and largest health insurance system. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. 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. HOME; . 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. It holds a huge role in the cancellation policy, hotel booking and loss of passports. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. To view this file, you may need to install a PDF reader program. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) 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. 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? What kind of cases do personal injury lawyers handle? Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Online - The eviCore Web Portal is available 24x7. 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. 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? BCBS of Arkansas Blue Advantage Administrators. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR endobj Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. 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. These BCBS prefix may include alpha and numerical characters. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. It also states the important papers for identification that would help safeguard the situation and also save the expenses. Request a new replacement member ID card, or download a temporary copy. Information current and approximate as of December 31, 2018. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. 365days . Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, Behavioral Health IP PA - IVR Caller Guide, Behavioral Health OP PA - IVR Caller Guide, Inpatient Preauthorization - IVR Caller Guide, Outpatient Preauthorization - IVR Caller Guide, Preauthorization: Check Request Status - IVR Caller Guide, Utilization Management Process Overview (Commercial), Patients medical or behavioral health condition, Date of service, estimated length of stay (if the patient is being admitted), Provider name, address and National Provider Identifier (NPI), Government Programs 877-774-8592 (MA PPO); 877-860-2837 (BCCHP); 877-723-7702 (MMAI). Admin 83A. BCBS Alpha Prefix Lookup. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. Prefix UTS assigned to University of Texas. from the date of service. BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. Calls will be returned the next . 3 0 obj These blue shield companies negotiate with the doctors and the other hospitals. *!uB9^AwjF(v,o Here " A2A" is BCBS alpha numeric prefix. 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 . 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. 15 0 obj 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). W2A to W9Z. There are several benefits of using our BCBS Prefix Lookup tool. 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 Normally, account specific prefix associates to the employer group name. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. 9 0 obj Do not create one or use the BCBS prefix from another member ID card. It covers the plans and analyses the services with the complete access of the employees. 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. Once a prior authorization request is received and processed, the decision is communicated to the provider. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. Access Your Payment Options. 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: Final Remarks about BCBS Prefix Lookup Directory. 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. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. 6 0 obj 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. Save my name, email, and website in this browser for the next time I comment. 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. endobj To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. . Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. Always use the BCBS prefix on the members current ID card followed by the member id number. Step-by-Step Guide for Provider Finder . As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. The prefix acts as a key element in confirming the members' eligibility and coverage information. A Google Certified Publishing Partner. State Lookup. BCBS Prefix should be included along with ID number, exactly as it appears on the member ID card when filing the claims to insurance company. Search for doctors, dentists, hospitals and other health care providers. BCBS Company. Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. Returning Shopper? _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. <> Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. The benefits that BCBS Insurance provides are. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Make sure to make copies of the front and back of member ID card. The policies and regulations provided by the organization convey great statements and activities into the proper placement. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. <> BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. BAA. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] For government programs prior authorization requests handled by eviCore healthcare (eviCore): BCBS FEP Its indicated with letter R followed by the id number. Related forms. !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. It also files on checking the incorrect address and submits the correct form of claiming the right details. 800-676-2583. 12 0 obj 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. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. M+. For more than 85 years, we've provided our members with comprehensive, affordable health . BCBS Prefix will not only have numbers and the digits 0 and 1. New to Blue Access for Members? XCE. Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . In that situation, health insurance makes the right baggage and passport coverage decisions. 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. <> BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. Choose a state to see how Blue Cross Blue Shield is working in your community. [ 15 0 R] Our trusted community experts can give you the one-on-one help you need to shop for health insurance. endobj Michigan. Language Assistance (opens in a new window) and Non-Discrimination Notice . Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. <> The consent submitted will only be used for data processing originating from this website. 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). It also issues for automation extension of the travel insurance plan. 18 0 obj <> $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Anthem Blue-Cross Blue-Shield of Ohio. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. 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. %PDF-1.5 The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) UAC. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Certain employer groups may require prior authorization or pre-notification through other vendors. 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. The blue cross deals with the features to make it easier for the customers to deal with the situation. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Always check eligibility and benefits first,via theAvailityEssentialsor your preferred web vendor, prior to rendering care and services. For example, baggage and other items will get lost if you fall sick before or during the trip. Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. endobj 5 0 obj Provider Finder . BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> <> The BCBSIL Commercial Provider Manual is organized into the following sections for providers participating in PPO, Blue Choice PPOSM, HMO and the Blue High Performance NetworkSM(Blue HPNSM)EPO. You may also want to know: United Healthcare Claims Address Information. BCBS Alpha Numeric Prefix from T2A to T9Z. When does health insurance expire after leaving job? Anthem BCBS of Connecticut. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. 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). Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. In addition, some sites may require you to agree to their terms of use and privacy policy. x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? endobj Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. BCBS Alpha Prefix List of "Z"-series. 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: The following travel insurance helps to deal with all the medical costs and also covers the family expenses. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Yes, Policy number same as member ID number and also known as subscriber ID number. 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. The alpha prefix is very important to the identification number. Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. Learn more. On the other hand, host plans indicate more services in the health care services and competition within the area. Save my name, email, and website in this browser for the next time I comment. For Example: ABC, A2B, 2AB, 2A2 etc. CAA. Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. Second Character G assigned to the BCBS Plan as well. In certain situations, the baggage gets lost or goes on delaying for the baggage from the airport by claiming to the insurance company and policies for losing the baggage. Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. CPT is registered trademark of American Medical Association. What is Medical Billing and Medical Billing process steps in USA? Admin 22A. Five most Workers Compensation Mistakes to Avoid in Maryland. <> BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. Claims that are submitted after . T2A to T9Z. 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). 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. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. 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. 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). First Character Z assigned to the BCBS Plan. BCBS Alpha Prefix from BAA to BZZ. endobj 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. In recent years medical treatment and its cost has increased, which has become unbearable to manage. One option is Adobe Reader which has a built-in reader. 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. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. 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. A prior authorization isnota guarantee of benefits or payment. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. BSBS insurance involves unique prefixes and follows up a unique ID number. Blue Cross Blue Shield insurance Companies - Statewise. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. 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. |d&`{ ^^I|Wp:K|~._s IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. 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. Below is a list of the old and new alpha prefix codes. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. For example: ABC12345678. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. mr+*W@B Learn more about Ezoic here. 11 0 obj 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. . 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.