A Google Certified Publishing Partner. BAA. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . The site may also contain non-Medicare related information. The blue cross deals with the features to make it easier for the customers to deal with the situation. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). Blue-Cross Blue-Shield of Illinois. 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 . Some of our partners may process your data as a part of their legitimate business interest without asking for consent. BCBS of Arkansas Blue Advantage Administrators. As noted above, when you check eligibility and benefits, in addition to confirming if prior authorization is required, youll also be directed to the appropriate vendor, if applicable. 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. Choose a state to see how Blue Cross Blue Shield is working in your community. 5 0 obj endobj 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. It has also helped customers during emergencies by providing the proper medical treatments and other sources. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. 7aM- I|x,# Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. Every Blue Cross and Blue Shield plan starts with an alpha prefix so they are called in medical terms BCBS Alpha Prefix. Does United Healthcare cover the cost of dental implants? Unassigned Prefix. The policies and regulations provided by the organization convey great statements and activities into the proper placement. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. &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 Some requests are handled by BCBSIL; others are handled by utilization management vendors. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. Online - The eviCore Web Portal is available 24x7. The cross also goes through the analysis of gaining health insurance and forms a series of packages. 9 0 obj endobj This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. Do not delay the billing of a claim for any reason. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. 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 Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. Create an account. <> BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR <> These BCBS prefix may include alpha and numerical characters. endobj The alpha prefix is always three letters followed by the member's ID number which can be from 6 up to 14 characters total. Member Prefix List Patient Roster Claims & Payments. Ohio. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. 11 0 obj The organization is famous just for this particular service apart from the other policies. W2A to W9Z. Business health insurance plans designed to fit any size small business and budget. First Character Z assigned to the BCBS Plan. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. Five most Workers Compensation Mistakes to Avoid in Maryland. endobj The Blue cross blue shield company mainly provides proper health insurance coverages. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. Medicare Advantage is an alternative to original Medicare where a private health insurance . Connecticut. X2A to X9Z. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. 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.. 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. 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. Blue Cross Blue Shield insurance Companies - Statewise. By doing it may cause delay in processing or handling the claim. What is Medical Billing and Medical Billing process steps in USA? 17 0 obj Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. Click on a section title to view the content. Contact us to learn how we can improve your revenue cycle. Sample BCBS prefix list. To get information about such member IDs, you can contact BCBS directory phone number i.e. 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. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. These BCBS prefix may include alpha and numerical characters. <> External link You are leaving this website/app (site). Here " A2A" is BCBS alpha numeric prefix. For Example: ABC, A2B, 2AB, 2A2 etc. Save my name, email, and website in this browser for the next time I comment. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. Yes, Policy number same as member ID number and also known as subscriber ID number. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. BCBS Prefix will not only have numbers and the digits 0 and 1. JFIF x x C Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. If you have any questions, call the number on the member's ID card. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Availity provides administrative services to BCBSIL. It also issues for automation extension of the travel insurance plan. Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. endobj New to Blue Access for Members? 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 that situation, health insurance makes the right baggage and passport coverage decisions. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. 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. Blue Cross Blue Shield insurance Companies - Statewise. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors. 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? This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. The site may also contain non-Medicare related information. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. 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. It also goes on dealing with the student plan. It also suggests that the members enjoy the networks participating with the hospital and other medical costs. 2 0 obj It means that BCBS members IDs prefixes will must have alphabets. For example: ABC12345678. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . 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. The terms of the members plan control the available benefits. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. Here we have listed down all the Blue Cross Shield Prefix along with BCBS home plan name and website for BCBS member IDs ranging from W2A to W9Z. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. BCBS Alpha Prefix Lookup. CAA. However it has several policies for its customers. BCBS Alpha Prefix List of "Z"-series. October 1, 2022 by Rebecca Williams. 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. Certain employer groups may require prior authorization or pre-notification through other vendors. Home plans are generally used as a member of the former application. UAC. <> 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). 12 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 . The consent submitted will only be used for data processing originating from this website. 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). will be denied. Access Your Payment Options. In addition, some sites may require you to agree to their terms of use and privacy policy. Once a prior authorization request is received and processed, the decision is communicated to the provider. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. If the provider or member doesnt get prior authorization for out-of-network services, the claim may be denied. Language Assistance (opens in a new window) and Non-Discrimination Notice . The coverage that the organization holds on travel, medical and other conditions. endobj 14 0 obj First Character P is symbolizing that member plan/product type is BCBS PPO. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! These documents are located inhttp://www.hisccompliance.com. To view this file, you may need to install a PDF reader program. It covers the plans and analyses the services with the complete access of the employees. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. Get the most from your BCBSIL pharmacy benefits. BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. Normally, account specific prefix associates to the employer group name. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. Hi, Im Kim Keck! What If BCBS Member ID doesnt have Prefix mentioned on Card? BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee 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. 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. 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). endobj The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] BCBS Insurance goes on dealing with the oldest and largest health insurance system. 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. Calls will be returned the next . So, to answer this query, we have mentioned below few important points to consider. Among these principles are a commitment to the highest standard of business ethics and integrity. How Long Does the Judge Approval Process for Workers Comp Settlement Take? Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. Admin 22. In general, there arethreestepsprovidersshould follow. 107. 2/1/2023. endobj First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. endobj September 30, 2022 by Rebecca Williams. stream It also files on checking the incorrect address and submits the correct form of claiming the right details. Third, it can help you make more informed decisions to choose right insurance plan and benefits. <> XCD. The Home and Host plan is also working in the Blue Cross Blue Shield plan. BCBS Alpha Numeric Prefix from T2A to T9Z. You can also contact us for specialty medical billing services. In recent years medical treatment and its cost has increased, which has become unbearable to manage. 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. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . Blue Cross Blue Shield Federal Phone Number. 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. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. BCBS Company. Medical Billing and Coding Information Guide. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. Save my name, email, and website in this browser for the next time I comment. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> Z2A to Z9A. This new site may be offered by a vendor or an independent third party. Health Exchange. 3 0 obj In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. The alpha prefix is very important to the identification number. 6 0 obj So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz 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. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. In addition, some sites may require you to agree to their terms of use and privacy policy. Menu. Anthem BCBS of Connecticut. What is Medical Billing and Medical Billing process steps in USA? 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. BSBS insurance involves unique prefixes and follows up a unique ID number. Step-by-Step Guide for Provider Finder . Returning Shopper? 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. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. Born in Texas, USA. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) We and our partners use cookies to Store and/or access information on a device. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: 13 0 obj CPT is registered trademark of American Medical Association. 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). $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| 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: If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. 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. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox 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. 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. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. <> 1 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. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. Here " ABC" is BCBS alpha prefix. It is one of the giant sectors that provide more than 106 million health facilities. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. 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 It also storms up the stability of ones financial condition. <> The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. 800-676-2583. State Lookup. 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). Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? U2A to U9Z. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. This list of bcbs prefixes includes BC prefix IEO, INE, ILT, IOI, IQQ, IPB, IVV. For accurate and quick claims processing, it is necessary to get complete patient insurance information. 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: Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . Topics include everything from improving your well-being to explaining health coverage. Skip to content. Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. One of the biggest issues in todays generation is where medical treatments and conditions lie. What is Medical Billing and Medical Billing process steps in USA?