One of the biggest issues in todays generation is where medical treatments and conditions lie. endobj The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. Click on a section title to view the content. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. Blue Cross Blue Shield insurance Companies - Statewise. Connecticut. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. Business health insurance plans designed to fit any size small business and budget. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. Learn more. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. If you have any questions, call the number on the member's ID card. The prefixes identify the member's BCBS prefix list plan or national account and become essential when routing claims for processing. Customer services are indulged with great services. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. Most PDF readers are a free download. The programs main benefit is that it allows one to receive and understand the health care benefits. You can also contact us for specialty medical billing services. Michigan. 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. from the date of service. 18 0 obj Assistance Available For Members Impacted by Severe Weather, 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). One option is Adobe Reader which has a built-in reader. Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. BCBS Alpha Prefix List of "U"-series. 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. The alpha prefix is very important to the identification number. Yes, Policy number same as member ID number and also known as subscriber ID number. Second Character G assigned to the BCBS Plan as well. BCBS of Kansas City. 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 Company. 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? The following travel insurance helps to deal with all the medical costs and also covers the family expenses. HOME; . Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Create an account. These blue shield companies negotiate with the doctors and the other hospitals. endobj Ohio. Medical Billing and Coding Information Guide. BCBS alpha prefix list - Yola giV7Lxp^^YM(_{27e;//3_`|eC9EliUDD.3fJ0]6DT{,dMZRPRWN2C7?HL4fvy|\b%^SKwIOh)xo${A%t7A3_h}AL Our trusted community experts can give you the one-on-one help you need to shop for health insurance. ZAA. 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. M+. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. endobj Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Blue-Cross Blue-Shield of Illinois. 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. W2A to W9Z. Lets dig into it! This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. PDF New Alpha Prefix Codes - Blue Cross and Blue Shield of Illinois October 1, 2022 by Rebecca Williams. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) How To Identify Blue Cross Blue Shield Member? Ans. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. 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. If you have questions on a request handled by BCBSIL, contact our Medical Management department. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Home plans are generally used as a member of the former application. It also goes on dealing with the student plan. By doing it may cause delay in processing or handling the claim. BCBS Prefix List 2021 - Alpha. Availity provides administrative services to BCBSIL. 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. 2/1/2023. It also files on checking the incorrect address and submits the correct form of claiming the right details. An example of data being processed may be a unique identifier stored in a cookie. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). 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). Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. PDF Premera Blue Cross Three Character Prefixes BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. 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. Want to be part of our amazing team? BCBS Alpha Prefix List from GAA to GZZ updated (2023) Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. The terms of the members plan control the available benefits. 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. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. For example: ABC12345678. Learn more about Ezoic here. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) 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 . Coupon "NSingh10" for 10% Off onFind-A-CodePlans. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? BCBS Prefix IAA - IZZ | List Of BCBS Prefixes 4 0 obj BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. BCBS Prefix List 2021 - Alpha. Always use the BCBS prefix on the members current ID card followed by the member id number. endstream Livestock Protection. Returning Shopper? IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. Blue Cross Blue Shield Federal Phone Number. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). Medicare Advantage is an alternative to original Medicare where a private health insurance . [ 15 0 R] Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. In addition, some sites may require you to agree to their terms of use and privacy policy. The employees suggest to the customers select the packages and illustrate more about the service. These BCBS prefix may include alpha and numerical characters. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. <> We and our partners use cookies to Store and/or access information on a device. BCBS Prefix YAA - YZZ | List Of BCBS Prefixes | BC Prefix BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. For example, baggage and other items will get lost if you fall sick before or during the trip. It helps to cover up the flights or any delays. Search for doctors, dentists, hospitals and other health care providers. endobj Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Have a look at BCBS alpha prefix and alpha numeric prefix directory below. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. <> endobj 2nd Character G Plan Specific (letter assigned to the BCBS Plan), 3rd Character P PPO Product (letter assigned by the BCBS Plan to identify product type elected by the member). These prefixes may include alpha and numerical characters. BCBS Alpha Prefix Lookup 2023 _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. The alpha prefix is very important to the identification number. Sample BCBS prefix list. Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. 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. Here Letter R indicates BCBS FEP prefix. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. <> 10 0 obj stream What is Medical Billing and Medical Billing process steps in USA? Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. mr+*W@B <> Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . BCBS Alpha Prefix List - UAA to UZZ - Billing Executive In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS FEP Its indicated with letter R followed by the id number. 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. Y2A to Y9A. State Lookup. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. &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 Save my name, email, and website in this browser for the next time I comment. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. Ans. 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. J7Wr}pY+Gqpgx ck 4=!omPyC]6bRw@;-:.L^]UMw6xAjAA8 et *!uB9^AwjF(v,o 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. Admin 22A. Menu. Account Specific Prefix are assigned by BCBS to national accounts. Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. Prior Authorization | Blue Cross and Blue Shield of Illinois - BCBSIL <> So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] . Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. Most PDF readers are a free download. BCBS Alpha Prefix List - TAA to TZZ - Billing Executive A prior authorization isnota guarantee of benefits or payment. What is Medical Billing and Medical Billing process steps in USA? 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 first two alphabets of the prefix denote the plan and the third alphabet prefix denotes the type of product the insured choose for coverage. New to Blue Access for Members? There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. The BCBS prefix lookup directory is regularly updated with the latest BCBS insurance plan information, so you can be sure that the information youre viewing is 100% accurate. Blue Cross Blue Shield insurance Companies - Statewise. Blue Advantage: Provider Directory | Blue Cross and Blue Shield of % BCBS Company. Manual | Blue Cross and Blue Shield of Illinois - BCBSIL BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. It shows that these type of BCBS member IDs are different. The site may also contain non-Medicare related information. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . Calls will be returned the next . This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. 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). Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| endobj '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. 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. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. BAA. 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.. JFIF x x C The information you're accessing may not be provided by Excellus BCBS. In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. For Example: XYZ123456789. BCBS Alpha Prefix List of "Z"-series. endobj There are several benefits of using our BCBS Prefix Lookup tool. XCD. Certain employer groups may require prior authorization or pre-notification through other vendors. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. These BCBS prefix may include alpha and numerical characters. 16 0 obj From April 1 to September 30, on weekends and holidays you may be required to leave a message. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: endobj 1 0 obj Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. BCBS is one of the largest medical insurance company by total members of more than 45 million. UAC. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. 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? For . The coverage that the organization holds on travel, medical and other conditions. I Don't Have My Member ID Card. It is one of the giant sectors that provide more than 106 million health facilities. Health Exchange. The alpha prefix is always three letters followed by the member's ID number which can be from 6 up to 14 characters total. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. <> . External link You are leaving this website/app (site). Find a BCBS Company by Prefix. Always check eligibility and benefits first,via theAvailityEssentialsor your preferred web vendor, prior to rendering care and services. Blue Cross Blue Shield Medicare Advantage Plans 2021 - Healthline To view this file, you may need to install a PDF reader program. 14 0 obj Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Most of the coverages are associated with baggage loss. Contact us to learn how we can improve your revenue cycle. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. Hi, Im Kim Keck! In case, you need any additional information related to BCBS prefix then feel free to reach out to us. BCBS Alpha Prefix List from UAA to UZZ Updated 2023 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 cross also goes through the analysis of gaining health insurance and forms a series of packages. Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. 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. Here " ABC" is BCBS alpha prefix. <> endobj <> BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. 800-676-2583. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. XCE. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ Note: Most out-of-network services require utilization management review. } !1AQa"q2#BR$3br Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation.

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