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. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. Search your plan's drug list, find a pharmacy, and more. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. The site may also contain non-Medicare related information. Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. Calls will be returned the next . 16 0 obj endobj The consent submitted will only be used for data processing originating from this website. In recent years medical treatment and its cost has increased, which has become unbearable to manage. The following travel insurance helps to deal with all the medical costs and also covers the family expenses. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. The coverage that the organization holds on travel, medical and other conditions. Final Remarks about BCBS Prefix Lookup Directory. Search for doctors, dentists, hospitals and other health care providers. BCBS Prefix List 2021 - Alpha. 4/1/2022. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! BCBS Alpha Prefix List of "U"-series. What is Medical Billing and Medical Billing process steps in USA? endobj The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. within 365 days . <> BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Always make sure to submit claims to insurance company on time to avoid timely filing denial. It covers the plans and analyses the services with the complete access of the employees. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . We and our partners use cookies to Store and/or access information on a device. Do not delay the billing of a claim for any reason. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. Some requests are handled by BCBSIL; others are handled by utilization management vendors. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. 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. Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. 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. For accurate and quick claims processing, it is necessary to get complete patient insurance information. Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. |d&`{ ^^I|Wp:K|~._s BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. Information current and approximate as of December 31, 2018. September 30, 2022 by Rebecca Williams. J7Wr}pY+Gqpgx ck 4=!omPyC]6bRw@;-:.L^]UMw6xAjAA8 et Create an account. Search with My Member ID Card: Go. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. BCBS Alpha Prefix List of "Z"-series. Skip to content. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. LAA. Claims that are submitted after . Illinois. Z2A to Z9A. <> We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Here Letter R indicates BCBS FEP prefix. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . $ 382. 12 0 obj To run such a large number of people, they divided Blue Cross Blue Shield Insurance Association into different departments which is employer specific or state wise. You may also be interested to read about denial code 27 reason and solutions. It comes up with the facilities such as dental, vision and other body issues. 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Ans. Always use the BCBS prefix on the members current ID card followed by the member id number. . The alpha prefix is very important to the identification 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? 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 '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR *!uB9^AwjF(v,o You can also contact us for specialty medical billing services. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. ZAA. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. What is Medical Billing and Medical Billing process steps in USA? To view this file, you may need to install a PDF reader program. 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. Second Character G assigned to the BCBS Plan as well. 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? AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. endobj Do not create one or use the BCBS prefix from another member ID card. For Example: XYZ123456789. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. 8 0 obj BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. Livestock Protection. The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. JFIF x x C But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. You may also want to know: United Healthcare Claims Address Information. 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. Learn more about timely filing limits and CO 29 Denial Code. The organization is famous just for this particular service apart from the other policies. External link You are leaving this website/app (site). <> The cross also goes through the analysis of gaining health insurance and forms a series of packages. Home plans are generally used as a member of the former application. In addition to verifying membership/coverage status and other important details,this step returns information on prior authorization requirements and utilization management vendors, if applicable. 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. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . The terms of the members plan control the available benefits. 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. endobj from the date of service. The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. 5 0 obj Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Below is a list of the old and new alpha prefix codes. Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. How Long Does the Judge Approval Process for Workers Comp Settlement Take?