Today you will find The BCBS Alpha Prefix List from SAA to SZZ. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . 2 0 obj
Blue-Cross Blue-Shield of Illinois. Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. These documents are located inhttp://www.hisccompliance.com. Choose a state to see how Blue Cross Blue Shield is working in your community. XCC. 8 0 obj
Commercial Communications All claims must be submitted to Blue Cross Blue Shield. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. 14 0 obj
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. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. $ 382. If the provider or member doesnt get prior authorization for out-of-network services, the claim may be denied. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. endobj
Home plans are generally used as a member of the former application. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. 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: T2A to T9Z. Blue Cross Blue Shield insurance Companies - Statewise. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors. UAA. Here " ABC" is BCBS alpha prefix. BCBS Prefix will not only have numbers and the digits 0 and 1. |d&`{ ^^I|Wp:K|~._s
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. Do not delay the billing of a claim for any reason. When does health insurance expire after leaving job? Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. This list of bcbs prefixes includes BC prefix IEO, INE, ILT, IOI, IQQ, IPB, IVV. 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. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. These blue shield companies negotiate with the doctors and the other hospitals. 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 . 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. 15 0 obj
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LAA. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw
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t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Livestock Protection. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. Learn more about Ezoic here. The alpha prefix is very important to the identification number. 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. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. mr+*W@B The content shared in this website is for education and training purpose only. Anthem BCBS of Wisconsin (WI) 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. Here " A2A" is BCBS alpha numeric prefix. Illinois. 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. Ohio. These BCBS prefix may include alpha and numerical characters. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) 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. Highmark BCBS of Pennsylvania (PA) ZAC. stream
However it has several policies for its customers. 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. Emergency services are an exception. endobj
External link You are leaving this website/app (site). Blue Cross Blue Shield insurance Companies - Statewise. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. 17 0 obj
BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. 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
Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Member Prefix List Patient Roster Claims & Payments. 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. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. BSBS insurance involves unique prefixes and follows up a unique ID number. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. M+. endobj
BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. Related forms. Medical Billing and Coding Information Guide. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. It also storms up the stability of ones financial condition. You may also be interested to read about denial code 27 reason and solutions. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. This new site may be offered by a vendor or an independent third party. endobj
IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. Most PDF readers are a free download. Get the most from your BCBSIL pharmacy benefits. Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. <>
Health Exchange. BCBS Insurance mainly focuses on medical treatments and providing maximum support for the financial condition. BCBS Alpha Numeric Prefix from T2A to T9Z. Search articles and watch videos; ask questions and get answers. What is Medical Billing and Medical Billing process steps in USA? It shows that these type of BCBS member IDs are different. For example, baggage and other items will get lost if you fall sick before or during the trip. 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. M. members covered. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Normally, account specific prefix associates to the employer group name. 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). BCBS of Arkansas Blue Advantage Administrators. w !1AQaq"2B #3Rbr Topics include everything from improving your well-being to explaining health coverage. If possible, make copies of the member's ID card (front and . New to Blue Access for Members? 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. Information current and approximate as of December 31, 2018. 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. Click on a section title to view the content. Log In to the Shopping Cart, Need to Make a Payment? endobj
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In case, you need any additional information related to BCBS prefix then feel free to reach out to us. 855-854-1438. Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. 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? Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Blue Cross Blue Shield Federal Phone Number. Language Assistance (opens in a new window) and Non-Discrimination Notice . The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. 2/1/2023. 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. Blue Cross Blue Shield insurance Companies - Statewise. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. Certain employer groups may require prior authorization or pre-notification through other vendors. For Example: ABC, A2B, 2AB, 2A2 etc. It also issues for automation extension of the travel insurance plan. First Character P is symbolizing that member plan/product type is BCBS PPO. HOME; . $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| The prefixes identify the member's BCBS prefix list plan or national account and become essential when routing claims for processing. 10 0 obj
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. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. I Don't Have My Member ID Card. It also files on checking the incorrect address and submits the correct form of claiming the right details. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl
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Second Character G assigned to the BCBS Plan as well. XCD. The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. Always use the BCBS prefix on the members current ID card followed by the member id number. 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 will not only have numbers and the digits 0 and 1. Provider Finder . For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. 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. 365days . Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Step-by-Step Guide for Provider Finder . The alpha prefix is very important to the identification number. If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. They always offer packages within the amounts mentioned. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Customer services are indulged with great services. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . %PDF-1.5
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from the date of service. The consent submitted will only be used for data processing originating from this website. BCBS Alpha Prefix List of "U"-series. Other providers are available in our network. We and our partners use cookies to Store and/or access information on a device. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. 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. To get information about such member IDs, you can contact BCBS directory phone number i.e. Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . U2A to U9Z. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Phone - Call eviCore toll-free at 855-252-1117 . 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. The Blue cross blue shield company mainly provides proper health insurance coverages. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. Compliance, Fraud, Waste and Abuse Program and Reporting: HCSC and its subsidiaries are founded on the basic principles of good business behavior. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. Admin 22A. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. 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. BAB. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . The programs main benefit is that it allows one to receive and understand the health care benefits. The alpha prefix is always three letters followed by the member's ID number which can be from 6 up to 14 characters total. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. UAC. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Calls will be returned the next . Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. And to manage such a big network, they divided it into different departments state wise or employer specific. Blue Cross Blue Shield Federal Phone Number. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. Does policy number same as member ID number? 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. The blue cross deals with the features to make it easier for the customers to deal with the situation. 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? PUJyf\P )}
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p!+uUxSACJQ;,#3X_xR 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 . BCBS Prefix List 2021 - Alpha. You may also want to know: United Healthcare Claims Address Information. endobj
Search your plan's drug list, find a pharmacy, and more. Learn more about timely filing limits and CO 29 Denial Code. A prior authorization isnota guarantee of benefits or payment. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. Final Remarks about BCBS Prefix Lookup Directory. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. The plans and system go on covering up the international travel ventures. In the USA, the BCBS is a very well-known health insurance statement that conveys more association and deals with numerous activities. 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. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. <>
In addition, some sites may require you to agree to their terms of use and privacy policy. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. Among these principles are a commitment to the highest standard of business ethics and integrity. Note: Most out-of-network services require utilization management review. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. The terms of the members plan control the available benefits. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" 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. <>
It means that BCBS members IDs prefixes will must have alphabets. In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. BCBS Blue Care Network Michigan (MI) UAB. BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. 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. <>
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.
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