These BCBS prefix may include alpha and numerical characters. Step-by-Step Guide for Provider Finder . Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. Anthem BCBS of Wisconsin (WI) Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. BCBS prefix are easy to identify using our BCBS prefix lookup because theyre part of every BCBS member ID and we included all of them here in the BCBS prefix list. 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. Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. 365days . The site may also contain non-Medicare related information. BCBS Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan. 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). Medicare Advantage is an alternative to original Medicare where a private health insurance . BCBS Alpha Prefix List of "Z"-series. BAB. 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). Always check eligibility and benefits first,via theAvailityEssentialsor your preferred web vendor, prior to rendering care and services. Blue Cross Blue Shield insurance Companies - Statewise. BCBS FEP Its indicated with letter R followed by the id number. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. endobj LAA. Blue Cross Blue Shield Federal Phone Number. Join us as we build the next generation of health insurance. 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? Menu. Does policy number same as member ID number? The programs main benefit is that it allows one to receive and understand the health care benefits. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . It means that BCBS members IDs prefixes will must have alphabets. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . To view this file, you may need to install a PDF reader program. Request a new replacement member ID card, or download a temporary copy. For example: ABC12345678. 6 0 obj These BCBS prefix may include alpha and numerical characters. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> 4 0 obj 3 0 obj Yes, Policy number same as member ID number and also known as subscriber ID number. 1 0 obj October 1, 2022 by Rebecca Williams. Click on a section title to view the content. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. Save my name, email, and website in this browser for the next time I comment. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Click on a section title to view the content. &UMDU}%h UX[_kRGyzte,.-pD?^]Yt%i7=$Foy*ja(5}31$9w}eLvdA oV;_$myuVLW5v^{=GW;ig)aYff,WW(/-"*{Wf;x5qS:@-q$QJLgvCd2>OXe|lqc;Kv.&Pkuz?&jm*1qm1UqmeETH}6Iq?} Dl]mh*MNgUh9dzQ!hTk H:Azif+ ]V"U23 For . Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. endobj BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. The organization is famous just for this particular service apart from the other policies. Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and the health care provider. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. <> Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify members eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. Provider Finder . JFIF x x C endobj Include the alpha prefix and all alpha characters preceding the alpha prefix on all correspondence and claims submitted to Blue Cross Blue Shield of Texas. *!uB9^AwjF(v,o stream Here Letter R indicates BCBS FEP prefix. BCBS prefix list EAA-EZZ. endobj 2/1/2023. What kind of cases do personal injury lawyers handle? For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. 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. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| 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. <> For more than 85 years, we've provided our members with comprehensive, affordable health . Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. There are several benefits of using our BCBS Prefix Lookup tool. 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. If possible, make copies of the member's ID card (front and . Do not delay the billing of a claim for any reason. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. It also storms up the stability of ones financial condition. 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.. Admin 83A. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ BCBS Blue Care Network Michigan (MI) UAB. Normally, account specific prefix associates to the employer group name. endobj It has also helped customers during emergencies by providing the proper medical treatments and other sources. Z2A to Z9A. 14 0 obj V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! mr+*W@B BSBS insurance involves unique prefixes and follows up a unique ID number. Contact us to learn how we can improve your revenue cycle. 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. For accurate and quick claims processing, it is necessary to get complete patient insurance information. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. 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? ZAA. 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. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. Related forms. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? 10 0 obj CAA. MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. For example, baggage and other items will get lost if you fall sick before or during the trip. All claims must be submitted to Blue Cross Blue Shield. In recent years medical treatment and its cost has increased, which has become unbearable to manage. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . Lets dig into it! 107. giV7Lxp^^YM(_{27e;//3_`|eC9EliUDD.3fJ0]6DT{,dMZRPRWN2C7?HL4fvy|\b%^SKwIOh)xo${A%t7A3_h}AL For example: A2A12345678. Make sure to make copies of the front and back of member ID card. XCE. It covers the plans and analyses the services with the complete access of the employees. Medical Billing and Coding Information Guide. 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). In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). 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. Account Specific Prefix are assigned by BCBS to national accounts. How To Identify Blue Cross Blue Shield Member? The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. The manual is organized into the following sections for your convenience. Connecticut. . Blue Cross Blue Shield insurance Companies - Statewise. UAA. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. 4/1/2022. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. If you have questions on a request handled by BCBSIL, contact our Medical Management department. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. UAC. It also suggests that the members enjoy the networks participating with the hospital and other medical costs. Skip to content. 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. External link You are leaving this website/app (site). Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Sometimes, a plan may require the member to request prior authorization for services. Do not create one or use the BCBS prefix from another member ID card. You can also contact us for specialty medical billing services. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com.