Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. The site may also contain non-Medicare related information. The prefix acts as a key element in confirming the members' eligibility and coverage information. The content shared in this website is for education and training purpose only. stream Business health insurance plans designed to fit any size small business and budget. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. It comes up with the facilities such as dental, vision and other body issues. BCBS Alpha Prefix List of "U"-series. Request a new replacement member ID card, or download a temporary copy. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ Among these principles are a commitment to the highest standard of business ethics and integrity. 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. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. 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). Note for Front Desk and Providers: When Blue Cross Blue Shield members comes to your facility or office, make sure to ask them for their active BCBS plan member ID card. Z2A to Z9A. 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 prior authorization requests handled by BCBSIL: There are two ways to initiate your request. 855-854-1438. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . In the USA, people prefer to use and apply for BCBS insurance as it is considered one of the trustworthy applications and has the maximum facilities to deal with. 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 alpha prefix is very important to the identification number. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. 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. Join us as we build the next generation of health insurance. You can: Pay a bill online or sign up for auto bill pay. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. 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. PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. 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). 16 0 obj It also storms up the stability of ones financial condition. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. These prefixes may include alpha and numerical characters. Final Remarks about BCBS Prefix Lookup Directory. 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. You may also be interested to read about denial code 27 reason and solutions. <> The health of your eyes and teeth can affect your overall health. '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR 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. Information current and approximate as of December 31, 2018. Member Prefix List Patient Roster Claims & Payments. Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. Blue Cross Blue Shield insurance Companies - Statewise. 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). BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. External link You are leaving this website/app (site). 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. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. Below is a list of the old and new alpha prefix codes. The plans and system go on covering up the international travel ventures. Unassigned Prefix. Does blue cross blue shield cover shingles vaccine? $ 382. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. BAB. 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. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. 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. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. Blue Cross Blue Shield insurance Companies - Statewise. For government programs prior authorization requests handled by eviCore healthcare (eviCore): BCBS is one of the largest medical insurance company by total members of more than 45 million. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. <> Health Exchange. <> Prefix UTS assigned to University of Texas. Search for doctors, dentists, hospitals and other health care providers. The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. It helps to cover up the flights or any delays. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. The site may also contain non-Medicare related information. Renew Illinois Individual, Family & Medicaid Health Insurance, Blue Cross Community MMAI (Medicare-Medicaid Plan), Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, Learn About Colon Cancer Screening Options. 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. For . Learn more about Ezoic here. Ans. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. FA%[: IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" In recent years medical treatment and its cost has increased, which has become unbearable to manage. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. 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. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? 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. 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. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. In general, there arethreestepsprovidersshould follow. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. |d&`{ ^^I|Wp:K|~._s One of the biggest issues in todays generation is where medical treatments and conditions lie. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] 1 0 obj 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. endobj Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. When does health insurance expire after leaving job? This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. This new site may be offered by a vendor or an independent third party. Continue with Recommended Cookies. <> In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. For accurate and quick claims processing, it is necessary to get complete patient insurance information. 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. This new site may be offered by a vendor or an independent third party. An example of data being processed may be a unique identifier stored in a cookie. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. 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. 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. Medical Billing and Coding Information Guide. Once a prior authorization request is received and processed, the decision is communicated to the provider. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] V2A to V9Z. BCBS Prefix List 2021 - Alpha. 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. Provider Finder . Search your plan's drug list, find a pharmacy, and more. 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). For example: ABC12345678. Prior authorization requests for our Blue Cross Medicare Advantage (PPO)SM(MA PPO), Blue Cross Community Health PlansSM(BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SMmembers can be submitted to eviCore in two ways. endobj If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. 3 0 obj Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. 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. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Illinois. Certain employer groups may require prior authorization or pre-notification through other vendors. 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. 15 0 obj <> For Example: XYZ123456789. BCBS Insurance goes on dealing with the oldest and largest health insurance system. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. All claims must be submitted to Blue Cross Blue Shield. This list of bcbs prefixes includes BC prefix IEO, INE, ILT, IOI, IQQ, IPB, IVV. Topics include everything from improving your well-being to explaining health coverage. By doing it may cause delay in processing or handling the claim. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. 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: To view this file, you may need to install a PDF reader program. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. The cross also goes through the analysis of gaining health insurance and forms a series of packages. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. Most PDF readers are a free download. Here " ABC" is BCBS alpha prefix. <> endobj Anthem BCBS of Connecticut. September 30, 2022 by Rebecca Williams. endobj It shows that these type of BCBS member IDs are different. will be denied. 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 Do not create one or use the BCBS prefix from another member ID card. 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. . BCBS prefix list EAA-EZZ. T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> From April 1 to September 30, on weekends and holidays you may be required to leave a message. A Google Certified Publishing Partner. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. CAA. To get information about such member IDs, you can contact BCBS directory phone number i.e. The benefits that BCBS Insurance provides are. The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. 18 0 obj Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. Learn more about timely filing limits and CO 29 Denial Code. 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. BCBS Prefix will not only have numbers and the digits 0 and 1. 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. 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. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. 4 0 obj Lets dig into it! . <> Does policy number same as member ID 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. Search with My Member ID Card: Go. BCBS Blue Care Network Michigan (MI) UAB. 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). . The programs main benefit is that it allows one to receive and understand the health care benefits. endobj 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). &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 Medicare Advantage is an alternative to original Medicare where a private health insurance . 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. UAA. Step-by-Step Guide for Provider Finder . F1Xkt~ n_]}M,h>@iB;jVhX8M5%s9A}SHB+;zwOUR*7Y@"Z/j[xW[,5ygwxxe7cjgj;=d sXT >oTL{ $(5V7Ev-BNlJaZw7F^Uv >U$+o\!je mR[D-h?jkC: .cJ]QC,1p 9ArnWP) v5s]M*I'vv <> BCBS of Kansas City. from the date of service. Yes, Policy number same as member ID number and also known as subscriber ID number. endobj Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. The site may also contain non-Medicare related information. The prefixes include filling up the claims of the insurance details.It also checks out the incorrect members of gaining the claim setting up the correct number about the IDs. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. These blue shield companies negotiate with the doctors and the other hospitals. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. 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. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. 7 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. Most PDF readers are a free download. BCBS FEP Its indicated with letter R followed by the id number. 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. Third, it can help you make more informed decisions to choose right insurance plan and benefits. 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 also issues for automation extension of the travel insurance plan. Click on a section title to view the content. Always use the BCBS prefix on the members current ID card followed by the member id number. In that situation, health insurance makes the right baggage and passport coverage decisions. It covers the plans and analyses the services with the complete access of the employees. And to manage such a big network, they divided it into different departments state wise or employer specific. Related forms. Other providers are available in our network. 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. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. There are several benefits of using our BCBS Prefix Lookup tool. In addition, some sites may require you to agree to their terms of use and privacy policy. Does united healthcare community plan cover chiropractic treatments? <> 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 Numeric Prefix list. Always make sure to submit claims to insurance company on time to avoid timely filing denial. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. 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. New to Blue Access for Members? Most of the coverages are associated with baggage loss. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. Access Your Payment Options. The alpha prefix is very important to the identification number. 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. For more than 85 years, we've provided our members with comprehensive, affordable health . -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz We and our partners use cookies to Store and/or access information on a device. BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. 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. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Skip to content. w !1AQaq"2B #3Rbr M+. External link You are leaving this website/app (site). The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. Normally, account specific prefix associates to the employer group name. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. 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. The insurance company also provides facilities for the senior citizens and claims to give the best facilities for them and get them admitted to the nearest hospital. The prefix acts as a key element in confirming the members' eligibility and coverage information. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Here Letter R indicates BCBS FEP prefix. endobj BCBS Prefix List 2021 - Alpha. endstream 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. The terms of the members plan control the available benefits. For commercialprior authorization requests handled by AIM Specialty Health(AIM): Commercial non-HMO prior authorization requests can be submitted to AIM intwo ways. Commercial Communications 365days . Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. Menu. 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 . Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, Behavioral Health IP PA - IVR Caller Guide, Behavioral Health OP PA - IVR Caller Guide, Inpatient Preauthorization - IVR Caller Guide, Outpatient Preauthorization - IVR Caller Guide, Preauthorization: Check Request Status - IVR Caller Guide, Utilization Management Process Overview (Commercial), Patients medical or behavioral health condition, Date of service, estimated length of stay (if the patient is being admitted), Provider name, address and National Provider Identifier (NPI), Government Programs 877-774-8592 (MA PPO); 877-860-2837 (BCCHP); 877-723-7702 (MMAI). 8 0 obj What is Medical Billing and Medical Billing process steps in USA? Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry.
