Continue with Recommended Cookies. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. Third, it can help you make more informed decisions to choose right insurance plan and benefits. 2/1/2023. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. 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. 7aM- I|x,# 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. LAB. endobj Manage Settings 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. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. Other providers are available in our network. endobj They always offer packages within the amounts mentioned. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. If possible, make copies of the member's ID card (front and . BCBS Alpha Prefix List of "U"-series. It also suggests that the members enjoy the networks participating with the hospital and other medical costs. endstream Does policy number same as member ID number? U2A to U9Z. The site may also contain non-Medicare related information. <> Highmark BCBS of Pennsylvania (PA) ZAC. Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. Every Blue Cross and Blue Shield plan starts with an alpha prefix so they are called in medical terms BCBS Alpha Prefix. 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). External link You are leaving this website/app (site). Search your plan's drug list, find a pharmacy, and more. Ans. In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. 4/1/2022. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. 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. All claims must be submitted to Blue Cross Blue Shield. <> Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. 5 0 obj Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. It means that BCBS members IDs prefixes will must have alphabets. BCBS Company. will be denied. Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information, BCBS Alpha Numeric Prefix from U2A to U9Z (Updated 2023), BCBS Alpha Prefix from TAA to TZZ (Updated 2023). !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? The programs main benefit is that it allows one to receive and understand the health care benefits. Always check eligibility and benefits first,via theAvailityEssentialsor your preferred web vendor, prior to rendering care and services. 855-854-1438. 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. <> Second Character G assigned to the BCBS Plan as well. Phone - Call eviCore toll-free at 855-252-1117 . Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. Anthem Blue-Cross Blue-Shield of Ohio. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. For example: A2A12345678. 107. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. Availity provides administrative services to BCBSIL. FA%[: 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. <> endobj Illinois. These blue shield companies negotiate with the doctors and the other hospitals. The alpha prefix is very important to the identification number. 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. Connecticut. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. 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. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. It also states the important papers for identification that would help safeguard the situation and also save the expenses. Most PDF readers are a free download. On the other hand, host plans indicate more services in the health care services and competition within the area. BCBS Prefix will not only have numbers and the digits 0 and 1. 7 0 obj |d&`{ ^^I|Wp:K|~._s BCBS Prefix List 2021 - Alpha. For government programs prior authorization requests handled by eviCore healthcare (eviCore): In addition, some sites may require you to agree to their terms of use and privacy policy. It shows that these type of BCBS member IDs are different. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. LAA. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. If you have any questions, call the number on the member's ID card. Here " ABC" is BCBS alpha prefix. Step 1 Confirm if Prior Authorization is Required. For . 10 0 obj Admin 83A. BCBS of Kansas City. Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. Admin 22A. endobj In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. For Example: XYZ123456789. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). For Example: ABC, A2B, 2AB, 2A2 etc. stream Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. Business health insurance plans designed to fit any size small business and budget. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. Certain employer groups may require prior authorization or pre-notification through other vendors. $ 382. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. External link You are leaving this website/app (site). <> Click on a section title to view the content. endobj Admin 22. 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. One option is Adobe Reader which has a built-in reader. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. endobj Learn more. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Lets dig into it! 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. 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. Yes, Policy number same as member ID number and also known as subscriber ID number. One of the biggest issues in todays generation is where medical treatments and conditions lie. %PDF-1.5 If you have questions on a request handled by BCBSIL, contact our Medical Management department. The content shared in this website is for education and training purpose only. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. BCBS Alpha Prefix Lookup. 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. BCBS Alpha Prefix from BAA to BZZ. For example: ABC12345678. Contact us to learn how we can improve your revenue cycle. The blue cross deals with the features to make it easier for the customers to deal with the situation. Most of the coverages are associated with baggage loss. Normally, account specific prefix associates to the employer group name. Join us as we build the next generation of health insurance. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. For example, baggage and other items will get lost if you fall sick before or during the trip. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox M+. Blue-Cross Blue-Shield of Illinois. Topics include everything from improving your well-being to explaining health coverage. The benefits that BCBS Insurance provides are. You may also want to know: United Healthcare Claims Address Information. 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. Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . endobj Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. 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). New to Blue Access for Members? Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. 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). Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . Health Exchange. Y2A to Y9A. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. The prefix acts as a key element in confirming the members' eligibility and coverage information. endobj The manual is organized into the following sections for your convenience. Get the most from your BCBSIL pharmacy benefits. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Curious to know what are national Accounts? Menu. Blue Cross Blue Shield Federal Phone Number. 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. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. Make sure to make copies of the front and back of member ID card. First Character Z assigned to the BCBS Plan. BCBS is one of the largest medical insurance company by total members of more than 45 million. Note: Most out-of-network services require utilization management review. Calls will be returned the next . BCBS Alpha Prefix List from UAA to UZZ Updated 2023. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee