The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. 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 . BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. New to Blue Access for Members? <> There are several benefits of using our BCBS Prefix Lookup tool. 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. The site may also contain non-Medicare related information. Anthem Blue-Cross Blue-Shield of Ohio. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. XCC. Availity is a trademark of Availity, LLC., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. 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). J7Wr}pY+Gqpgx ck 4=!omPyC]6bRw@;-:.L^]UMw6xAjAA8 et ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" Certain employer groups may require prior authorization or pre-notification through other vendors. &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 endobj Medical Billing and Coding Information Guide. BAA. 11 0 obj BCBS prefix are easy to identify using our BCBS prefix lookup because they're part of every BCBS member ID and we included all of them here in the BCBS prefix list. xyl prefix provider phone number aqt bcbs prefix bcbs of minnesota prefix bcbs prefix lookup anthem prefixes by state 2022 bcbs illinois prefix list 2022. 2/1/2023. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? BCBS of Kansas City. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. <> <> All claims must be submitted to Blue Cross Blue Shield. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . Blue Cross Blue Shield insurance Companies - Statewise. 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. Learn more about Ezoic here. w !1AQaq"2B #3Rbr It covers the plans and analyses the services with the complete access of the employees. <> 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. endobj Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. In certain situations, the baggage gets lost or goes on delaying for the baggage from the airport by claiming to the insurance company and policies for losing the baggage. You can: Pay a bill online or sign up for auto bill pay. $ 382. endobj External link You are leaving this website/app (site). UAC. giV7Lxp^^YM(_{27e;//3_`|eC9EliUDD.3fJ0]6DT{,dMZRPRWN2C7?HL4fvy|\b%^SKwIOh)xo${A%t7A3_h}AL Member Prefix List Patient Roster Claims & Payments. endobj . 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. 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). BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. These blue shield companies negotiate with the doctors and the other hospitals. The content shared in this website is for education and training purpose only. Normally, account specific prefix associates to the employer group name. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. The plans and system go on covering up the international travel ventures. You can also contact us for specialty medical billing services. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz 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. One option is Adobe Reader which has a built-in reader. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. BCBS Blue Care Network Michigan (MI) UAB. The health of your eyes and teeth can affect your overall health. 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. XCE. 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 Online - The eviCore Web Portal is available 24x7. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. First Character Z assigned to the BCBS Plan. Blue Cross Blue Shield insurance Companies - Statewise. The cross also goes through the analysis of gaining health insurance and forms a series of packages. The site may also contain non-Medicare related information. It also files on checking the incorrect address and submits the correct form of claiming the right details. 6 0 obj 14 0 obj BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. . However it has several policies for its customers. LAA. Save my name, email, and website in this browser for the next time I comment. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. In that situation, health insurance makes the right baggage and passport coverage decisions. It is one of the giant sectors that provide more than 106 million health facilities. The information you're accessing may not be provided by Excellus BCBS. [ 15 0 R] One option is Adobe Reader which has a built-in reader. LAB. If you have any questions, call the number on the member's ID card. 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. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. 3 0 obj Does united healthcare community plan cover chiropractic treatments? Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. State Lookup. Third, it can help you make more informed decisions to choose right insurance plan and benefits. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. 2/1/2023. Do not create one or use the BCBS prefix from another member ID card. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Choose a state to see how Blue Cross Blue Shield is working in your community. First Character P is symbolizing that member plan/product type is BCBS PPO. If the provider or member doesnt get prior authorization for out-of-network services, the claim may be denied. 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 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. How Long Does the Judge Approval Process for Workers Comp Settlement Take? By using this directory, you can ensure that you have the most up-to-date information about BCBS home plans and make more informed decisions about choosing right insurance plan. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. Livestock Protection. <> 855-854-1438. |d&`{ ^^I|Wp:K|~._s Second Character G assigned to the BCBS Plan as well. <> Claims that are submitted after . The benefits that BCBS Insurance provides are. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. 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: Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. It shows that these type of BCBS member IDs are different. 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. 13 0 obj Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Search articles and watch videos; ask questions and get answers. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. In addition, some sites may require you to agree to their terms of use and privacy policy. Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. You may also be interested to read about denial code 27 reason and solutions. Click on a section title to view the content. <> Prefix UTS assigned to University of Texas. The following travel insurance helps to deal with all the medical costs and also covers the family expenses. What is Medical Billing and Medical Billing process steps in USA? Always check eligibility and benefits first,via theAvailityEssentialsor your preferred web vendor, prior to rendering care and services. 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. Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. 9 0 obj Sometimes, a plan may require the member to request prior authorization for services. BCBS Prefix List 2021 - Alpha. Below is a list of the old and new alpha prefix codes. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Provider Finder . <> Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. 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: Ans. <> 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. CPT is registered trademark of American Medical Association. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. <> It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. 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. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. It has also helped customers during emergencies by providing the proper medical treatments and other sources. 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. 16 0 obj 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. 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. For example, baggage and other items will get lost if you fall sick before or during the trip. 12 0 obj endobj This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. BCBS Alpha Prefix List of "U"-series. Y2A to Y9A. Calls will be returned the next . Admin 22. UAA. In general, there arethreestepsprovidersshould follow. JFIF x x C Customer services are indulged with great services. endobj Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. BCBS is one of the largest medical insurance company by total members of more than 45 million. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. <> Learn more about timely filing limits and CO 29 Denial Code. 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). Create an account. Click on a section title to view the content. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. The organization is famous just for this particular service apart from the other policies. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. It also goes on dealing with the student plan. Access Your Payment Options. Here " A2A" is BCBS alpha numeric prefix. Benefits will be determined once a claim is received and will be based upon, among other things, the members eligibility and the terms of the members certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. Ohio. The prefix acts as a key element in confirming the members' eligibility and coverage information. An example of data being processed may be a unique identifier stored in a cookie. 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. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. It holds a huge role in the cancellation policy, hotel booking and loss of passports. BCBS Insurance goes on dealing with the oldest and largest health insurance system. Always make sure to submit claims to insurance company on time to avoid timely filing denial. Related forms. 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. Five most Workers Compensation Mistakes to Avoid in Maryland. The Blue cross blue shield company mainly provides proper health insurance coverages. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. For more than 85 years, we've provided our members with comprehensive, affordable health . Have a look at BCBS alpha prefix and alpha numeric prefix directory below. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. Once a prior authorization request is received and processed, the decision is communicated to the provider. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. 4/1/2022. 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). We update BCBS prefix data on daily basis to provide latest BCBS prefix information. Compliance, Fraud, Waste and Abuse Program and Reporting: HCSC and its subsidiaries are founded on the basic principles of good business behavior. 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. Ans. 15 0 obj This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. 107. endobj To view this file, you may need to install a PDF reader program. M. members covered. State Lookup. endobj Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. 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. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). Illinois. XCD. For government programs prior authorization requests handled by eviCore healthcare (eviCore): BCBS Alpha Prefix Lookup. What is Medical Billing and Medical Billing process steps in USA? It means that BCBS members IDs prefixes will must have alphabets. endobj U2A to U9Z. In addition, some sites may require you to agree to their terms of use and privacy policy. !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" endobj Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. We and our partners use cookies to Store and/or access information on a device. M+. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services.
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bcbs illinois prefix list