This new site may be offered by a vendor or an independent third party. For . BCBS Company. New to Blue Access for Members? Language Assistance (opens in a new window) and Non-Discrimination Notice . In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. 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 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. Below is a list of the old and new alpha prefix codes. You may also be interested to read about denial code 27 reason and solutions. T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> 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. An example of data being processed may be a unique identifier stored in a cookie. 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 . 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. External link You are leaving this website/app (site). Choose a state to see how Blue Cross Blue Shield is working in your community. For accurate and quick claims processing, it is necessary to get complete patient insurance information. Skip to content. External link You are leaving this website/app (site). 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. endobj 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. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. Five most Workers Compensation Mistakes to Avoid in Maryland. Ans. Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors. X2A to X9Z. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. Yes, Policy number same as member ID number and also known as subscriber ID number. This new site may be offered by a vendor or an independent third party. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. 12 0 obj giV7Lxp^^YM(_{27e;//3_`|eC9EliUDD.3fJ0]6DT{,dMZRPRWN2C7?HL4fvy|\b%^SKwIOh)xo${A%t7A3_h}AL Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. M+. These prefixes may include alpha and numerical characters. Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. Other providers are available in our network. Blue Cross Blue Shield insurance Companies - Statewise. Save my name, email, and website in this browser for the next time I comment. Request a new replacement member ID card, or download a temporary copy. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. <> 2 0 obj BCBS Alpha Prefix List of "Z"-series. It is one of the giant sectors that provide more than 106 million health facilities. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. BCBS Prefix List 2021 - Alpha. w !1AQaq"2B #3Rbr This new site may be offered by a vendor or an independent third party. BCBS is one of the largest medical insurance company by total members of more than 45 million. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) 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. Note: Most out-of-network services require utilization management review. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. It also files on checking the incorrect address and submits the correct form of claiming the right details. Search your plan's drug list, find a pharmacy, and more. UAA. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. BCBS of Kansas City. The site may also contain non-Medicare related information. 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. 14 0 obj We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. 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. Connecticut. State Lookup. BCBS prefix list EAA-EZZ. 15 0 obj Click on a section title to view the content. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. Among these principles are a commitment to the highest standard of business ethics and integrity. 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. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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? BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. Find a BCBS Company by Prefix. September 30, 2022 by Rebecca Williams. Most PDF readers are a free download. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. 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). within 365 days . I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. 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. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. Anthem Blue-Cross Blue-Shield of Ohio. 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. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Admin 83A. 3 0 obj Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. 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. stream The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. The following travel insurance helps to deal with all the medical costs and also covers the family expenses. UAC. BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Most of the coverages are associated with baggage loss. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. Ohio. 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. For commercialprior authorization requests handled by AIM Specialty Health(AIM): Commercial non-HMO prior authorization requests can be submitted to AIM intwo ways. 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. Get the most from your BCBSIL pharmacy benefits. Customer services are indulged with great services. Menu. Admin 22. Y2A to Y9A. 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. endobj BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. 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. Want to be part of our amazing team? Blue-Cross Blue-Shield of Illinois. 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. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. There are several benefits of using our BCBS Prefix Lookup tool. These blue shield companies negotiate with the doctors and the other hospitals. 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). 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 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). Most PDF readers are a free download. The policies and regulations provided by the organization convey great statements and activities into the proper placement. 6 0 obj $ 382. 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 . from the date of service. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ The employees suggest to the customers select the packages and illustrate more about the service. The content shared in this website is for education and training purpose only. Related forms. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Manage Settings Calls will be returned the next . x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? Provider Finder . Normally, account specific prefix associates to the employer group name. These BCBS prefix may include alpha and numerical characters. BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. Z2A to Z9A. Log In to the Shopping Cart, Need to Make a Payment? Final Remarks about BCBS Prefix Lookup Directory. !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] In general, there arethreestepsprovidersshould follow. <> Some requests are handled by BCBSIL; others are handled by utilization management vendors.