Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Contact Name Phone . Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. Prefix UTS assigned to University of Texas. BCBS FEP Its indicated with letter R followed by the id number. 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. BCBS Prefix List Lookup 2023 - Latest Blue Cross Blue Shield Directory PDF HMO Networks - Blue Cross and Blue Shield of Illinois 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. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. BCBS Prefix List Z2A to Z9Z - Alpha Numeric Lookup 2022 BCBS Alpha Prefix Lookup 2023 The three-character prefix at the beginning of the member's identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. Commercial Communications In that case claim may be denied as Submit the claim to the correct address / Member ID not found. 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, 2021 Commercial Prior Authorization Requirements Summary, 2021 Commercial Outpatient Medical Surgical Prior Authorization Code List, 2021 Commercial Specialty Pharmacy Prior Authorization Drug List, 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List, New Prior Authorization Requirements for Some Custom Account Members Will Take Effect Jan. 1, 2021, 2021 Medicaid Prior Authorization Requirements Summary, 2021 Medicaid Prior Authorization Code List, 2021 MA PPO Prior Authorization Requirements Summary, 2021 MA PPO Prior Authorization Code List, BCBSIL Provider Network Consultant (PNC) team, Update: Utilization Management Change for Advocate Aurora Health Members, Effective Jan. 1, 2021 This News and Updates was posted Dec.15, 2020, and updated Dec. 31, 2020 to reflect a corrected phone number. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. External link You are leaving this website/app (site). Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k BCBS Alpha Prefix List Enter a location and search by doctor or hospital name, health condition, or specialty. The site may also contain non-Medicare related information. BCBS Prefix List - Alpha Lookup by State 2022 - Finder You may also be interested to read about denial code 27 reason and solutions. New BCBS Alpha Numeric Prefixes | My Payer Directory hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; %%EOF Box 14114 Lexington, KY 40512 Federal Employee Program (FEP) R prefix DC/Metropolitan Area 2024884900 MD 8008545256 DC/Metropolitan Area Mail Administrator P.O . Medicare Working or retired, we'll help you every step of the way to find the right plan. Does BCBS policy number same as BCBS member ID number? Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. 15363 0 obj <> endobj Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Medical providers - Arkansas Blue Cross and Blue Shield AZBlue - Blue Cross Blue Shield of Arizona - Health Insurance Plans A healthier Arizona is what we're all about. for medical policies and prior authorization requests. For Federal Employee Program (FEP) precertification requirements, please see the separate FEP precertification list. Blue KC Commercial Prior Authorization and Notification List Final Remarks about BCBS Prefix Lookup Directory. We make it easy for you to offer the healthcare coverage that delivers for your business. For example: ABC12345678 Here " ABC" is BCBS alpha prefix. endstream endobj startxref Plan Type: PPO . 0|kEMi_a*-Yfj#uqEcA/6 .M.6YNw4cyo>lESMC\)H~L 1B> The member ID number may be different for each member covered under the same policy, and it is typically used when seeking medical services, submitting claims, or accessing healthcare benefits. Box 805107, Chicago, Illinois 60680-4112. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. 1 of 7. For accurate and quick claims processing, it is necessary to get complete patient insurance information. 1254 0 obj <>/Filter/FlateDecode/ID[]/Index[1229 40]/Info 1228 0 R/Length 122/Prev 219460/Root 1230 0 R/Size 1269/Type/XRef/W[1 3 1]>>stream PAGE : Amkor Technology, Inc. Group # 039176 : AmeriBen . In the District of Columbia and . BCBS Prefix List 2021 - Alpha Numeric State Lookup BCBS Company; Z2A-Prefix Unallocated/Not Assigned: Z2B: Indiana: Anthem Blue-Cross Blue-Shield of Indiana: Z2C-Prefix Unallocated/Not Assigned: Z2D-Prefix Unallocated/Not Assigned: Z2E-Prefix Unallocated/Not Assigned: Z2F: Minnesota: Identifying BlueCard members - Regence And to manage such a big network, they divided it into different departments state wise or employer specific. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. 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. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. View Medicare information Radiology utilization for Arkansas Blue Cross FEP BCBS Prefix AAA Home Plan and Phone Number, BCBS Alpha Numeric Prefix from Y2A to Y9Z, BCBS Alpha Numeric Prefix from X2A to X9Z, BCBS Alpha Numeric Prefix from W2A to W9Z, BCBS Alpha Numeric Prefix from V2A to V9Z, Frequently Asked Questions Related to BCBS Prefix. BCBS Railroad refers to Blue Cross Blue Shield health insurance plans that are specifically designed for members who are affiliated with railroad organizations in the United States. Northwest Arizona Employee Benefit Trust (NAEBT) Group # 037461 . 1268 0 obj <>stream The main difference between BCBS alpha prefix and BCBS alpha numeric prefix is that BCBS alpha prefix only contains alphabets whereas BCBS alpha numeric prefix consists of alphabets as well as numbers ranging from 1 to 9. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. Let's start with you. Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD. 01/01/2021 . First Care, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. Always use the BCBS prefix on the members current ID card followed by the member id number. This new site may be offered by a vendor or an independent third party. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. BCBS Prefix will not only have numbers and the . This indicates that the claims are excluded from the BlueCard Program. BCBS Prefix will not only have numbers and the digits 0 and 1. An incorrect or missing three-character prefix may cause possible delays in the processing of your claims. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. BCBS Railroad member IDs starts with a letter R. BCBS alpha prefix only contains alphabets and each alpha prefix represents different BCBS home plan. O}BAXv:OP)Qt9>PN,RG4uZu~?raYW+Q`|w[OD klW1Kg|'6'8=rRW00+,oD~`Ox(4DLMm,$Uy69r!$w0.<5>gJd'0?wf\2t| :\xQ cwh)}Ycb8I5vg~TQNnx^Y$M'JL+0?\:3Y(+Sb1:_%^uur(h>mS Most PDF readers are a free download. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. 0 Benefits and eligibility should be verified for all members prior to rendering services. 2021 Commercial Prior Authorization Requirements Summary (Updated December 2020) This document provides an overview of services/care categories for which prior authorization may be required for some commercial, non-HMO Blue Cross and Blue Shield of Illinois (BCBSIL) members. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. %PDF-1.5 % BlueCard. 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 Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). endstream endobj startxref It is used to identify and track the healthcare coverage and benefits for that specific member. Third, it can help you make more informed decisions to choose right insurance plan and benefits. Please look for instructions or a phone number on the back of the member ID card. Most PDF readers are a free download. All prefixes are unique. This includes our Medicaid Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and Blue Cross Medicare Advantage (PPO)SM(MA PPO) members. PDF Network Prefix List - CareFirst Provider This article offers an overview of 2021 prior authorization support materials and related communications that may apply for some of our non-HMO commercial and government programs members, effective Jan. 1, 2021. 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. T. he Summary of Benefits and Coverage (SBC) document will help you choose a health. BCBS Alpha Prefix List from PAA to PZZ Updated 2023 Member ID cards with no prefix Some member ID cards may not have a prefix. Working or retired, we'll help you every step of the way to find the right plan. External link You are leaving this website/app (site). e@'SZD/KCbv*pKq~ Regence Prefix List Form - Fill Out and Sign Printable PDF Template To accommodate our increasing lines of business, Blue Cross and Blue Shield of Montana (BCBSMT) has adopted several new three character prefixes as part of the member identification numbers. endstream endobj 366 0 obj <>>>/Filter/Standard/Length 128/O(`iYJhD[>R`Xq)/P -1324/R 4/StmF/StdCF/StrF/StdCF/U(ETWBQcf )/V 4>> endobj 367 0 obj <>/Metadata 16 0 R/PageLayout/OneColumn/Pages 363 0 R/StructTreeRoot 28 0 R/Type/Catalog>> endobj 368 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 369 0 obj <>stream =&m$ z90P&\:?$IRIj"c5l\"aD(@?Yuk>{8lkelu3X*FpT=6Rv;9'*4O-o|ELLG?-Yec,cqh(e96e4^QyD8H}'o(3 Medicaid This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. $=0j]xkM#[f4YgI|in Z(0zF1-9gk!D @WeUUn/R%$'c|J6:z}\}8ZNd+SL5-h"\wE$w{3\zO>,Vta$a`D7rHmr$bwZm7yYO)&^E<2@9#&UDOz 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. PDF 2022 Commercial PA Code Lists December Updates - BCBSIL BCBS Prefix can be classified as follows: BCBS Alpha Prefix - It's a three letter alpha prefix followed by id number. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. 2021, for some of our commercial non-HMO members, such as those listed below: - PPO - Blue Choice Preferred PPO(SM) - Blue Choice PPO(SM) - Blue Options(SM)/Blue Choice Options(SM) - Blue High Performance Network(SM) [Blue HPN(SM)] This is not an exhaustive listing of all codes. BCBS Railroad member IDs are assigned to members who served in railroad organizations. First Character Z assigned to the BCBS Plan. The following summary and related prior authorization lists were posted on the Support Materials (Commercial) page the Utilization Management section of our Provider website as of Jan. 1, 2021: Commercial Communications We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. 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. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. K8Y . Availity provides administrative services to BCBSIL. Its critical to check member eligibility and benefits through the Availity Provider Portal or your preferred vendor portal prior to every scheduled appointment. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). 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. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. PDF CSS-E121 Blue Cross Select Silver 01012021 - bcbsal.org PDF Updated November 2021 - BCBSIL . What is Medical Billing and Medical Billing process steps in USA? Prior authorization to confirm medical necessity is required for certain services and benefit plans as part of our commitment to help ensure all Blue Cross and Blue Shield of Illinois (BCBSIL) members get the right care, at the right time, in the right setting. Complete patient information, on the other hand, allows your claims to process without delays. ). Unraveling the Truth, United Healthcare Claims Address, Payer ID, Fax and Phone Number, BCBS Prefix List 2023 Alpha Prefix and Alpha Number Prefix Lookup, BCBS Alpha Numeric Prefix from L2A to L9Z (Updated 2023), BCBS Provider Phone Number for Claims and Eligibility Verification, Benefits and Eligibility Verification Services.
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