Here you can find the BCBS prefix finder along with BCBS home plan name and website for BCBS member IDs ranging from F2A to F9Z. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. endobj
Highmark BCBS of Pennsylvania (PA) ZAC. V2A to V9Z. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw
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t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! 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. CPT is registered trademark of American Medical Association. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. XCE. Once a prior authorization request is received and processed, the decision is communicated to the provider. Home plans are generally used as a member of the former application. Do not create one or use the BCBS prefix from another member ID card. 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. will be denied. BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify members eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim. Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. For more than 85 years, we've provided our members with comprehensive, affordable health . Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. <>
If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). 365days . BCBS Alpha Prefix List of "Z"-series. External link You are leaving this website/app (site). BCBS Alpha Prefix List of "U"-series. Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. Topics include everything from improving your well-being to explaining health coverage. Blue Cross Blue Shield insurance Companies - Statewise. 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. Claims that are submitted after . It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. endobj
Provided on the website you will find the following documents: Medicare and Government Contracts Compliance Program, Blue Cross Medicare Advantage HMO Non-Delegated Model Manual, Blue Cross Medicare Advantage PPO ProviderManual, CMS Qualified Medicare Beneficiary Program, 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). If the provider or member doesnt get prior authorization for out-of-network services, the claim may be denied. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. Yes, Policy number same as member ID number and also known as subscriber ID number. 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. endobj
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4/1/2022. BCBS Alpha Prefix from BAA to BZZ. For example: ABC12345678. 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 . 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. endobj
We cant decide Blue cross Blue shield members state just by looking first alpha prefix. The main benefits of having insurance plans and coverages are not only getting monotonous services but also enjoying the perfect scheduling of other facilities, i.e., international travel and coverages. 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. BCBS Prefix will not only have numbers and the digits 0 and 1. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. '/&s0k?Nb~$;,KAz1J X#!&H&K8
'!q15O*e g'<2Aq$04g[ UmKU80xxR Emergency services are an exception. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz Livestock Protection. It covers the plans and analyses the services with the complete access of the employees. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. Curious to know what are national Accounts? Sometimes, a plan may require the member to request prior authorization for services. <>
Prefix UTS assigned to University of Texas. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. The programs main benefit is that it allows one to receive and understand the health care benefits. 7 0 obj
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. 13 0 obj
The following travel insurance helps to deal with all the medical costs and also covers the family expenses. 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. U2A to U9Z. BCBS Insurance mainly focuses on medical treatments and providing maximum support for the financial condition. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. These blue shield companies negotiate with the doctors and the other hospitals. If you have any questions, call the number on the member's ID card. Click on a section title to view the content. W2A to W9Z. JFIF x x C
BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. 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. 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. 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). In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) 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. You may also want to know: United Healthcare Claims Address Information. endobj
Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. It has also helped customers during emergencies by providing the proper medical treatments and other sources. 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. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. It is one of the giant sectors that provide more than 106 million health facilities. <>
Search articles and watch videos; ask questions and get answers. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. 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. Most PDF readers are a free download. Join us as we build the next generation of health insurance. To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. This new site may be offered by a vendor or an independent third party. Y2A to Y9A. First Character Z assigned to the BCBS Plan. PUJyf\P )}
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Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. Get the most from your BCBSIL pharmacy benefits. Anthem BCBS of Connecticut. Language Assistance (opens in a new window) and Non-Discrimination Notice . These BCBS prefix may include alpha and numerical characters. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. Returning Shopper? Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. An example of data being processed may be a unique identifier stored in a cookie. You may also be interested to read about denial code 27 reason and solutions. endobj
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. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. CAA. Contact us to learn how we can improve your revenue cycle. It also suggests that the members enjoy the networks participating with the hospital and other medical costs. What is Medical Billing and Medical Billing process steps in USA? The blue cross deals with the features to make it easier for the customers to deal with the situation. 12 0 obj
BCBS Insurance goes on dealing with the oldest and largest health insurance system. Z2A to Z9A. 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 alpha prefix is very important to the identification number. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Account Specific Prefix are assigned by BCBS to national accounts. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. BCBS Prefix will not only have numbers and the digits 0 and 1. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. 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. 15 0 obj
BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? Preferred PPOSM Alpha Prefix Codes December 15, 2015 As a reminder, the alpha prefix codes on Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have been updated. FA%[: 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 Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. Online - The eviCore Web Portal is available 24x7. 14 0 obj
Ohio. BCBS is one of the largest medical insurance company by total members of more than 45 million. Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. %
Among these principles are a commitment to the highest standard of business ethics and integrity. } !1AQa"q2#BR$3br Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. By doing it may cause delay in processing or handling the claim. %PDF-1.5
Sample BCBS prefix list. Blue Cross Blue Shield Federal Phone Number. !D)v&GVr`&dq:1+{maO1DmP[
+|zUma-lT *5+J&E k$T46Bt^:+~/ES" BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. It also states the important papers for identification that would help safeguard the situation and also save the expenses. Blue-Cross Blue-Shield of Illinois. September 30, 2022 by Rebecca Williams. 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. 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. In addition to verifying membership/coverage status and other important details,this step returns information on prior authorization requirements and utilization management vendors, if applicable. Compliance, Fraud, Waste and Abuse Program and Reporting: HCSC and its subsidiaries are founded on the basic principles of good business behavior. Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. A Google Certified Publishing Partner. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Anthem Blue-Cross Blue-Shield of Ohio. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. 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. endobj
Most PDF readers are a free download. One option is Adobe Reader which has a built-in reader. from the date of service. If you have questions on a request handled by BCBSIL, contact our Medical Management department. *!uB9^AwjF(v,o We and our partners use cookies to Store and/or access information on a device. It holds a huge role in the cancellation policy, hotel booking and loss of passports. Other providers are available in our network. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. 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. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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). UAA. BCBS Alpha Numeric Prefix from L2A to L9Z (Updated 2023), BCBS Provider Phone Number for Claims and Eligibility Verification, PR 27 Denial Code Description and Solution, How to Improve Your Coding Accuracy? Information current and approximate as of December 31, 2018. giV7Lxp^^YM(_{27e;//3_`|eC9EliUDD.3fJ0]6DT{,dMZRPRWN2C7?HL4fvy|\b%^SKwIOh)xo${A%t7A3_h}AL 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. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Does United Healthcare cover the cost of dental implants? Ans. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. It also issues for automation extension of the travel insurance plan. <>
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Blue Cross Blue Shield insurance Companies - Statewise. Here " A2A" is BCBS alpha numeric prefix. 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. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. 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.