October 1, 2022 by Rebecca Williams. Z2A to Z9A. Do not delay the billing of a claim for any reason. Born in Texas, USA. 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. 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. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. To get information about such member IDs, you can contact BCBS directory phone number i.e. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. stream Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. Yes, Policy number same as member ID number and also known as subscriber ID number. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania, Maryland/District of Columbia/Northern Virginia, Anthem Blue-Cross Blue-Shield of Virginia, Excellus Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Missouri, Blue-Cross Blue-Shield of Western New York, Empire Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Colorado, Anthem Blue-Cross Blue-Shield of Wisconsin, Highmark Blue-Cross Blue-Shield of Pennsylvania, Horizon Blue-Cross Blue-Shield of New Jersey, Anthem Blue-Cross Blue-Shield of Connecticut, Anthem Blue-Cross Blue-Shield of Kentucky. Most PDF readers are a free download. <> For Example: ABC, A2B, 2AB, 2A2 etc. Does United Healthcare cover the cost of dental implants? 5 0 obj BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. Blue Cross Blue Shield insurance Companies - Statewise. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. Blue Cross Blue Shield insurance Companies - Statewise. UAC. Always make sure to submit claims to insurance company on time to avoid timely filing denial. 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. 365days . If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. 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). endstream Today you will find The BCBS Alpha Prefix List from SAA to SZZ. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! Once a prior authorization request is received and processed, the decision is communicated to the provider. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. State Lookup. 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. And to manage such a big network, they divided it into different departments state wise or employer specific. BCBS of Kansas City. Availity provides administrative services to BCBSIL. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. State Lookup. Here " ABC" is BCBS alpha prefix. Do not create one or use the BCBS prefix from another member ID card. Livestock Protection. Phone - Call eviCore toll-free at 855-252-1117 . Want to be part of our amazing team? . The Home and Host plan is also working in the Blue Cross Blue Shield plan. By doing it may cause delay in processing or handling the claim. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. The alpha prefix is very important to the identification number. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Returning Shopper? External link You are leaving this website/app (site). BSBS insurance involves unique prefixes and follows up a unique ID number. M. members covered. The alpha prefix is very important to the identification number. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. 10 0 obj endobj In that situation, health insurance makes the right baggage and passport coverage decisions. 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. What is 25 modifier and how to use it for insurance Payment, How to code for diagnosis and procedures related to Monkey pox, BCBS Alpha Prefix List from YAA to YZZ Updated 2023, Timely Filing Limits for all Insurances updated (2023), Blue Cross Blue Shield insurance Companies Statewise, BCBS of South Carolina (SC) / Southcarolinablues, Highmark Blue Shield (BS) of Pennsylvanaia (PA), Blue shield(BS) of Northeastern New York (NeNY). IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. 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. 3 0 obj 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. First Character P is symbolizing that member plan/product type is BCBS PPO. Blue-Cross Blue-Shield of Illinois. The policies and regulations provided by the organization convey great statements and activities into the proper placement. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. BCBS Prefix List 2021 - Alpha. 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 are also the largest provider of health benefits in Illinois, serving more than 8.1 million members in all 102 counties across the state. '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR First Character Z assigned to the BCBS Plan. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Five most Workers Compensation Mistakes to Avoid in Maryland. In recent years medical treatment and its cost has increased, which has become unbearable to manage. Third, it can help you make more informed decisions to choose right insurance plan and benefits. The presence of the members in the organization deals with decisions on certain critical conditions of the customers and getting steps to solve the issues. When does health insurance expire after leaving job? BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Does united healthcare community plan cover chiropractic treatments? <> 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. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. Learn more. Always use the BCBS prefix on the members current ID card followed by the member id number. 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. One option is Adobe Reader which has a built-in reader. Blue Cross Blue Shield Federal Phone Number. Search articles and watch videos; ask questions and get answers. LAB. The organization is famous just for this particular service apart from the other policies. 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 Prefix List. 12 0 obj Step 1 Confirm if Prior Authorization is Required. [ 15 0 R] FA%[: 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? } !1AQa"q2#BR$3br 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. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. 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. Ans. Emergency services are an exception. The BCBSIL Commercial Provider Manual is organized into the following sections for providers participating in PPO, Blue Choice PPOSM, HMO and the Blue High Performance NetworkSM(Blue HPNSM)EPO. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. Most of the coverages are associated with baggage loss. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. You can also contact us for specialty medical billing services. endobj 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 . 14 0 obj document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. Admin 83A. UAA. Assistance Available For Members Impacted by Severe Weather, 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). . Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. These prefixes may include alpha and numerical characters. BCBS Alpha Prefix List of "U"-series. 1 0 obj Here Letter R indicates BCBS FEP prefix. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. Health Care DeliveryPolicy and Procedures, Blue Cross Community Health Plans ProviderManual, Medicaid Provider Orientation(Professional), Medicaid Prior Authorization RequestForm, Medicaid Provider Orientation (Professional), Blue Cross Community OptionsSMBehavioral Health Benefit Grid. Skip to content. endobj BCBS Company. An example of data being processed may be a unique identifier stored in a cookie. 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. -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. The terms of the members plan control the available benefits. 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. Find a BCBS Company by Prefix. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . 11 0 obj Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. The cross also goes through the analysis of gaining health insurance and forms a series of packages. <> The coverage that the organization holds on travel, medical and other conditions. Continue with Recommended Cookies. mr+*W@B BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. 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). Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. will be denied. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Save my name, email, and website in this browser for the next time I comment. Does blue cross blue shield cover shingles vaccine? The site may also contain non-Medicare related information. x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? 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.