Manage Settings 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. from the date of service. Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. Always use the BCBS prefix on the members current ID card followed by the member id number. September 30, 2022 by Rebecca Williams. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. If possible, make copies of the member's ID card (front and . These blue shield companies negotiate with the doctors and the other hospitals. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Admin 83A. endobj The manual is organized into the following sections for your convenience. 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. However it has several policies for its customers. Blue Cross Blue Shield Federal Phone Number. To view this file, you may need to install a PDF reader program. Join us as we build the next generation of health insurance. BCBS Alpha Numeric Prefix from T2A to T9Z. Claims that are submitted after . Livestock Protection. 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). Calls will be returned the next . It also files on checking the incorrect address and submits the correct form of claiming the right details. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. The prefixes identify the member's BCBS prefix list plan or national account and become essential when routing claims for processing. The site may also contain non-Medicare related information. The health of your eyes and teeth can affect your overall health. W2A to W9Z. 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. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. 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? BAB. . 2 0 obj BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Highmark BCBS of Pennsylvania (PA) ZAC. Sample BCBS prefix list. By knowing the details of BCBS home plan, including BCBS insurance plan benefits, coverage options, and costs, you can make better decisions about your healthcare needs. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. For Example: XYZ123456789. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. State Lookup. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . J7Wr}pY+Gqpgx ck 4=!omPyC]6bRw@;-:.L^]UMw6xAjAA8 et There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. In addition, some sites may require you to agree to their terms of use and privacy policy. <> Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. Blue Cross Blue Shield Federal Phone Number. One option is Adobe Reader which has a built-in reader. The terms of the members plan control the available benefits. endobj In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Y2A to Y9A. Menu. You may also want to know: United Healthcare Claims Address Information. BCBS Prefix will not only have numbers and the digits 0 and 1. Search for doctors, dentists, hospitals and other health care providers. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. There are several benefits of using our BCBS Prefix Lookup tool. ZAA. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. 1 0 obj The cross also goes through the analysis of gaining health insurance and forms a series of packages. Lets dig into it! CPT is registered trademark of American Medical Association. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Our trusted community experts can give you the one-on-one help you need to shop for health insurance. BAA. 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. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. To view this file, you may need to install a PDF reader program. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Here Letter R indicates BCBS FEP prefix. BCBS FEP Its indicated with letter R followed by the id number. Third, it can help you make more informed decisions to choose right insurance plan and benefits. It means that BCBS members IDs prefixes will must have alphabets. endobj BCBS Company. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. One option is Adobe Reader which has a built-in reader. Account Specific Prefix are assigned by BCBS to national accounts. Business health insurance plans designed to fit any size small business and budget. BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Most of the coverages are associated with baggage loss. What is Medical Billing and Medical Billing process steps in USA? These BCBS prefix may include alpha and numerical characters. It covers the plans and analyses the services with the complete access of the employees. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. 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. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBS Alpha Prefix from BAA to BZZ. It shows that these type of BCBS member IDs are different. 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. <> BCBS Company. <> I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Request a new replacement member ID card, or download a temporary copy. M+. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] 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. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. Most PDF readers are a free download. Most PDF readers are a free download. Bcbs prefix list is showing the exact BCBS plan of the patient, so you can easily call to exact location plan and handle AR follow-up effectively. <> Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. Livestock Protection. Get the most from your BCBSIL pharmacy benefits. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. will be denied. Log In to the Shopping Cart, Need to Make a Payment? Make sure to make copies of the front and back of member ID card. BCBS Alpha Prefix Lookup. 18 0 obj Normally, account specific prefix associates to the employer group name. The blue cross deals with the features to make it easier for the customers to deal with the situation. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. <> PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR . 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. 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. stream Learn more about timely filing limits and CO 29 Denial Code. <> Ans. &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 10 0 obj The plans and system go on covering up the international travel ventures. It helps to cover up the flights or any delays. 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. 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? 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. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. Provider Finder . 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. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. 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. The alpha prefix is always three letters followed by the member's ID number which can be from 6 up to 14 characters total. Note: Most out-of-network services require utilization management review. Any individuals who impact HCSC's Medicare or Medicaid contract(s) are expected to abide by the Medicare and Government Contracts Compliance Program, the Code of Business Ethics and Conduct and the Medicare Compliance Policies. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. V2A to V9Z. T2A to T9Z. 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 make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. endobj Compliance, Fraud, Waste and Abuse Program and Reporting: HCSC and its subsidiaries are founded on the basic principles of good business behavior. 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. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. endobj Blue Cross Blue Shield insurance Companies - Statewise. 16 0 obj Among these principles are a commitment to the highest standard of business ethics and integrity. BCBS prefix list EAA-EZZ. When does health insurance expire after leaving job? There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. 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. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. First Character P is symbolizing that member plan/product type is BCBS PPO. 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. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. BCBS Prefix will not only have numbers and the digits 0 and 1. 4 0 obj It has also helped customers during emergencies by providing the proper medical treatments and other sources. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. 4/1/2022. Availity provides administrative services to BCBSIL. !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" BCBS is one of the largest medical insurance company by total members of more than 45 million. The employees suggest to the customers select the packages and illustrate more about the service. Save my name, email, and website in this browser for the next time I comment. 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. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. 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, HMO Medical Service Agreement Highlight and Process Summary, 3rd Trimester Pregnancy IPA Transfer Policy, 3rd Trimester Pregnancy IPA Transfer Procedure, Ancillary Hospital Institution Care Transition Exceptions Policy, Ancillary Hospital Institution Care Transition Exceptions Procedure, Contract Management Firms Confidentiality Agreement Policy, Contract Management Firms Confidentiality Agreement Procedure, Corrective Action for Failed Utilization Management Audit of Participating IPAs Policy, Corrective Action for Failed Utilization Management Audit of Participating IPAs Procedure, Collaborative Improvement Coaching for HMO Quality Improvement Projects Policy, Collaborative Improvement Coaching for HMO Quality Improvement Projects Procedure, IPA Availability andAccessibility Requirements forImmediate Care Services Policy, IPA Availability andAccessibility Requirements forImmediate Care Services Procedure, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure, IPA Process for Establishing Out of Area for Emergency Services Policy, IPA Process for Establishing Out of Area for Emergency Services Procedure, IPAs Request for Member Transfer Procedure, Member Access to Behavioral Health Services Policy, Member Access to Behavioral Health Services Procedure, Member Notification Process when a Provider Leaves the IPA Policy, Member Notification Process when a Provider Leaves the IPA Procedure, Oversight of Contracted Infertility Vendor Policy, Oversight of Contracted Infertility Vendor Procedure, Primary Care Physician (PCP) Affiliation with Multiple IPAs Policy, Primary Care Physician (PCP) Affiliation with Multiple IPAs Procedure, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Policy, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Procedure, Accountable Care Organization (ACO) Dual Claimed Physician Policy and Procedure, BCBSIL Marketing Communications HLA Policy Procedure, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Policy, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Procedure, Provider Handling of Member Inquiries Complaints and Appeals, Provider Urgent/Expedited Clinical Appeal Process, Recovery of Provider Overpayments due BCBSIL, MA HMO Detailed Explanation ofNon-coverage, MA HMO Notice of Dismissal of Organization Determination Request, MA HMO UM Approval In Network ProviderLetter, MA HMO UM Approval Out of Network ProviderLetter, MA HMO Sample Provider Appeal Language for Explanation ofPayment, MA HMO Sample Waiver of LiabilityStatement, MA HMO Transition to Transplant ManagementForm, HMO Provider Credentialing Pre-application. XCE. Here " A2A" is BCBS alpha numeric prefix. Second Character G assigned to the BCBS Plan as well. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. 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: $ 382. Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . Ans. 107. October 1, 2022 by Rebecca Williams. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. BCBS Insurance goes on dealing with the oldest and largest health insurance system. BCBS of Arkansas Blue Advantage Administrators. It also goes on dealing with the student plan. Illinois. Online - The eviCore Web Portal is available 24x7. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. XCD. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. endobj Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. For commercialprior authorization requests handled by AIM Specialty Health(AIM): Commercial non-HMO prior authorization requests can be submitted to AIM intwo ways. You can also contact us for specialty medical billing services. What kind of cases do personal injury lawyers handle? Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. The organization is famous just for this particular service apart from the other policies. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. 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. 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.