XCC. 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. _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. The alpha prefix is always three letters followed by the member's ID number which can be from 6 up to 14 characters total. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox BCBS Blue Care Network Michigan (MI) UAB. Search for doctors, dentists, hospitals and other health care providers. BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. % T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. In recent years medical treatment and its cost has increased, which has become unbearable to manage. BAB. There are several benefits of using our BCBS Prefix Lookup tool. The manual is organized into the following sections for your convenience. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. One option is Adobe Reader which has a built-in reader. What is Medical Billing and Medical Billing process steps in USA? For Example: XYZ123456789. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. 10 0 obj BCBS Alpha Prefix List of "U"-series. J7Wr}pY+Gqpgx ck 4=!omPyC]6bRw@;-:.L^]UMw6xAjAA8 et Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . Click on a section title to view the content. 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. The Blue cross blue shield company mainly provides proper health insurance coverages. External link You are leaving this website/app (site). Sample BCBS prefix list. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. All claims must be submitted to Blue Cross Blue Shield. New to Blue Access for Members? 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. An example of data being processed may be a unique identifier stored in a cookie. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. 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. It also storms up the stability of ones financial condition. Emergency services are an exception. Not assigned prefix: GAX: BCBS Illinois: GAY: Anthem Central Region (OH, IN, KY) GAZ: Not assigned prefix: GBA: BCBS Montana: GBB: Anthem Blue Cross California: GBC: Wellmark BCBS: GBD: HOME; . 2/1/2023. Other providers are available in our network. -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz Normally, account specific prefix associates to the employer group name. These BCBS prefix may include alpha and numerical characters. 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. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. It also states the important papers for identification that would help safeguard the situation and also save the expenses. Search articles and watch videos; ask questions and get answers. 11 0 obj IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. The policies and regulations provided by the organization convey great statements and activities into the proper placement. Skip to content. Calls will be returned the next . It means that BCBS members IDs prefixes will must have alphabets. 5 0 obj ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) If you have questions on a request handled by BCBSIL, contact our Medical Management department. Here Letter R indicates BCBS FEP prefix. endobj 8 0 obj PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR endobj Hi, Im Kim Keck! IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. These blue shield companies negotiate with the doctors and the other hospitals. How Long Does the Judge Approval Process for Workers Comp Settlement Take? !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" Access Your Payment Options. FA%[: Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information, BCBS Alpha Numeric Prefix from U2A to U9Z (Updated 2023), BCBS Alpha Prefix from TAA to TZZ (Updated 2023). 7 0 obj In that situation, health insurance makes the right baggage and passport coverage decisions. Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. 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. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. Five most Workers Compensation Mistakes to Avoid in Maryland. |d&`{ ^^I|Wp:K|~._s Here " A2A" is BCBS alpha numeric prefix. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. <> 4/1/2022. The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. XCE. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. 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. BCBS of Kansas City. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. 855-854-1438. What is Medical Billing and Medical Billing process steps in USA? BCBS of Arkansas Blue Advantage Administrators. What is Medical Billing and Medical Billing process steps in USA? We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. 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). 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 The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. In addition, some sites may require you to agree to their terms of use and privacy policy. endobj '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. endobj Always make sure to submit claims to insurance company on time to avoid timely filing denial. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. A Google Certified Publishing Partner. It also goes on dealing with the student plan. Always use the BCBS prefix on the members current ID card followed by the member id number. The site may also contain non-Medicare related information. Member Prefix List Patient Roster Claims & Payments. The prefix acts as a key element in confirming the members' eligibility and coverage information. The BCBS prefix lookup directory is regularly updated with the latest BCBS insurance plan information, so you can be sure that the information youre viewing is 100% accurate. The health of your eyes and teeth can affect your overall health. This new site may be offered by a vendor or an independent third party. This new site may be offered by a vendor or an independent third party. Learn more about Ezoic here. 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 Prefix will not only have numbers and the digits 0 and 1. Here " ABC" is BCBS alpha prefix. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. 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. Highmark BCBS of Pennsylvania (PA) ZAC. Do not delay the billing of a claim for any reason. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. endobj <> 14 0 obj 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. *!uB9^AwjF(v,o This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. BCBS Alpha Prefix List of "E"-series: Blue Cross Blue Shield insurance Companies - Statewise: EAA: Not assigned prefix: EAB: BCBS of Kansas City: EAC: Anthem BCBS of Virginia (VA) EAD: BCBS of Illinois (IL) EAE: Regence BCBS: EAF: BCBS of Massachusetts (MA) EAG: Capital Blue Cross of Pennsylvania (PA) EAH: BCBS of Alabama (AL) EAI: Not . The information you're accessing may not be provided by Excellus BCBS. 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). Learn more about timely filing limits and CO 29 Denial Code. If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. On the other hand, host plans indicate more services in the health care services and competition within the area. M+. LAB. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. Learn more. Connecticut. Click on a section title to view the content. 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. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> The coverage that the organization holds on travel, medical and other conditions. Prefix UTS assigned to University of Texas. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. Create an account. The alpha prefix is very important to the identification number. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. BCBS Company. U2A to U9Z. For example: ABC12345678. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Blue Cross Blue Shield insurance Companies - Statewise. The Home and Host plan is also working in the Blue Cross Blue Shield plan. 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. 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. Ohio. If possible, make copies of the member's ID card (front and . The plans and system go on covering up the international travel ventures. State Lookup. BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. endobj Most of the coverages are associated with baggage loss. Account Specific Prefix are assigned by BCBS to national accounts. endobj Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. Contact us to learn how we can improve your revenue cycle. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. Once a prior authorization request is received and processed, the decision is communicated to the provider. Admin 83A. To get information about such member IDs, you can contact BCBS directory phone number i.e. BCBS is one of the largest medical insurance company by total members of more than 45 million. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) 365days . Information current and approximate as of December 31, 2018. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. Does united healthcare community plan cover chiropractic treatments? Choose a state to see how Blue Cross Blue Shield is working in your community. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Lets dig into it! In addition, some sites may require you to agree to their terms of use and privacy policy. For more than 85 years, we've provided our members with comprehensive, affordable health . 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? 12 0 obj Curious to know what are national Accounts? Commercial Communications 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? 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. 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. 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. Continue with Recommended Cookies. 3 0 obj Note: Most out-of-network services require utilization management review. Join us as we build the next generation of health insurance. For . %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz 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. 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. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. . 4 0 obj