September 30, 2022 by Rebecca Williams. For example: ABC12345678. Claims that are submitted after . We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. We and our partners use cookies to Store and/or access information on a device. An example of data being processed may be a unique identifier stored in a cookie. 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: You can: Pay a bill online or sign up for auto bill pay. Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. Menu. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . Does united healthcare community plan cover chiropractic treatments? 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. Every Blue Cross and Blue Shield plan starts with an alpha prefix so they are called in medical terms BCBS Alpha Prefix. Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. Secondly, it ensures that you have the most up-to-date information about each and every BCBS prefix home plan because we update the BCBS prefix list on daily basis. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. 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. stream Earn Money by doing small online tasks and surveys, McKesson Corporation: Company Overview & History (2023), AAPC: What it is and why it matters in the Healthcare (2023). 7aM- I|x,# 9 0 obj We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. 2 0 obj &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 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. The prefix acts as a key element in confirming the members' eligibility and coverage information. Curious to know what are national Accounts? 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. LAA. 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. 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. These blue shield companies negotiate with the doctors and the other hospitals. 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. mr+*W@B Michigan. To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. 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). The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. 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). M+. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. There are several benefits of using our BCBS Prefix Lookup tool. FA%[: . The policies and regulations provided by the organization convey great statements and activities into the proper placement. Admin 83A. All claims must be submitted to Blue Cross Blue Shield. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. Save my name, email, and website in this browser for the next time I comment. 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. CPT is registered trademark of American Medical Association. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. 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. Click on a section title to view the content. For Example: ABC, A2B, 2AB, 2A2 etc. This new site may be offered by a vendor or an independent third party. 365days . AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. Most of the coverages are associated with baggage loss. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. 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. Blue Cross Blue Shield insurance Companies - Statewise. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. <> within 365 days . Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Returning Shopper? BCBS Alpha Prefix List of "U"-series. 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. Phone - Call eviCore toll-free at 855-252-1117 . BCBS Alpha Prefix Lookup. 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. endobj Admin 22A. XCC. You can also contact us for specialty medical billing services. It is one of the giant sectors that provide more than 106 million health facilities. Information current and approximate as of December 31, 2018. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. One of the biggest issues in todays generation is where medical treatments and conditions lie. Skip to content. Five most Workers Compensation Mistakes to Avoid in Maryland. Below is a list of the old and new alpha prefix codes. endobj Sample BCBS prefix list. endobj Availity provides administrative services to BCBSIL. 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 . Highmark BCBS of Pennsylvania (PA) ZAC. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. Search for doctors, dentists, hospitals and other health care providers. endobj endobj Commercial Communications %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz Language Assistance (opens in a new window) and Non-Discrimination Notice . Does United Healthcare cover the cost of dental implants? Yes, Policy number same as member ID number and also known as subscriber ID number. 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. This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. <> Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. The health of your eyes and teeth can affect your overall health. 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. The prefix acts as a key element in confirming the members' eligibility and coverage information. <> 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. What is Medical Billing and Medical Billing process steps in USA? w !1AQaq"2B #3Rbr If possible, make copies of the member's ID card (front and . Blue Cross Blue Shield Federal Phone Number. BCBS Alpha Numeric Prefix from T2A to T9Z. They always offer packages within the amounts mentioned. Continue with Recommended Cookies. However it has several policies for its customers. 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. F1Xkt~ n_]}M,h>@iB;jVhX8M5%s9A}SHB+;zwOUR*7Y@"Z/j[xW[,5ygwxxe7cjgj;=d sXT >oTL{ $(5V7Ev-BNlJaZw7F^Uv >U$+o\!je mR[D-h?jkC: .cJ]QC,1p 9ArnWP) v5s]M*I'vv To view this file, you may need to install a PDF reader program. Blue Cross Blue Shield Federal Phone Number. It covers the plans and analyses the services with the complete access of the employees. The blue cross deals with the features to make it easier for the customers to deal with the situation. 5 0 obj For example: A2A12345678. It helps to cover up the flights or any delays. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. 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. You may also be interested to read about denial code 27 reason and solutions. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. 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? Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBS Insurance goes on dealing with the oldest and largest health insurance system. To get information about such member IDs, you can contact BCBS directory phone number i.e. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? 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. Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). Unassigned Prefix. BCBS is one of the largest medical insurance company by total members of more than 45 million. Contact us to learn how we can improve your revenue cycle. Renew Illinois Individual, Family & Medicaid Health Insurance, Blue Cross Community MMAI (Medicare-Medicaid Plan), Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, Learn About Colon Cancer Screening Options. 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.
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