The blue cross deals with the features to make it easier for the customers to deal with the situation. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. 9 0 obj To view this file, you may need to install a PDF reader program. 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. It means that BCBS members IDs prefixes will must have alphabets. They always offer packages within the amounts mentioned. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. 2/1/2023. PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR Curious to know what are national Accounts? These BCBS prefix may include alpha and numerical characters. Phone - Call eviCore toll-free at 855-252-1117 . Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. For providers and medical billers who are performing medical billing services, BCBS alpha prefix are helpful to identify the correct payer ID and address for claims submission. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Michigan. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. Access Your Payment Options. % BCBS Blue Care Network Michigan (MI) UAB. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. LAA. What kind of cases do personal injury lawyers handle? endstream 10 0 obj Sometimes, a plan may require the member to request prior authorization for services. V2A to V9Z. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. 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. To view this file, you may need to install a PDF reader program. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: 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 Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. Click on a section title to view the content. } !1AQa"q2#BR$3br The insurance company also provides facilities for the senior citizens and claims to give the best facilities for them and get them admitted to the nearest hospital. The site may also contain non-Medicare related information. An Independent Licensee of the Blue Cross Blue Shield Association 020469 (03-01-2023) Prefix BCBS Plan Prefix BCBS Plan Prefix BCBS Plan A2T Premera Blue Cross A9P Premera Blue Cross ACF Premera Blue Cross AGL Premera Blue Cross/Shared Admin GUJ AHC Premera Blue Cross AJX Premera Blue Cross GVY ALK Premera Blue Cross We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Now, with more than 15 years of experience as a medical biller and revenue cycle manager, I am on a mission to serve the medical billing industry with my vast knowledge and years of expertise. mr+*W@B However it has several policies for its customers. 14 0 obj Blue Cross Blue Shield insurance Companies - Statewise. 17 0 obj What is Medical Billing and Medical Billing process steps in USA? To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR So, to answer this query, we have mentioned below few important points to consider. 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 . Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . 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). 7aM- I|x,# Ans. You may also be interested to read about denial code 27 reason and solutions. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. You may also want to know: United Healthcare Claims Address Information. It comes up with the facilities such as dental, vision and other body issues. BCBS Insurance goes on dealing with the oldest and largest health insurance system. Medicare Advantage is an alternative to original Medicare where a private health insurance . In recent years medical treatment and its cost has increased, which has become unbearable to manage. BCBS Alpha Prefix List of "U"-series. Livestock Protection. BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. W2A to W9Z. $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| For Example: XYZ123456789. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. It helps to cover up the flights or any delays. <> This list of bcbs prefixes includes BC prefix IEO, INE, ILT, IOI, IQQ, IPB, IVV. 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.. . Search articles and watch videos; ask questions and get answers. 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 Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. Ohio. First Character P is symbolizing that member plan/product type is BCBS PPO. For more than 85 years, we've provided our members with comprehensive, affordable health . 12 0 obj Illinois. How To Identify Blue Cross Blue Shield Member? Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. <> XCE. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. endobj 8 0 obj BCBS prefix list EAA-EZZ. A Google Certified Publishing Partner. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) 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. 13 0 obj 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. within 365 days . BCBS FEP Its indicated with letter R followed by the id number. The information you're accessing may not be provided by Excellus BCBS. Most PDF readers are a free download. The health of your eyes and teeth can affect your overall health. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Do not create one or use the BCBS prefix from another member ID card. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. The coverage that the organization holds on travel, medical and other conditions. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. The cross also goes through the analysis of gaining health insurance and forms a series of packages. Commercial Communications 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. M+. 16 0 obj 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. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. For accurate and quick claims processing, it is necessary to get complete patient insurance information. It also storms up the stability of ones financial condition. 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. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. 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). 4 0 obj Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBS Company. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). endobj Connecticut. Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. 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. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. To view this file, you may need to install a PDF reader program. 3 0 obj 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: Blue Cross Blue Shield insurance Companies - Statewise. 15 0 obj BCBS Prefix will not only have numbers and the digits 0 and 1. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS of Arkansas Blue Advantage Administrators.
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