Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. *!uB9^AwjF(v,o Final Remarks about BCBS Prefix Lookup Directory. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. The prefix acts as a key element in confirming the members' eligibility and coverage information. Provider Finder . Step-by-Step Guide for Provider Finder . ZAA. BCBS Alpha Prefix List of "U"-series. Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. U2A to U9Z. One option is Adobe Reader which has a built-in reader. %PDF-1.5 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. An example of data being processed may be a unique identifier stored in a cookie. Check Claims Claim Explanation Codes Request a Claim Adjustment View Fee Schedules . MedicalBillingRCM.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Always use the BCBS prefix on the members current ID card followed by the member id number. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. The employees suggest to the customers select the packages and illustrate more about the service. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. BCBS of Arkansas Blue Advantage Administrators. The first two alphabets of the prefix denote the plan and the third alphabet prefix denotes the type of product the insured choose for coverage. 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. Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. BCBS is one of the largest medical insurance company by total members of more than 45 million. Anthem BCBS of Wisconsin (WI) If you have any questions, call the number on the member's ID card. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. 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). endobj 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. 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. The prefix acts as a key element in confirming the members' eligibility and coverage information. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Blue Cross Blue Shield Federal Phone Number. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. 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. It has also helped customers during emergencies by providing the proper medical treatments and other sources. BCBS Prefix will not only have numbers and the digits 0 and 1. October 1, 2022 by Rebecca Williams. The following travel insurance helps to deal with all the medical costs and also covers the family expenses. 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.. XCC. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. Related forms. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. <> endobj document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Independence Blue Cross(BC) of Philadelphia(Phi) and the Southeastern Pennsylvania(PA), Carefirst BCBS of Maryland the (MD), District of Columbia (DC) and the Northern Virginia (VA). 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. BCBS of Kansas City. 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? External link You are leaving this website/app (site). The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. HOME; . The Blue cross blue shield company mainly provides proper health insurance coverages. Save my name, email, and website in this browser for the next time I comment. The content shared in this website is for education and training purpose only. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. There are several benefits of using our BCBS Prefix Lookup tool. The organization is famous just for this particular service apart from the other policies. It comes up with the facilities such as dental, vision and other body issues. BCBS Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan. Language Assistance (opens in a new window) and Non-Discrimination Notice . 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. 2/1/2023. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. 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 Do not delay the billing of a claim for any reason. 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. Find a BCBS Company by Prefix. Here Letter R indicates BCBS FEP prefix. Information current and approximate as of December 31, 2018. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. Click on a section title to view the content. W2A to W9Z. And to manage such a big network, they divided it into different departments state wise or employer specific. Log In to the Shopping Cart, Need to Make a Payment? The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. <> 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. Do not create one or use the BCBS prefix from another member ID card. 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). JFIF x x C Blue Cross Blue Shield companies provide a best-in-class, comprehensive suite of international products and services for people who live, work and travel internationally, giving them confidence that quality care can be accessed wherever and . It also files on checking the incorrect address and submits the correct form of claiming the right details. New to Blue Access for Members? endobj M. members covered. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. BCBS prefix are easy to identify using our BCBS prefix lookup because they're part of every BCBS member ID and we included all of them here in the BCBS prefix list. 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. BCBS Prefix List 2021 - Alpha. If the provider or member doesnt get prior authorization for out-of-network services, the claim may be denied. It holds a huge role in the cancellation policy, hotel booking and loss of passports. UAC. 365days . BCBS Insurance goes on dealing with the oldest and largest health insurance system. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . Learn more. endobj endobj Lets dig into it! To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. 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.