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BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. endobj 2/1/2023. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. BCBS Prefix List 2021 - Alpha. Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Topics include everything from improving your well-being to explaining health coverage. Livestock Protection. It also storms up the stability of ones financial condition. 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. endobj Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. There are several benefits of using our BCBS Prefix Lookup tool. 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 Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. 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. 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). In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. Highmark BCBS of Pennsylvania (PA) ZAC. CAA. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. Below is a list of the old and new alpha prefix codes. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. 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. Ans. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. BCBS FEP Its indicated with letter R followed by the id number. 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.. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox Do not create one or use the BCBS prefix from another member ID card. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. So, to answer this query, we have mentioned below few important points to consider. T2A to T9Z. 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. Admin 22. <> 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). endobj 15 0 obj BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. endobj . % The site may also contain non-Medicare related information. Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. You can: Pay a bill online or sign up for auto bill pay. Lets dig into it! XCD. For Example: XYZ123456789. Business health insurance plans designed to fit any size small business and budget. What kind of cases do personal injury lawyers handle? The organization is famous just for this particular service apart from the other policies. 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? 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. 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. Medical Billing and Coding Information Guide. Learn more. They always offer packages within the amounts mentioned. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. 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. 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. endobj Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. Make sure to make copies of the front and back of member ID card. 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 . You can also contact us for specialty medical billing services. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. For example: A2A12345678. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. Final Remarks about BCBS Prefix Lookup Directory. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) BCBS Prefix BCBS Plan Name E2A Blue Cross Blue Shield Texas E2B Blue Cross Blue Shield Texas E2C Anthem BCBS Indiana E2E Regence Blue Cross . Here " ABC" is BCBS alpha prefix. 18 0 obj BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify members eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. <> BCBS Prefix List 2021 - Alpha. XCE. For commercialprior authorization requests handled by AIM Specialty Health(AIM): Commercial non-HMO prior authorization requests can be submitted to AIM intwo ways. Save my name, email, and website in this browser for the next time I comment. Step-by-Step Guide for Provider Finder . 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. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. 4/1/2022. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). BCBS prefix list EAA-EZZ. Most PDF readers are a free download. BCBS Alpha Prefix List of "U"-series. In general, there arethreestepsprovidersshould follow. Related forms. The following travel insurance helps to deal with all the medical costs and also covers the family expenses. Does United Healthcare cover the cost of dental implants? 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. 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. stream BCBS of Arkansas Blue Advantage Administrators. Livestock Protection. Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. In addition, some sites may require you to agree to their terms of use and privacy policy. Curious to know what are national Accounts? Other providers are available in our network. In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Admin 22A. Continue with Recommended Cookies. 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.