A Google Certified Publishing Partner. endobj UAA. It covers the plans and analyses the services with the complete access of the employees. Blue Cross Blue Shield insurance Companies - Statewise. It holds a huge role in the cancellation policy, hotel booking and loss of passports. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. 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: 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. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. from the date of service. M. members covered. 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. The content shared in this website is for education and training purpose only. Calls will be returned the next . Phone - Call eviCore toll-free at 855-252-1117 . Today you will find The BCBS Alpha Prefix List from SAA to SZZ. Connecticut. 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. 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. The following travel insurance helps to deal with all the medical costs and also covers the family expenses. 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. Anthem BCBS of Wisconsin (WI) I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. It also storms up the stability of ones financial condition. 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). BAB. 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. <> For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. 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). Step 1 Confirm if Prior Authorization is Required. XCC. In addition, some sites may require you to agree to their terms of use and privacy policy. What If BCBS Member ID doesnt have Prefix mentioned on Card? 107. 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 coverage that the organization holds on travel, medical and other conditions. The organization is famous just for this particular service apart from the other policies. To view this file, you may need to install a PDF reader program. Final Remarks about BCBS Prefix Lookup Directory. 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. Five most Workers Compensation Mistakes to Avoid in Maryland. <> <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> <> 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. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. In certain situations, the baggage gets lost or goes on delaying for the baggage from the airport by claiming to the insurance company and policies for losing the baggage. endobj Ohio. Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. 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). 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. endobj $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? 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. Health insurance is nowadays the most wanted series of getting rid of the expenses from the high medical costs. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. The site may also contain non-Medicare related information. We and our partners use cookies to Store and/or access information on a device. Lets dig into it! Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. It helps to cover up the flights or any delays. For example: A2A12345678. If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. Learn more about Ezoic here. <> Today you will find The BCBS Alpha Prefix List from UAA to UZZ. endobj Provided on the website you will find the following documents: Medicare and Government Contracts Compliance Program, Blue Cross Medicare Advantage HMO Non-Delegated Model Manual, Blue Cross Medicare Advantage PPO ProviderManual, CMS Qualified Medicare Beneficiary Program, 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). All claims must be submitted to Blue Cross Blue Shield. BAA. stream stream 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. Admin 83A. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. You can: Pay a bill online or sign up for auto bill pay. The alpha prefix is very important to the identification number. Once a prior authorization request is received and processed, the decision is communicated to the provider. Medicare Advantage is an alternative to original Medicare where a private health insurance . Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. 16 0 obj 18 0 obj The Blue cross blue shield company mainly provides proper health insurance coverages. X2A to X9Z. Search articles and watch videos; ask questions and get answers. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. 7aM- I|x,# Most PDF readers are a free download. 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. BSBS insurance involves unique prefixes and follows up a unique ID number. 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. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. BCBS Prefix should be included along with ID number, exactly as it appears on the member ID card when filing the claims to insurance company. Find a BCBS Company by Prefix. 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? We cant decide Blue cross Blue shield members state just by looking first alpha prefix. Skip to content. Learn more. In addition, some sites may require you to agree to their terms of use and privacy policy. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. BCBS is one of the largest medical insurance company by total members of more than 45 million. Here we have listed down all the Blue Cross Shield Prefix along with BCBS home plan name and website for BCBS member IDs ranging from W2A to W9Z. Learn more about timely filing limits and CO 29 Denial Code. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). First Character Z assigned to the BCBS Plan. Click on a section title to view the content. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. The site may also contain non-Medicare related information. endobj Blue Cross Blue Shield Federal Phone Number. Choose a state to see how Blue Cross Blue Shield is working in your community. Member Prefix List Patient Roster Claims & Payments. On the other hand, host plans indicate more services in the health care services and competition within the area. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. September 30, 2022 by Rebecca Williams. 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). Continue with Recommended Cookies. Michigan. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. 365days . endobj Want to be part of our amazing team? endstream endobj 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. Livestock Protection. Check out our Corporate Social Responsibility Report and learn about the ways we are serving our community. Availity is a trademark of Availity, LLC., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. <> Sometimes, a plan may require the member to request prior authorization for services. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? Menu. The policies and regulations provided by the organization convey great statements and activities into the proper placement. 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 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. <> IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. Bcbs prefix list is showing the exact BCBS plan of the patient, so you can easily call to exact location plan and handle AR follow-up effectively. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. 17 0 obj V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. Livestock Protection. BCBS Prefix will not only have numbers and the digits 0 and 1. To view this file, you may need to install a PDF reader program. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" 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. 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. Blue Cross Blue Shield insurance Companies - Statewise. 2 0 obj Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. Ans. BCBS Company. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. External link You are leaving this website/app (site). Account Specific Prefix are assigned by BCBS to national accounts. There are several benefits of using our BCBS Prefix Lookup tool. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. Note: Most out-of-network services require utilization management review. Do not delay the billing of a claim for any reason. endobj So, to answer this query, we have mentioned below few important points to consider.
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