bcbs illinois prefix list

BCBS Blue Care Network Michigan (MI) UAB. LAA. Anthem BCBS of Connecticut. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Health Care DeliveryPolicy and Procedures, Blue Cross Community Health Plans ProviderManual, Medicaid Provider Orientation(Professional), Medicaid Prior Authorization RequestForm, Medicaid Provider Orientation (Professional), Blue Cross Community OptionsSMBehavioral Health Benefit Grid. 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. First Character Z assigned to the BCBS Plan. 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 . 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? Admin 83A. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. The site may also contain non-Medicare related information. Below is a list of the old and new alpha prefix codes. Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. The prefix acts as a key element in confirming the members' eligibility and coverage information. _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. 2/1/2023. Among these principles are a commitment to the highest standard of business ethics and integrity. Anthem BCBS of Wisconsin (WI) It also suggests that the members enjoy the networks participating with the hospital and other medical costs. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. 7 0 obj 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). Customer services are indulged with great services. 14 0 obj Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. 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. 855-854-1438. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. The Home and Host plan is also working in the Blue Cross Blue Shield plan. Log In to the Shopping Cart, Need to Make a Payment? Language Assistance (opens in a new window) and Non-Discrimination Notice . BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. 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. Search your plan's drug list, find a pharmacy, and more. To run such a large number of people, they divided Blue Cross Blue Shield Insurance Association into different departments which is employer specific or state wise. These blue shield companies negotiate with the doctors and the other hospitals. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. To view this file, you may need to install a PDF reader program. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. 12 0 obj In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: <> BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. Blue Cross Blue Shield insurance Companies - Statewise. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. 2nd Character G Plan Specific (letter assigned to the BCBS Plan), 3rd Character P PPO Product (letter assigned by the BCBS Plan to identify product type elected by the member). We cant decide Blue cross Blue shield members state just by looking first alpha prefix. It holds a huge role in the cancellation policy, hotel booking and loss of passports. Do not delay the billing of a claim for any reason. Does United Healthcare cover the cost of dental implants? ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) 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. V2A to V9Z. Highmark BCBS of Pennsylvania (PA) ZAC. 107. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. Blue-Cross Blue-Shield of Illinois. 17 0 obj If possible, make copies of the member's ID card (front and . Learn more. JFIF x x C BAA. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. Returning Shopper? BCBS Company. Create an account. endobj 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. Hi, Im Kim Keck! Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. 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. Phone - Call eviCore toll-free at 855-252-1117 . 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 . 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). These prefixes may include alpha and numerical characters. Most of the coverages are associated with baggage loss. The programs main benefit is that it allows one to receive and understand the health care benefits. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. One of the biggest issues in todays generation is where medical treatments and conditions lie. The health of your eyes and teeth can affect your overall health. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? Does policy number same as member ID number? T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> endobj Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. 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 . We update BCBS prefix data on daily basis to provide latest BCBS prefix information. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. 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. <> endobj T2A to T9Z. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. BCBS Alpha Prefix from BAA to BZZ. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. 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.. Join us as we build the next generation of health insurance. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. Step-by-Step Guide for Provider Finder . From April 1 to September 30, on weekends and holidays you may be required to leave a message. Lets dig into it! Today you will find The BCBS Alpha Prefix List from SAA to SZZ. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. BCBS is one of the largest medical insurance company by total members of more than 45 million. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee 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. Medical Billing and Coding Information Guide. Ans. M+. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. You can also contact us for specialty medical billing services. Provider Finder . Livestock Protection. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ 6 0 obj 13 0 obj 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. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. This list of bcbs prefixes includes BC prefix YUP, YRK, YPN, YPJ, YTD, YRH, YTP, YIF. In addition, some sites may require you to agree to their terms of use and privacy policy. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. stream 365days . So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. You may also want to know: United Healthcare Claims Address Information. There are several benefits of using our BCBS Prefix Lookup tool. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. endobj <> Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . New to Blue Access for Members? Admin 22A. For Example: XYZ123456789. In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. will be denied. Business health insurance plans designed to fit any size small business and budget. Blue Cross Blue Shield Federal Phone Number. 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. 4 0 obj $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| However it has several policies for its customers. <> Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Include the alpha prefix and all alpha characters preceding the alpha prefix on all correspondence and claims submitted to Blue Cross Blue Shield of Texas. The benefits that BCBS Insurance provides are. Ans. Compliance, Fraud, Waste and Abuse Program and Reporting: HCSC and its subsidiaries are founded on the basic principles of good business behavior. Y2A to Y9A. Ans. One option is Adobe Reader which has a built-in reader. 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. External link You are leaving this website/app (site). The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. . The site may also contain non-Medicare related information. One option is Adobe Reader which has a built-in reader. 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). % 3 0 obj Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. For more than 85 years, we've provided our members with comprehensive, affordable health . Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. 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 Numeric Prefix list. 18 0 obj $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? *!uB9^AwjF(v,o Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. It also issues for automation extension of the travel insurance plan. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. Click on a section title to view the content. 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 . Search for doctors, dentists, hospitals and other health care providers. endobj 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. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. What is Medical Billing and Medical Billing process steps in USA? . You can: Pay a bill online or sign up for auto bill pay. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. The plans and system go on covering up the international travel ventures. stream Most PDF readers are a free download. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. They always offer packages within the amounts mentioned. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. from the date of service. The terms of the members plan control the available benefits. endobj document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. Final Remarks about BCBS Prefix Lookup Directory. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. endobj Certain employer groups may require prior authorization or pre-notification through other vendors. The content shared in this website is for education and training purpose only. Commercial Communications Make sure to make copies of the front and back of member ID card. This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. XCC. 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. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. 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