Commercial Communications Connecticut. The information you're accessing may not be provided by Excellus BCBS. The site may also contain non-Medicare related information. What is Medical Billing and Medical Billing process steps in USA? 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). 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. 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.. It covers the plans and analyses the services with the complete access of the employees. A Google Certified Publishing Partner. 7 0 obj Today you will find The BCBS Alpha Prefix List from UAA to UZZ. When does health insurance expire after leaving job? Five most Workers Compensation Mistakes to Avoid in Maryland. 6 0 obj These BCBS prefix may include alpha and numerical characters. 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. endobj The benefits that BCBS Insurance provides are. 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 . Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. 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. This includes strict observance of and compliance with the laws and regulations governing the business operations of HCSC, and in particular, the services that it performs or has delegated to others to perform pursuant to its Medicare and Medicaid contract(s). To view this file, you may need to install a PDF reader program. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ 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. Some requests are handled by BCBSIL; others are handled by utilization management vendors. Account Specific Prefix are assigned by BCBS to national accounts. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. Admin 22. endobj 1 0 obj We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. First Character P is symbolizing that member plan/product type is BCBS PPO. Request a new replacement member ID card, or download a temporary copy. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Blue Cross Blue Shield Federal Phone Number. endobj %PDF-1.5 Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. The site may also contain non-Medicare related information. Yes, Policy number same as member ID number and also known as subscriber ID number. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . The policies and regulations provided by the organization convey great statements and activities into the proper placement. X2A to X9Z. Click on a section title to view the content. Admin 83A. For government programs prior authorization requests handled by eviCore healthcare (eviCore): -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. stream BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. endobj These prefixes may include alpha and numerical characters. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. There are several benefits of using our BCBS Prefix Lookup tool. 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. Learn more about timely filing limits and CO 29 Denial Code. $ 382. BCBS Prefix will not only have numbers and the digits 0 and 1. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. 3 0 obj To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. In the USA, people prefer to use and apply for BCBS insurance as it is considered one of the trustworthy applications and has the maximum facilities to deal with. For Example: XYZ123456789. Anthem BCBS of Wisconsin (WI) Highmark BCBS of Pennsylvania (PA) ZAC. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. FA%[: The following travel insurance helps to deal with all the medical costs and also covers the family expenses. BCBS Alpha Prefix List of "U"-series. Ans. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. XCC. |d&`{ ^^I|Wp:K|~._s Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. Always make sure to submit claims to insurance company on time to avoid timely filing denial. endobj For . Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. BCBS is the biggest private insurance company in the United States after federal insurance and there are hundreds of BCBS plans according to state and geographical areas. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. 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. 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. 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. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. HOME; . First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. In that situation, health insurance makes the right baggage and passport coverage decisions. Search articles and watch videos; ask questions and get answers. It helps to cover up the flights or any delays. It has also helped customers during emergencies by providing the proper medical treatments and other sources. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. The main benefits of having insurance plans and coverages are not only getting monotonous services but also enjoying the perfect scheduling of other facilities, i.e., international travel and coverages. 5 0 obj BCBS Prefix will not only have numbers and the digits 0 and 1. Choose a state to see how Blue Cross Blue Shield is working in your community. It also files on checking the incorrect address and submits the correct form of claiming the right details. Home plans are generally used as a member of the former application. In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. <> BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. What kind of cases do personal injury lawyers handle? W2A to W9Z. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. 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 . Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) Ans. Save my name, email, and website in this browser for the next time I comment. You can: Pay a bill online or sign up for auto bill pay. endobj From April 1 to September 30, on weekends and holidays you may be required to leave a message. Michigan. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. It shows that these type of BCBS member IDs are different. CPT is registered trademark of American Medical Association. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. Does blue cross blue shield cover shingles vaccine? Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. Search with My Member ID Card: Go. endobj External link You are leaving this website/app (site). Most PDF readers are a free download. endobj T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> The prefix acts as a key element in confirming the members' eligibility and coverage information. This list of bcbs prefixes includes BC prefix IEO, INE, ILT, IOI, IQQ, IPB, IVV. . The terms of the members plan control the available benefits. Do not create one or use the BCBS prefix from another member ID card. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . The manual is organized into the following sections for your convenience. Once a prior authorization request is received and processed, the decision is communicated to the provider. 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. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. How Long Does the Judge Approval Process for Workers Comp Settlement Take? BCBS Alpha Prefix from BAA to BZZ. <> PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR Medical Billing and Coding Information Guide. We and our partners use cookies to Store and/or access information on a device. If you have questions on a request handled by BCBSIL, contact our Medical Management department. 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. <> <> U2A to U9Z. Search your plan's drug list, find a pharmacy, and more. 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. On the other hand, host plans indicate more services in the health care services and competition within the area. Find a BCBS Company by Prefix. New to Blue Access for Members? There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Save my name, email, and website in this browser for the next time I comment. Phone - Call eviCore toll-free at 855-252-1117 . One option is Adobe Reader which has a built-in reader. Manage Settings Continue with Recommended Cookies. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz To get information about such member IDs, you can contact BCBS directory phone number i.e. 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. Other providers are available in our network. 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 The programs main benefit is that it allows one to receive and understand the health care benefits. Always use the BCBS prefix on the members current ID card followed by the member id number.