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By doing it may cause delay in processing or handling the claim. 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 . Blue-Cross Blue-Shield of Illinois. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. 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. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . BCBS Prefix will not only have numbers and the digits 0 and 1. 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. Third, it can help you make more informed decisions to choose right insurance plan and benefits. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. Other providers are available in our network. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. The programs main benefit is that it allows one to receive and understand the health care benefits. CAA. 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. If you have questions on a request handled by BCBSIL, contact our Medical Management department. Y2A to Y9A. It also suggests that the members enjoy the networks participating with the hospital and other medical costs. Benefits will be determined once a claim is received and will be based upon, among other things, the members eligibility and the terms of the members certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. 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. X2A to X9Z. The terms of the members plan control the available benefits. Find a BCBS Company by Prefix. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. 11 0 obj 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. Blue Cross Blue Shield Federal Phone Number. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Learn more. 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. Topics include everything from improving your well-being to explaining health coverage. 12 0 obj From April 1 to September 30, on weekends and holidays you may be required to leave a message. First Character Z assigned to the BCBS Plan. Blue Cross Blue Shield insurance Companies - Statewise. endobj 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. 2 0 obj Here " ABC" is BCBS alpha prefix. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. XCD. Search for doctors, dentists, hospitals and other health care providers. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. 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.. <> In that situation, health insurance makes the right baggage and passport coverage decisions. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Search your plan's drug list, find a pharmacy, and more. In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. Livestock Protection. Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. New to Blue Access for Members? When does health insurance expire after leaving job? Save my name, email, and website in this browser for the next time I comment. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors. -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. Curious to know what are national Accounts? will be denied. Most PDF readers are a free download. An example of data being processed may be a unique identifier stored in a cookie. <> Continue with Recommended Cookies. 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. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. In addition, some sites may require you to agree to their terms of use and privacy policy. Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. It also storms up the stability of ones financial condition. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. endobj If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. 17 0 obj Want to be part of our amazing team? Most of the coverages are associated with baggage loss. <> Search articles and watch videos; ask questions and get answers. 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. Note for Front Desk and Providers: When Blue Cross Blue Shield members comes to your facility or office, make sure to ask them for their active BCBS plan member ID card. For Example: XYZ123456789. The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. 6 0 obj Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . 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. In addition to verifying membership/coverage status and other important details,this step returns information on prior authorization requirements and utilization management vendors, if applicable. The prefix acts as a key element in confirming the members' eligibility and coverage information. The policies and regulations provided by the organization convey great statements and activities into the proper placement. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Normally, account specific prefix associates to the employer group name. 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). To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) What If BCBS Member ID doesnt have Prefix mentioned on Card? 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: 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. The coverage that the organization holds on travel, medical and other conditions. 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. 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. This new site may be offered by a vendor or an independent third party. 7 0 obj BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. Michigan. Prefix UTS assigned to University of Texas. 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). IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. 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). So, to answer this query, we have mentioned below few important points to consider. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. The site may also contain non-Medicare related information. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. 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. BCBS Alpha Prefix Lookup. Click on a section title to view the content. What is Medical Billing and Medical Billing process steps in USA? It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Yes, Policy number same as member ID number and also known as subscriber ID number. Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. Commercial Communications Does united healthcare community plan cover chiropractic treatments? How To Identify Blue Cross Blue Shield Member? UAC. And to manage such a big network, they divided it into different departments state wise or employer specific. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Menu. By knowing the details of BCBS home plan, including BCBS insurance plan benefits, coverage options, and costs, you can make better decisions about your healthcare needs. You may also be interested to read about denial code 27 reason and solutions. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. 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. It is one of the giant sectors that provide more than 106 million health facilities. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" Returning Shopper? Our trusted community experts can give you the one-on-one help you need to shop for health insurance. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? However it has several policies for its customers. Blue Cross Blue Shield insurance Companies - Statewise. $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| 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? 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. 7aM- I|x,# The alpha prefix is very important to the identification number.