Please look for claim filing instructions on the back of the ID card. DIGNITY HEALTH YAVAPAI REGIONAL MEDICAL CENTER AND BLUE CROSS BLUE SHIELD OF ARIZONA REACH AGREEMENT, FIESTA BOWL AND BLUE CROSS BLUE SHIELD OF ARIZONA OPEN APPLICATIONS FOR FOURTH ANNUAL EMPOWERING DIVERSITY SCHOLARSHIP, PCMH PROGRAM DELIVERS HEALTHIER PATIENTS AND HAPPIER PROVIDERS. The purpose of this list is to assist WA and AK providers to determine plan [PDF] CareFirst Third Party Administrator (TPA)/Network Lease Accounts Prefix. Lo-+J52(h' It shows that these type of BCBS member IDs are different. This step will help you determine if prior authorization may be required for a specific member and service. Curious to know what are national Accounts? 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. For example: A2A12345678 Here " A2A" is BCBS alpha numeric prefix. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k PAH. To get information about such member IDs, you can contact BCBS prefix directory phone number i.e. For providers and medical billers who are performing medical billing services, BCBS alpha prefix are helpful to identify the correct payer ID and address for claims submission. 1229 0 obj <> endobj Note: Current three-character, alpha-only prefixes will not be affected by this change. By knowing the details of BCBS home plan, including BCBS insurance plan benefits, coverage options, and costs, you can make better decisions about your healthcare needs. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. endstream endobj 366 0 obj <>>>/Filter/Standard/Length 128/O(`iYJhD[>R`Xq)/P -1324/R 4/StmF/StdCF/StrF/StdCF/U(ETWBQcf )/V 4>> endobj 367 0 obj <>/Metadata 16 0 R/PageLayout/OneColumn/Pages 363 0 R/StructTreeRoot 28 0 R/Type/Catalog>> endobj 368 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 369 0 obj <>stream What is a member ID prefix? Please look for instructions or a phone number on the back of the member ID card. BCBS FEP Its indicated with letter R followed by the id number. bcbs prefix list PDF,Doc ,Images [PDF] Common Prefix Portal List PBC Premera Blue Cross Three Character Prefixes. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Account-specific prefixes are assigned to centrally processed national accounts, which are employer groups that have offices or branches in more than one area, but offer uniform . So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. In addition, some sites may require you to agree to their terms of use and privacy policy. Commercial Communications =&m$ z90P&\:?$IRIj"c5l\"aD(@?Yuk>{8lkelu3X*FpT=6Rv;9'*4O-o|ELLG?-Yec,cqh(e96e4^QyD8H}'o(3 %PDF-1.6 % A2Z, G2A, J4K etc. Yes, Policy number same as member ID number and also known as subscriber ID number. eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides utilization management services for BCBSIL. BCBS Railroad refers to Blue Cross Blue Shield health insurance plans that are specifically designed for members who are affiliated with railroad organizations in the United States. 15456 0 obj <>stream Always use the BCBS prefix on the members current ID card followed by the member id number. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. 404 0 obj <>stream Choose My Signature. We have the right plan for you to keep you and your family covered. If youre a medical biller or a provider and going to submit BCBS plan member claim to the insurance, make sure to submit member ID including prefix. BCBS Alpha Prefix are first three letters of BCBS Member ID to identify correct Blue Cross Blue Shield department responsible for managing the patient eligibility, benefits and claims etc. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. Call 1-800-388-3193 . You may see cards with four-character prefixes, e.g., HMSA Blue Cross Blue Shield of Hawaii uses four-character prefixes. 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. To view this file, you may need to install a PDF reader program. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Three-Character Prefixes. eah xp`}L s1zIq%A9Zc~(Iz~HQu;AT#2$ Wp`Hlpp6NQIV0hg`,g H20[20* ": "Y24Oz>V ?I L r%dl=vHd z/;/X #k> Gq therapy) The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. PREFIXES . It clarifies a utilization management vendor change for specific members. Box 14115 Lexington, KY 40512 Mail Administrator P.O. 0 `xn_F-y(MQ&O!y1?-uZ=t'=E$r2$IA)gYWp&g` e@'SZD/KCbv*pKq~ 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. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. The prefix routes eligibility/benefits inquiries and claims to the appropriate BCBS Plan or system for timely processing. Box 7930 Philadelphia, PA 19101-7930 It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. This article offers an overview of 2021 prior authorization support materials and related communications that may apply for some of our non-HMO commercial and government programs members, effective Jan. 1, 2021. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. BCBS Prefix will not only have numbers and the digits 0 and 1. Member ID cards with no prefix Some member ID cards may not have a prefix. CareFirst IDs have plan codes 080/580 and 190/690. BCBS Railroad member IDs are assigned to members who served in railroad organizations. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Blue Shield (BS) of California. %PDF-1.5 % Most PDF readers are a free download. 761 0 obj <>/Filter/FlateDecode/ID[]/Index[741 37]/Info 740 0 R/Length 98/Prev 110535/Root 742 0 R/Size 778/Type/XRef/W[1 2 1]>>stream If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. Always make sure to submit claims to insurance company on time to avoid timely filing denial. 0 Second Character G assigned to the BCBS Plan as well. 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. 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. External link You are leaving this website/app (site). In addition, some sites may require you to agree to their terms of use and privacy policy. We offers a wide range of RCM solutions to improve your healthcare services financial health and allows you to focus on patients care rather than collecting payments from insurances and patients for services performed. ). Northwest Arizona Employee Benefit Trust (NAEBT) Group # 037461 . Here Letter R indicates BCBS FEP prefix. Each BCBS alpha numeric prefix represents different BCBS home plan. PPO 837P Prefixes are also applicable, . To accommodate our increasing lines of business, Blue Cross and Blue Shield of Montana (BCBSMT) has adopted several new three character prefixes as part of the member identification numbers. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. 01/01/2021 . Follow the step-by-step instructions below to design your premiere blue cross amp the regency group three character prefixes: Select the document you want to sign and click Upload. The prefix may also route claim status inquiries and remit searches. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. One option is Adobe Reader which has a built-in reader. Save my name, email, and website in this browser for the next time I comment. Box 805107, Chicago, Illinois 60680-4112. Check any internal documents you may have and update any references of "alpha prefix" to "prefix". It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. Prior authorization requirements are specific to each patients policy type and the procedure(s) being rendered. hbbd```b``"`r9LLN`DR,>6l30&U$60D2HO rH+H f`bdV8J 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. To identify the plan that holds the members benefits, please call the Out-of-State Blues Plan Subscriber #: 1-800-676-BLUE (2583). It is used to identify and track the healthcare coverage and benefits for that specific member. Born in Texas, USA. Medicaid 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. Search for doctors near you and in your network. BCBS Railroad member IDs starts with a letter R. There are several benefits of using our BCBS Prefix Lookup tool. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Added to list, with AIM effective 04/01/2021 22802 Joint, Spine Surgery Post Fusion 7-12 Vert Seg SUR712.036 AIM Guidelines Lumbar Spinal Fusion Retire from BCBS PA effective 1/1/22; continue to request PA through AIM if applicable; Added to list, with AIM effective 04/01/2021 22804 Joint, Spine Surgery Post Fusion 13/> Vert Seg SUR712.036 AIM . Blue Cross Select Silver. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. K8Y . Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com.
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