The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. Blue Cross Blue Shield Federal Phone Number. <> Do not create one or use the BCBS prefix from another member ID card. The site may also contain non-Medicare related information. 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. 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. When does health insurance expire after leaving job? The following travel insurance helps to deal with all the medical costs and also covers the family expenses. 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. Does policy number same as member ID number? <> Complete Guideline and Strategy, Tips to Create the Perfect Medical Provider Resume, Benefits and Eligibility Verification Services. It has also helped customers during emergencies by providing the proper medical treatments and other sources. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. 365days . It covers the plans and analyses the services with the complete access of the employees. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. <> 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. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. 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. U2A to U9Z. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . If you have any questions, call the number on the member's ID card. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. Most of the coverages are associated with baggage loss. 12 0 obj They always offer packages within the amounts mentioned. Other providers are available in our network. Learn more about timely filing limits and CO 29 Denial Code. In most ways, the policy numbers and their section move forward with a unique number to get respective orders and their identification to analyze the main purposes of billing the healthcare system. Most PDF readers are a free download. 107. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. Returning Shopper? Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. 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 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. To view this file, you may need to install a PDF reader program. <> Emergency services are an exception. M. members covered. 13 0 obj 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. 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. BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. 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 . These BCBS prefix may include alpha and numerical characters. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. 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. Continue with Recommended Cookies. Save my name, email, and website in this browser for the next time I comment. A prior authorization isnota guarantee of benefits or payment. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. XCE. '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR The policies and regulations provided by the organization convey great statements and activities into the proper placement. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. The manual is organized into the following sections for your convenience. For Example: XYZ123456789. 2/1/2023. What is Medical Billing and Medical Billing process steps in USA? BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. 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. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. Online - The eviCore Web Portal is available 24x7. 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). How Long Does the Judge Approval Process for Workers Comp Settlement Take? We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. <> It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. Here you can find the BCBS prefix finder along with BCBS home plan name and website for BCBS member IDs ranging from F2A to F9Z. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. Sometimes, a plan may require the member to request prior authorization for services. eviCore healthcare (eviCore) is an independent company that has contracted with BCBSIL to provide prior authorization for expanded outpatient and specialty utilization management for members with coverage through BCBSIL. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Anthem Blue-Cross Blue-Shield of Ohio. [ 15 0 R] <> Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. For Example: ABC, A2B, 2AB, 2A2 etc. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. endobj These prefixes may include alpha and numerical characters. What If BCBS Member ID doesnt have Prefix mentioned on Card? . Not assigned prefix: GAX: BCBS Illinois: GAY: Anthem Central Region (OH, IN, KY) GAZ: Not assigned prefix: GBA: BCBS Montana: GBB: Anthem Blue Cross California: GBC: Wellmark BCBS: GBD: 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). I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. 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. 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. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. BCBS Company. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. 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? First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. <> Health Exchange. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. Ans. You may also want to know: United Healthcare Claims Address Information. One option is Adobe Reader which has a built-in reader. 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. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. BCBS prefix are easy to identify using our BCBS prefix lookup because they're part of every BCBS member ID and we included all of them here in the BCBS prefix list. T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> endobj Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . BCBS is one of the largest medical insurance company by total members of more than 45 million. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. Note: Most out-of-network services require utilization management review. 14 0 obj Search articles and watch videos; ask questions and get answers. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Manage Settings Illinois. XCD. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. } !1AQa"q2#BR$3br Provider Finder . So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan.