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Provider Finder . BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. JFIF x x C In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. In recent years medical treatment and its cost has increased, which has become unbearable to manage. The benefits that BCBS Insurance provides are. Prior authorization requests for our Blue Cross Medicare Advantage (PPO) SM (MA PPO), Blue Cross Community Health Plans SM (BCCHP SM) and Blue Cross Community MMAI (Medicare-Medicaid Plan) SM members can be submitted to eviCore in two ways. External link You are leaving this website/app (site). Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. The presence of the members in the organization deals with decisions on certain critical conditions of the customers and getting steps to solve the issues. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. 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. 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. It has also helped customers during emergencies by providing the proper medical treatments and other sources. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. You can: Pay a bill online or sign up for auto bill pay. Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. Do not create one or use the BCBS prefix from another member ID card. stream For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. 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). 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. U2A to U9Z. 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. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Connecticut. UAC. Does united healthcare community plan cover chiropractic treatments? 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: Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. BCBS Alpha Prefix Lookup. The plans and system go on covering up the international travel ventures. XCC. BCBS prefix list EAA-EZZ. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . Always make sure to submit claims to insurance company on time to avoid timely filing denial. BCBS Prefix List 2021 - Alpha. The prefix acts as a key element in confirming the members' eligibility and coverage information. BCBS Prefix will not only have numbers and the digits 0 and 1. Anthem BCBS of Wisconsin (WI) Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. When does health insurance expire after leaving job? Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. Claims that are submitted after . Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. within 365 days . What If BCBS Member ID doesnt have Prefix mentioned on Card? BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. The alpha prefix is very important to the identification number. <> Admin 83A. 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). N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox mr+*W@B Assistance Available For Members Impacted by Severe Weather, 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). We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. Livestock Protection. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. BAB. New to Blue Access for Members? I Don't Have My Member ID Card. BAA. Search your plan's drug list, find a pharmacy, and more. To view this file, you may need to install a PDF reader program. 5 0 obj 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. PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR What kind of cases do personal injury lawyers handle? Learn more about Ezoic here. <> BCBS of Arkansas Blue Advantage Administrators. Calls will be returned the next . The site may also contain non-Medicare related information. stream Blue Cross Blue Shield insurance Companies - Statewise. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. 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. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. 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? The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. In that situation, health insurance makes the right baggage and passport coverage decisions. BCBS is one of the largest medical insurance company by total members of more than 45 million. Prefix UTS assigned to University of Texas. If the provider or member doesnt get prior authorization for out-of-network services, the claim may be denied. FA%[: 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. 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. 17 0 obj The terms of the members plan control the available benefits. X2A to X9Z. Other providers are available in our network. 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 Home and Host plan is also working in the Blue Cross Blue Shield plan. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. These documents are located inhttp://www.hisccompliance.com. Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information, BCBS Alpha Numeric Prefix from U2A to U9Z (Updated 2023), BCBS Alpha Prefix from TAA to TZZ (Updated 2023). <> They always offer packages within the amounts mentioned. We and our partners use cookies to Store and/or access information on a device. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. How Long Does the Judge Approval Process for Workers Comp Settlement Take? Third, it can help you make more informed decisions to choose right insurance plan and benefits. XCE. It also files on checking the incorrect address and submits the correct form of claiming the right details. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. Information current and approximate as of December 31, 2018. Click on a section title to view the content. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. <> AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. Here " ABC" is BCBS alpha prefix. Save my name, email, and website in this browser for the next time I comment. Choose a state to see how Blue Cross Blue Shield is working in your community. Highmark BCBS of Pennsylvania (PA) ZAC. BCBS FEP Its indicated with letter R followed by the id number. *!uB9^AwjF(v,o BSBS insurance involves unique prefixes and follows up a unique ID number. For Example: ABC, A2B, 2AB, 2A2 etc. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ First Character P is symbolizing that member plan/product type is BCBS PPO. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. 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. 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. !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" -x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. Commercial Communications Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. 2/1/2023. <> giV7Lxp^^YM(_{27e;//3_`|eC9EliUDD.3fJ0]6DT{,dMZRPRWN2C7?HL4fvy|\b%^SKwIOh)xo${A%t7A3_h}AL September 30, 2022 by Rebecca Williams. Some requests are handled by BCBSIL; others are handled by utilization management vendors. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. The cross also goes through the analysis of gaining health insurance and forms a series of packages. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. Online - The eviCore Web Portal is available 24x7. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . 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. CAA. BCBS member ID card will have a suitcase logo at the bottom of card which will also help you to identify patient plan like HMO, PPO, POS etc. Anthem Blue-Cross Blue-Shield of Ohio. Born in Texas, USA. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. 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. The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. An example of data being processed may be a unique identifier stored in a cookie. To view this file, you may need to install a PDF reader program. 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. 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. Always check eligibility and benefits first,via theAvailityEssentialsor your preferred web vendor, prior to rendering care and services. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Step-by-Step Guide for Provider Finder . Ans. 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). The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. 16 0 obj BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. 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. . 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. Continue with Recommended Cookies. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. Menu. endobj It also storms up the stability of ones financial condition. Yes, Policy number same as member ID number and also known as subscriber ID number. 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, HMO Medical Service Agreement Highlight and Process Summary, 3rd Trimester Pregnancy IPA Transfer Policy, 3rd Trimester Pregnancy IPA Transfer Procedure, Ancillary Hospital Institution Care Transition Exceptions Policy, Ancillary Hospital Institution Care Transition Exceptions Procedure, Contract Management Firms Confidentiality Agreement Policy, Contract Management Firms Confidentiality Agreement Procedure, Corrective Action for Failed Utilization Management Audit of Participating IPAs Policy, Corrective Action for Failed Utilization Management Audit of Participating IPAs Procedure, Collaborative Improvement Coaching for HMO Quality Improvement Projects Policy, Collaborative Improvement Coaching for HMO Quality Improvement Projects Procedure, IPA Availability andAccessibility Requirements forImmediate Care Services Policy, IPA Availability andAccessibility Requirements forImmediate Care Services Procedure, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure, IPA Process for Establishing Out of Area for Emergency Services Policy, IPA Process for Establishing Out of Area for Emergency Services Procedure, IPAs Request for Member Transfer Procedure, Member Access to Behavioral Health Services Policy, Member Access to Behavioral Health Services Procedure, Member Notification Process when a Provider Leaves the IPA Policy, Member Notification Process when a Provider Leaves the IPA Procedure, Oversight of Contracted Infertility Vendor Policy, Oversight of Contracted Infertility Vendor Procedure, Primary Care Physician (PCP) Affiliation with Multiple IPAs Policy, Primary Care Physician (PCP) Affiliation with Multiple IPAs Procedure, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Policy, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Procedure, Accountable Care Organization (ACO) Dual Claimed Physician Policy and Procedure, BCBSIL Marketing Communications HLA Policy Procedure, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Policy, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Procedure, Provider Handling of Member Inquiries Complaints and Appeals, Provider Urgent/Expedited Clinical Appeal Process, Recovery of Provider Overpayments due BCBSIL, MA HMO Detailed Explanation ofNon-coverage, MA HMO Notice of Dismissal of Organization Determination Request, MA HMO UM Approval In Network ProviderLetter, MA HMO UM Approval Out of Network ProviderLetter, MA HMO Sample Provider Appeal Language for Explanation ofPayment, MA HMO Sample Waiver of LiabilityStatement, MA HMO Transition to Transplant ManagementForm, HMO Provider Credentialing Pre-application. Michigan. 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). Sometimes, a plan may require the member to request prior authorization for services. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. One option is Adobe Reader which has a built-in reader. 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? knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. W2A to W9Z. Manage Settings Our trusted community experts can give you the one-on-one help you need to shop for health insurance. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. endobj Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and the health care provider. If you have questions on a request handled by BCBSIL, contact our Medical Management department. Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Does blue cross blue shield cover shingles vaccine? 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. 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). 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 . To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. Log In to the Shopping Cart, Need to Make a Payment?