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. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. BCBS Prefix List - Alpha Lookup by State 2022 - Finder endobj 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. 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. Ans. BCBS is one of the largest medical insurance company by total members of more than 45 million. To run such a large number of people, they divided Blue Cross Blue Shield Insurance Association into different departments which is employer specific or state wise. External link You are leaving this website/app (site). xyl prefix provider phone number aqt bcbs prefix bcbs of minnesota prefix bcbs prefix lookup anthem prefixes by state 2022 bcbs illinois prefix list 2022. PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR BCBS Prefix List 2023 - Alpha Prefix and Alpha Number Prefix Lookup Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) Phone - Call eviCore toll-free at 855-252-1117 . Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . 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). 9 0 obj BCBS Alpha Prefix List of "U"-series. Always make sure to submit claims to insurance company on time to avoid timely filing denial. 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BCBS Alpha Prefix Lookup 2023 |d&`{ ^^I|Wp:K|~._s 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. BCBS Alpha Prefix List from GAA to GZZ updated (2023) The blue cross deals with the features to make it easier for the customers to deal with the situation. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. Third, it can help you make more informed decisions to choose right insurance plan and benefits. PDF Premera Blue Cross Three Character Prefixes endobj BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. BCBS Alpha Prefix List (2023) | Complete AAA to ZZZ - Medical Billing RCM It also goes on dealing with the student plan. Step 2If prior authorization is required, have the following information ready: Step 3 Submit Your Prior Authorization Request. Admin 22. One option is Adobe Reader which has a built-in reader. Second Character G assigned to the BCBS Plan as well. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. Create an account. BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. <> The terms of the members plan control the available benefits. 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. [ 15 0 R] UAC. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Connecticut. And to manage such a big network, they divided it into different departments state wise or employer specific. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> 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: PDF Chapter 6: Billing and Payment stream Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. 4/1/2022. BCBS Prefix YAA - YZZ | List Of BCBS Prefixes | BC Prefix XCD. The Blue cross blue shield company mainly provides proper health insurance coverages. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Customer services are indulged with great services. 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. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. BCBS Blue Care Network Michigan (MI) UAB. 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? Anthem BCBS of Connecticut. One option is Adobe Reader which has a built-in reader. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. Step-by-Step Guide for Provider Finder . It is one of the giant sectors that provide more than 106 million health facilities. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. BCBS Alpha Prefix Lookup. 107. Michigan. You can: Pay a bill online or sign up for auto bill pay. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. Blue Cross Blue Shield Medicare Advantage Plans 2021 - Healthline knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. 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. Account Specific Prefix are assigned by BCBS to national accounts. Other providers are available in our network. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. When does health insurance expire after leaving job? To view this file, you may need to install a PDF reader program. In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS prefix are easy to identify using our BCBS prefix lookup because theyre part of every BCBS member ID and we included all of them here in the BCBS prefix list. It covers the plans based on associating them with the testing, measuring the protocols at the time of the trip and many more. endstream 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? It also issues for automation extension of the travel insurance plan. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number.