BCBS alpha prefix only contains alphabets and each alpha prefix represents different BCBS home plan. It clarifies a utilization management vendor change for specific members. Member ID cards with no prefix Some member ID cards may not have a prefix. This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. endstream
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Call 1-800-388-3193 . BCBS Alpha prefix are the three characters at the start of each BCBS insurance member ID. This step will help you determine if prior authorization may be required for a specific member and service. AZBlue - Blue Cross Blue Shield of Arizona - Health Insurance Plans 15363 0 obj
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Box 14115 Lexington, KY 40512 Mail Administrator P.O. BCBS Prefix List AAA to AZZ - Alpha Lookup by State 2022 It means that BCBS members IDs prefixes will must have alphabets. The site may also contain non-Medicare related information. Prior Authorization List for Blue Shield Effective April 1, 2023 761 0 obj
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BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. PDF Traditional Coverage - BCBSIL AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. Always make sure to submit claims to insurance company on time to avoid timely filing denial. Checking eligibility and/or benefit information and/or the fact that a service has been prior authorized is not a guarantee of payment. The prior authorization information in this notice does not apply to requests for HMO members. Working or retired, we'll help you every step of the way to find the right plan. Note: Current three-character, alpha-only prefixes will not be affected by this change. plan. Our Health Choice plans are available to Arizonans who qualify for Medicaid. Here are links to some recent communications that were posted to notify you of important changes: Government Programs Prior Authorization Summary and Code Lists document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. 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. The three-character prefix at the beginning of the members identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. BCBS Alpha Prefix Lookup 2023 In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. 777 0 obj
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There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Born in Texas, USA. %PDF-1.6
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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. You may also want to know: United Healthcare Claims Address Information. For example: A2A12345678 Here " A2A" is BCBS alpha numeric prefix. Infusion Site of Care Prior Authorization Drug List: New Codes Will Be Added, Effective Jan. 1, 2021 This notice was posted Dec. 28, 2020, to advise you of 14 new codes being added to our specialty pharmacy prior authorization drug list. For Example: ABC, A2B, 2AB, 2A2 etc. 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. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. 8772287268 Mail Administrator P.O. TT$%b"Dg!h^`]-ce?i8xRiu1IrD-%oR#yt;JBOJ#"TXwD0L Fw,]xS_CU3zf]06_T} PNGCqWV^UET6X~`U $=0j]xkM#[f4YgI|in
Z(0zF1-9gk!D @WeUUn/R%$'c|J6:z}\}8ZNd+SL5-h"\wE$w{3\zO>,Vta$a`D7rHmr$bwZm7yYO)&^E<2@9#&UDOz BCBS is one of the largest medical insurance company by total members of more than 45 million. It shows that these type of BCBS member IDs are different. It is used to identify and track the healthcare coverage and benefits for that specific member. endstream
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You can also contact us for specialty medical billing services. 1229 0 obj
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The policy number is a unique identifier which may cover multiple members under the same policy, such as a family or a group. PREFIXES . There are three variants; a typed, drawn or uploaded signature. PDF Updated November 2021 - BCBSIL Make sure to make copies of the front and back of member ID card. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. hb```I! Each BCBS alpha numeric prefix represents different BCBS home plan. Most PDF readers are a free download. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. NBT . 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. One option is Adobe Reader which has a built-in reader. Check any internal documents you may have and update any references of "alpha prefix" to "prefix". Enter a location and search by doctor or hospital name, health condition, or specialty. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. Medicare Working or retired, we'll help you every step of the way to find the right plan. Codes may chan ge, and this list may be updated throughout the year. BCBS FEP Its indicated with letter R followed by the id number. BCBS Prefix AAA Home Plan and Phone Number, BCBS Alpha Numeric Prefix from Y2A to Y9Z, BCBS Alpha Numeric Prefix from X2A to X9Z, BCBS Alpha Numeric Prefix from W2A to W9Z, BCBS Alpha Numeric Prefix from V2A to V9Z, Frequently Asked Questions Related to BCBS Prefix. "Y24Oz>V ?I L r%dl=vHd z/;/X
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PDF CSS-E121 Blue Cross Select Silver 01012021 - bcbsal.org Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. AZBlue - Blue Cross Blue Shield of Arizona - Health Insurance Plans A healthier Arizona is what we're all about. What is Medical Billing and Medical Billing process steps in USA? Commercial Prior Authorization Summary and Code Lists 'MNiXG]dRBC; 0'Va~9&c}Ag$Pge;\UY,$MtN A2Z, G2A, J4K etc. Does policy number same as member ID number? hbbd```b``A$ Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Member identification numbers beginning with R belong to Federal Employee Program (FEP) and will not have a three-character prefix when filing. 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 . BCBS Railroad member IDs are assigned to members who served in railroad organizations. By doing it may cause delay in processing or handling the claim. Please look for instructions or a phone number on the back of the member ID card. 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. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue .