bcbs illinois prefix list

BCBS Insurance mainly focuses on medical treatments and providing maximum support for the financial condition. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. <> 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. The health of your eyes and teeth can affect your overall health. Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. In addition, some sites may require you to agree to their terms of use and privacy policy. endobj The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. Blue Cross Blue Shield Federal Phone Number. <> The content shared in this website is for education and training purpose only. endobj Contact us to learn how we can improve your revenue cycle. The BCBSIL Commercial Provider Manual is organized into the following sections for providers participating in PPO, Blue Choice PPOSM, HMO and the Blue High Performance NetworkSM(Blue HPNSM)EPO. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. Z2A to Z9A. It shows that these type of BCBS member IDs are different. BCBS Prefix BCBS Plan Name E2A Blue Cross Blue Shield Texas E2B Blue Cross Blue Shield Texas E2C Anthem BCBS Indiana E2E Regence Blue Cross . !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. HOME; . Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. The terms of the members plan control the available benefits. 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? But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. 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. You may also be interested to read about denial code 27 reason and solutions. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . [ 15 0 R] 17 0 obj ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" Find a BCBS Company by Prefix. It also suggests that the members enjoy the networks participating with the hospital and other medical costs. For government programs prior authorization requests handled by eviCore healthcare (eviCore): endobj Certain employer groups may require prior authorization or pre-notification through other vendors. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. BCBS Alpha Prefix from BAA to BZZ. Some requests are handled by BCBSIL; others are handled by utilization management vendors. $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| <> 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). On the other hand, host plans indicate more services in the health care services and competition within the area. This includes strict observance of and compliance with the laws and regulations governing the business operations of HCSC, and in particular, the services that it performs or has delegated to others to perform pursuant to its Medicare and Medicaid contract(s). Save my name, email, and website in this browser for the next time I comment. BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . 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. It has also helped customers during emergencies by providing the proper medical treatments and other sources. Most of the coverages are associated with baggage loss. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. 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. 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. XCE. 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: 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. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . Do not delay the billing of a claim for any reason. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> 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. Click on a section title to view the content. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. within 365 days . There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. By doing it may cause delay in processing or handling the claim. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. BCBS Prefix will not only have numbers and the digits 0 and 1. Home plans are generally used as a member of the former application. Access Your Payment Options. V2A to V9Z. 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. Create an account. 5 0 obj 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). Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Today you will find The BCBS Alpha Prefix List from SAA to SZZ. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. Preferred PPOSM Alpha Prefix Codes December 15, 2015 As a reminder, the alpha prefix codes on Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have been updated. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. For example: ABC12345678. Medicare Advantage is an alternative to original Medicare where a private health insurance . Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. BCBS Alpha Numeric Prefix from T2A to T9Z. Admin 83A. 365days . All claims must be submitted to Blue Cross Blue Shield. Anthem Blue-Cross Blue-Shield of Ohio. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. 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. 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. 14 0 obj Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. The prefixes identify the member's BCBS prefix list plan or national account and become essential when routing claims for processing. How To Identify Blue Cross Blue Shield Member? X2A to X9Z. In addition, some sites may require you to agree to their terms of use and privacy policy. Ohio. BAA. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. And to manage such a big network, they divided it into different departments state wise or employer specific. Ans. BCBS Alpha Prefix List of "U"-series. What is Medical Billing and Medical Billing process steps in USA? This list of bcbs prefixes includes BC prefix IEO, INE, ILT, IOI, IQQ, IPB, IVV. 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. 12 0 obj <> <> 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. If possible, make copies of the member's ID card (front and . As noted above, when you check eligibility and benefits, in addition to confirming if prior authorization is required, youll also be directed to the appropriate vendor, if applicable. 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. Blue Cross Blue Shield Federal Phone Number. Unassigned Prefix. 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). _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. The alpha prefix is very important to the identification number. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. It helps to cover up the flights or any delays. State Lookup. 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. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. *!uB9^AwjF(v,o The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) Health Care DeliveryPolicy and Procedures, Blue Cross Community Health Plans ProviderManual, Medicaid Provider Orientation(Professional), Medicaid Prior Authorization RequestForm, Medicaid Provider Orientation (Professional), Blue Cross Community OptionsSMBehavioral Health Benefit Grid. The prefix acts as a key element in confirming the members' eligibility and coverage information. Skip to content. Curious to know what are national Accounts? This new site may be offered by a vendor or an independent third party. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. Join us as we build the next generation of health insurance. BCBS Prefix List 2021 - Alpha. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted.