I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. 2021 Prior Authorization Requirement Summaries, Code Lists and Related It means that BCBS members IDs prefixes will must have alphabets. eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides utilization management services for BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as eviCore, AIM or Availity. For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. endstream endobj 1230 0 obj <. PDF Network Prefix List - CareFirst Provider A2Z, G2A, J4K etc. 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. Title: "Y24Oz>V ?I L r%dl=vHd z/;/X #k> Gq PDF Blue Cross and Blue Shield of Minnesota and Blue Plus Commercial Prior BCBS Railroad member IDs are assigned to members who served in railroad organizations. Save my name, email, and website in this browser for the next time I comment. The site may also contain non-Medicare related information. PAGE : Amkor Technology, Inc. Group # 039176 : AmeriBen . for medical policies and prior authorization requests . PDF 2021 Commercial Prior Authorization Requirements Summary BCBS Railroad refers to Blue Cross Blue Shield health insurance plans that are specifically designed for members who are affiliated with railroad organizations in the United States. 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: There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. An incorrect or missing three-character prefix may cause possible delays in the processing of your claims. For accurate and quick claims processing, it is necessary to get complete patient insurance information. There are three variants; a typed, drawn or uploaded signature. You may see cards with four-character prefixes, e.g., HMSA Blue Cross Blue Shield of Hawaii uses four-character prefixes. Prior Authorization List for Blue Shield Effective April 1, 2023 It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Box 805107, Chicago, Illinois 60680-4112. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. The member ID number may be different for each member covered under the same policy, and it is typically used when seeking medical services, submitting claims, or accessing healthcare benefits. And to manage such a big network, they divided it into different departments state wise or employer specific. BCBS is one of the largest medical insurance company by total members of more than 45 million. To accommodate our increasing lines of business, Blue Cross and Blue Shield of Montana (BCBSMT) has adopted several new three character prefixes as part of the member identification numbers. 1254 0 obj <>/Filter/FlateDecode/ID[]/Index[1229 40]/Info 1228 0 R/Length 122/Prev 219460/Root 1230 0 R/Size 1269/Type/XRef/W[1 3 1]>>stream BCBS Prefix can be classified as follows: BCBS Alpha Prefix - It's a three letter alpha prefix followed by id number. 777 0 obj <>stream 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 policy number is usually provided to the policyholder, who is the individual or entity that holds the insurance policy. For more information, contact your Network Provider Consultant or call 406-437-6100. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. AZBlue - Blue Cross Blue Shield of Arizona - Health Insurance Plans This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. 389 0 obj <>/Encrypt 366 0 R/Filter/FlateDecode/ID[<8909369792D16D43815F0147FF33489A><8FFDC42F54ADC847B845BC8E43A10252>]/Index[365 40]/Info 364 0 R/Length 117/Prev 191516/Root 367 0 R/Size 405/Type/XRef/W[1 3 1]>>stream To identify the plan that holds the members benefits, please call the Out-of-State Blues Plan Subscriber #: 1-800-676-BLUE (2583). Services that require precertification - IBX Prior Authorization for Some Commercial Members Will Transition from eviCore to AIM, Effective Jan. 1, 2021 This notice was posted Oct. 1, 2020, to alert you of a utilization management vendor change. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. Born in Texas, USA. View Medicare information Radiology utilization for Arkansas Blue Cross FEP The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. hbbd``b`f3$ bE FM Dmb"@ $$@z$u ad#B cG %PDF-1.6 % What is the difference between BCBS alpha prefix and BCBS alpha numeric prefix? plan. Availity provides administrative services to BCBSIL. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. Plan Type: PPO . 741 0 obj <> endobj BCBS Alpha Numeric prefix are three characters at the start of each BCBS insurance member ID. 2021 Commercial Prior Authorization Requirements Summary (Updated December 2020) This document provides an overview of services/care categories for which prior authorization may be required for some commercial, non-HMO Blue Cross and Blue Shield of Illinois (BCBSIL) members. Codes may chan ge, and this list may be updated throughout the year. 0|kEMi_a*-Yfj#uqEcA/6 .M.6YNw4cyo>lESMC\)H~L 1B> (Note: For changes to come later this year, refer to this notice, posted Dec. 28, 2020: Commercial Prior Authorization Code Changes, Effective April 1, 2021. Identifying BlueCard members - Regence Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. ;MTK Wheelchairs - Mobility Assistive Equipment (Manual & Power) & Scooters - Wheelchair Purchase only -Motorized) Wheelchair: E1050, E1060, E1070, E1083, E1084, E1085 . Most Blue Cross Blue Shield (BCBS) member IDs begin with a three-character prefix. For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. Box 7930 Philadelphia, PA 19101-7930 T. he Summary of Benefits and Coverage (SBC) document will help you choose a health. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. PDF CSS-E121 Blue Cross Select Silver 01012021 - bcbsal.org Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD. Although we regularly update the BCBS Prefix information but in case youre unable to get information about correct BCBS plan from our BCBS Prefix lookup, feel free to contact us OR call BCBS directory phone number at 800-676-2583. e@'SZD/KCbv*pKq~ Final Remarks about BCBS Prefix Lookup Directory. The three-character prefix at the beginning of the member's identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. BCBS Prefix List Z2A to Z9Z - Alpha Numeric Lookup 2022 Use this guide to see prior approval information for members with ID card prefixes: AEE, AXC, EXX, XCB, XCQ, XCR View guides [pdf] Medicare plans Learn more about providing care for Medicare members. Commercial Communications Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved, Blue Cross Blue Shield BCBS Prefix List Lookup. Please look for claim filing instructions on the back of the ID card. We have the right plan for you to keep you and your family covered. Third, it can help you make more informed decisions to choose right insurance plan and benefits. Second Character G assigned to the BCBS Plan as well. 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. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Three-Character Prefixes. What is Medical Billing and Medical Billing process steps in USA? BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. BCBS Alpha Prefix are first three letters of BCBS Member ID to identify correct Blue Cross Blue Shield department responsible for managing the patient eligibility, benefits and claims etc. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. The notice also refers to a medical policy for more information to help clarify when and how prior authorization requirements may apply. Call 1-800-388-3193 . 'MNiXG]dRBC; 0'Va~9&c}Ag$Pge;\UY,$MtN Secondly, it ensures that you have the most up-to-date information about each and every BCBS prefix home plan because we update the BCBS prefix list on daily basis. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Does BCBS policy number same as BCBS member ID number? Most PDF readers are a free download. Working or retired, we'll help you every step of the way to find the right plan. BCBS Prefix List 2021 - Alpha Numeric State Lookup BCBS Company; Z2A-Prefix Unallocated/Not Assigned: Z2B: Indiana: Anthem Blue-Cross Blue-Shield of Indiana: Z2C-Prefix Unallocated/Not Assigned: Z2D-Prefix Unallocated/Not Assigned: Z2E-Prefix Unallocated/Not Assigned: Z2F: Minnesota: hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k eah xp`}L s1zIq%A9Zc~(Iz~HQu;AT#2$ Wp`Hlpp6NQIV0hg`,g H20[20* ": 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 . So, to answer this query, we have mentioned below few important points to consider. First Care, Inc. are independent licensees of the Blue Cross and Blue Shield Association. 0 To view this file, you may need to install a PDF reader program. Its critical to check member eligibility and benefits through the Availity Provider Portal or your preferred vendor portal prior to every scheduled appointment. hbbd```b``A$ 15363 0 obj <> endobj Prior authorization to confirm medical necessity is required for certain services and benefit plans as part of our commitment to help ensure all Blue Cross and Blue Shield of Illinois (BCBSIL) members get the right care, at the right time, in the right setting. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. K8Y . =&m$ z90P&\:?$IRIj"c5l\"aD(@?Yuk>{8lkelu3X*FpT=6Rv;9'*4O-o|ELLG?-Yec,cqh(e96e4^QyD8H}'o(3 Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. ). Prefix UTS assigned to University of Texas. Member identification numbers beginning with R belong to Federal Employee Program (FEP) and will not have a three-character prefix when filing. BCBS alpha numeric prefix digits are usually in between the prefix e.g. We offer a wide choice of individual plans to fit your health needs and budget. These plans provide health insurance coverage for railroad employees, retirees, and their eligible dependents. `xn_F-y(MQ&O!y1?-uZ=t'=E$r2$IA)gYWp&g` 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. BCBS Prefix List AAA to AZZ - Alpha Lookup by State 2022
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