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Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross and Blue Shield Plan for processing. Bcbs prefix list is showing the exact BCBS plan of the patient, so you can easily call to exact location plan and handle AR followup effectively. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Your email address will not be published. Outside the United States. 0 Comment. three-character alpha prefix. In Account Specific bcbs prefixes will associate to the employer group, hence this are assigned to national accounts. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. FEP has the letter “R” in front of the ID number. MAY 2013 Quick Guide to Blue Cross and/or Blue Shield Member ID Cards 1May . Quick Guide to Blue Cross and Blue Shield Member ID Cards July 2015 3 Introduction Blank Suitcase Alpha Prefixes Most BCBS-branded ID cards display a three-character alpha prefix in the first three positions of the member’s ID number. Welcome! Home and host plan is also working in Blue cross blue shield plan. BCBS prefix list 2021 also known as BCBS prefix lookup or finder. BCBS insurance id format - alpha prefix important Plan-Specific alpha prefixes are assigned to each plan. 26, 2019. Blue Medicare HMO and PPO plans – Starting January 1, 2008 Alpha-prefixes that are unique to Blue Medicare members Prefixes for Blue Medicare plans always end in the letter J Blue Medicare plan type and PPO or HMO status Highlighted area lets you know that the Blue Letter Bible App Offline. Live Fearless with Excellus BCBS Nationwide network of doctors & hospitals Our local network covers 100% of hospitals and 99% of doctors. A guide for providers who treat out-of-area Blue Cross® Blue Shield ... at 1-800-676-BLUE (2583). 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. The three-character prefix is very important to the identification number as the prefix acts as a key element in confirming the member's eligibility and coverage information. BCBS prefix list - 2020 provided above acts as a key element or plays an important role while confirming member’s eligibility and coverage as well as to route the claim to the correct mailing address. Mar. A presentation of the Blue Cross and Blue Shield Association. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. Examples of the different BLUE CROSS BLUE SHIELD PREFIX LIST insurance plans include health maintenance organization, preferred provider organization, point of service and Medicare, according to Blue Cross Blue Shield. Quick Guide to Blue Cross and/or Blue Shield Member ID Cards. AUGUST 2017 . In this the first two digit of BCBS alpha prefix identifies the plan and the third digit of BCBS prefix identifies product the member currently enrolled in. For all 3 digit BCBS alpha prefix identification number, eligibility can be obtained at 800-676-2583. Incorrect or missing prefixes and ID numbers delay claims processing. Get secure access to key plan information, claims history, and recent medications. Every blue cross and Blue Shield plan starts with an alpha prefix. Member ID Cards . PROPOSAL# RFP 5864 Zl – Administrative Services – Nebraska.gov. Blue Letter … We help Medicaid members get the health care they need in 32 Michigan counties across the state. Blue Letter Bible Kjv. 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. Member ID Cards … Thank you for choosing BlueCross BlueShield of ... call the Blue Cross Blue Shield ….. Be sure to include the member's complete ID number when you submit the claim. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. It identifies the member's Blue Cross Blue Shield company or national account in order to properly route the claim. Global Core Program at 800-810 BLUE or ….. 3-digit alpha prefix that precedes the patient. The prefix acts as a key element in confirming the members’ eligibility and coverage information. Prior to April 2018, the prefixes included letters only. Alpha-prefixes also make up part of each member’s unique and individual Blue Cross and or Blue Shield issued identification, as well as being used in the routing of claims, and the accessing of members’ benefits and eligibility information. To ensure there are enough prefixes to support current and future business needs, the prefixes may now be alphanumeric. Get secure access to key plan information, claims history, and recent medications. Required fields are marked *. BCBS ALPHA NUMERIC PREFIX LIST A2A to Z9Z, Denial Code CO 4 – The procedure code is inconsistent with the modifier used or a required modifier is missing, Denial Code CO 18 – Duplicate Claim or Service, Denial Code CO 16 – Claim or Service Lacks Information which is needed for adjudication, Denial Code CO 22 – This care may be covered by another payer per coordination of benefits, Denial Code CO 24 – Charges are covered under a capitation agreement or managed care plan, Denial Code CO 29 – The time limit for filing has expired, Denial Code CO 50 – These are non covered services because this is not deemed medical necessity by the payer, Denial Code CO 97 – The benefit for this service is Included, Denial Code CO 109 – Claim or Service not covered by this payer or contractor, Anthem Blue Cross Blue Shield Customer Service Phone Numbers for Providers, United Healthcare Customer Service Phone Numbers, Healthfirst customer service phone number, claim and appeal address, Medical Billing Terminology of United States of America, What is Explanation of Benefits of Health Insurance in Medical Billing. PDF download: 508C State of TN 2019 Member Handbook – TN.gov. Blue Cross Shield 3 Letter Prefix. 2 uick guide to Blue member ID cards OVERVIEW BlueCard® is a national program through the Blue Cross and Blue Shield Association (BCBSA), an association of independent Blue Cross® and Blue Shield® plans, that enables enrollees of one commercial BCBSA plan to obtain health care service benefits while traveling or living in another Verify eligibility via Highmark’s NaviNet. Blue Shield Medicare Advantage. ... – The letter “R” appears in front of the ID number. Plan & Alpha Prefix Guide Below you will find a list of the 2015 BCNEPA plans with the corresponding Highmark Blue Cross Blue Shield plans for 2016. As Blue Cross and Blue Shield of North Carolina (Blue Cross NC) moves forward with its technology platform change, we are beginning to process claims for members on the new system, which means that some of you may begin to see new member prefixes on ID cards or start receiving checks from us with a … Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. Section 3.2 The Provider Directory: Your guide to all providers in the plan's …. Healthy Blue Medicaid Managed Care October 2017 The information in this bulletin may be an update or change to your provider manual. In the United States, Puerto Rico and U.S. Virgin Islands. Effective, April 15, 2018, Blue Cross and/or Blue Shield Plans (including Horizon BCBSNJ) may begin using three position alphanumeric prefixes on member ID cards.Currently, most Horizon BCBSNJ member ID cards display a three-position alpha prefix at the start of the member’s ID number. Plan logo: The presence of another Blue Cross and/or Blue Shield’s Plan logo on the member’s ID card is the first visual indicator that a member may be eligible for BlueCard benefits. PARTNERS is a Blue Cross and Blue Shield of North Carolina (BCBSNC) company. Prefixes vary depending on how and where the plan was purchased (for example, direct from Blue Cross Blue Shield of Massachusetts or through Massachusetts’ Health Connector). Most members with coverage through a Blue Cross Blue Shield Plan are assigned a three letter alpha prefix as a part of their unique identification number. Blue Cross and Blue Shield member ID numbers usually begin with a three-character prefix. Blue Cross and Blue Shield (BCBS) member ID numbers usually begin with a three-character prefix. Blue cross of california 3 letter prefix. View More Articles. territories, you should call the Blue Cross Blue Shield. All rights reserved. ... letter prefix) and describe the services that you are submitting for review. 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