In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. Three-Character Prefixes. But dont worry because our BCBS prefix finder include alpha numeric prefix information as well. 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. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. BCBS Railroad member IDs are assigned to members who served in railroad organizations. 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. PDF Provider Quick Reference Guide - CareFirst 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. For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. 0 0t9~pE_ >if}~t~iM 'yn8Pgi |hxQD_Y. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. BCBS Prefix List Z2A to Z9Z - Alpha Numeric Lookup 2022 This new site may be offered by a vendor or an independent third party. Northwest Arizona Employee Benefit Trust (NAEBT) Group # 037461 . Lo-+J52(h' For more information, contact your Network Provider Consultant or call 406-437-6100. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. bcbs prefix list PDF,Doc ,Images - pdfprof.com 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. BCBS Alpha Prefix List from PAA to PZZ Updated 2023 Blue KC Commercial Prior Authorization and Notification List 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. External link You are leaving this website/app (site). Always make sure to submit claims to insurance company on time to avoid timely filing denial. %PDF-1.6 % Choose My Signature. PDF 2022 Commercial PA Code Lists December Updates - BCBSIL PDF Network Prefix List - CareFirst Provider BCBS Prefix will not only have numbers and the digits 0 and 1. You may also want to know: United Healthcare Claims Address Information. The policy number is usually provided to the policyholder, who is the individual or entity that holds the insurance policy. 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. %PDF-1.6 % Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Prior Authorization List for Blue Shield Effective April 1, 2023 (This list is updated monthly) blueshieldca.com 601 12th Street | Oakland, CA 94607 Blue Shield of California is an independent member of the Blue Shield Association April 1, 2023 Page 1 of 8 Policy Name/Program Procedure Code (To search, press Ctrl + F) . Here Letter R indicates BCBS FEP prefix. "Y24Oz>V ?I L r%dl=vHd z/;/X #k> Gq 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. BCBS Prefix List Lookup 2023 - Latest Blue Cross Blue Shield Directory BlueCard. 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 . One option is Adobe Reader which has a built-in reader. endstream endobj 366 0 obj <>>>/Filter/Standard/Length 128/O(`iYJhD[>R`Xq)/P -1324/R 4/StmF/StdCF/StrF/StdCF/U(ETWBQcf )/V 4>> endobj 367 0 obj <>/Metadata 16 0 R/PageLayout/OneColumn/Pages 363 0 R/StructTreeRoot 28 0 R/Type/Catalog>> endobj 368 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 369 0 obj <>stream Regence Prefix List Form - Fill Out and Sign Printable PDF Template BCBS is one of the largest medical insurance company by total members of more than 45 million. BCBS Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan. 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: Decide on what kind of signature to create. For Example: XYZ123456789. PAJ. Each BCBS alpha numeric prefix represents different BCBS home plan. Normally, account specific prefix associates to the employer group name. You may also be interested to read about denial code 27 reason and solutions. The following summary and related prior authorization lists were posted on the Support Materials (Commercial) page the Utilization Management section of our Provider website as of Jan. 1, 2021: Commercial Communications Availity provides administrative services to BCBSIL. 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. There are three variants; a typed, drawn or uploaded signature. q8-_?UT"X e+1?#7DMKHY]?R,-e;PE\mL Most Blue Cross Blue Shield (BCBS) member IDs begin with a three-character prefix. Now, with more than 15 years of experience as a medical biller and revenue cycle manager, I am on a mission to serve the medical billing industry with my vast knowledge and years of expertise. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. 777 0 obj <>stream It clarifies a utilization management vendor change for specific members. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. Checking eligibility and/or benefit information and/or the fact that a service has been prior authorized is not a guarantee of payment. This article offers an overview of 2021 prior authorization support materials and related communications that may apply for some of our non-HMO commercial and government programs members, effective Jan. 1, 2021. Prior-Authorization And Pre-Authorization | Anthem.com Coverage Period: 01/01/2021 - 12/31/2021 . =&m$ z90P&\:?$IRIj"c5l\"aD(@?Yuk>{8lkelu3X*FpT=6Rv;9'*4O-o|ELLG?-Yec,cqh(e96e4^QyD8H}'o(3 View Medicare information Radiology utilization for Arkansas Blue Cross FEP Prior Authorization Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Unraveling the Truth, United Healthcare Claims Address, Payer ID, Fax and Phone Number, BCBS Prefix List 2023 Alpha Prefix and Alpha Number Prefix Lookup, BCBS Alpha Numeric Prefix from L2A to L9Z (Updated 2023), BCBS Provider Phone Number for Claims and Eligibility Verification, Benefits and Eligibility Verification Services. In order to get rid of this denial or sometimes delay in processing, Provider or Billing companies has to find out the correct address by BCBS prefix from the above list before filing the claim. Additionally, the following services require Prior Authorization regardless of place of service or level of care: To submit a prior authorization request you may also fax or mail your request. Contact us to learn how we can improve your revenue cycle. 1268 0 obj <>stream Not assigned prefix. Hi, Im Kim Keck! The site may also contain non-Medicare related information. It means that BCBS members IDs prefixes will must have alphabets. Complete patient information, on the other hand, allows your claims to process without delays. hbbd```b``"`r9LLN`DR,>6l30&U$60D2HO rH+H f`bdV8J For accurate and quick claims processing, it is necessary to get complete patient insurance information. Does BCBS policy number same as BCBS member ID number? 404 0 obj <>stream This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. PDF BCBSAZ/TPA Co-Administered Group Plans - AZBlue PAH. hbbd```b``A$ Member identification numbers beginning with R belong to Federal Employee Program (FEP) and will not have a three-character prefix when filing. BCBS Railroad member IDs starts with a letter R. Please DO NOT randomly select a three-character prefix. 0 01/01/2021 . Identifying BlueCard members - Regence These plans provide health insurance coverage for railroad employees, retirees, and their eligible dependents. If you have any questions or need help submitting a prior authorization, please call 816-395-3989 for assistance. T. he Summary of Benefits and Coverage (SBC) document will help you choose a health. 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. Prior authorization requirements are specific to each patients policy type and the procedure(s) being rendered. BCBS Alpha Numeric prefix are three characters at the start of each BCBS insurance member ID. For Federal Employee Program (FEP) precertification requirements, please see the separate FEP precertification list. for medical policies and prior authorization requests. BCBS alpha numeric prefix contains alphabets as well as digits ranging from 1 to 9. DIGNITY HEALTH YAVAPAI REGIONAL MEDICAL CENTER AND BLUE CROSS BLUE SHIELD OF ARIZONA REACH AGREEMENT, FIESTA BOWL AND BLUE CROSS BLUE SHIELD OF ARIZONA OPEN APPLICATIONS FOR FOURTH ANNUAL EMPOWERING DIVERSITY SCHOLARSHIP, PCMH PROGRAM DELIVERS HEALTHIER PATIENTS AND HAPPIER PROVIDERS. PDF HMO Networks - Blue Cross and Blue Shield of Illinois