bcbs illinois prefix list

In certain situations, the baggage gets lost or goes on delaying for the baggage from the airport by claiming to the insurance company and policies for losing the baggage. M+. endobj The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. External link You are leaving this website/app (site). Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. In all adverse conditions, their health insurance programs go on providing the facilities to help out the customers in all possible ways. Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. 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 . Access Your Payment Options. There are several benefits of using our BCBS Prefix Lookup tool. Most PDF readers are a free download. 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. Some requests are handled by BCBSIL; others are handled by utilization management vendors. |d&`{ ^^I|Wp:K|~._s BCBS Blue Care Network Michigan (MI) UAB. The manual is organized into the following sections for your convenience. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. Does United Healthcare cover the cost of dental implants? LAB. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. <> BCBS Alpha Prefix List of "Z"-series. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Join us as we build the next generation of health insurance. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. In the USA, people prefer to use and apply for BCBS insurance as it is considered one of the trustworthy applications and has the maximum facilities to deal with. Bcbs prefix list is showing the exact BCBS plan of the patient, so you can easily call to exact location plan and handle AR follow-up effectively. The alpha prefix is always three letters followed by the member's ID number which can be from 6 up to 14 characters total. The alpha prefix is very important to the identification number. Want to be part of our amazing team? The cross also goes through the analysis of gaining health insurance and forms a series of packages. 12 0 obj BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. In the case of baggage cover, the organization holds on compensating for the loss or any kind of delay. Request a new replacement member ID card, or download a temporary copy. <> 2 0 obj Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. I Don't Have My Member ID Card. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved. It helps to cover up the flights or any delays. 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. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. Five most Workers Compensation Mistakes to Avoid in Maryland. Once a prior authorization request is received and processed, the decision is communicated to the provider. Provider Finder . To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. Here Letter R indicates BCBS FEP prefix. 2/1/2023. The following travel insurance helps to deal with all the medical costs and also covers the family expenses. It also goes on dealing with the student plan. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). This list of bcbs prefixes includes BC prefix IEO, INE, ILT, IOI, IQQ, IPB, IVV. endobj Continue with Recommended Cookies. Do not create one or use the BCBS prefix from another member ID card. Create an account. Anthem Blue-Cross Blue-Shield of Ohio. The alpha prefix is very important to the identification number. Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. The BCBS prefix lookup directory is regularly updated with the latest BCBS insurance plan information, so you can be sure that the information youre viewing is 100% accurate. Do not delay the billing of a claim for any reason. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. Blue Cross Blue Shield Federal Phone Number. endobj 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. Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. 18 0 obj For . Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. State Lookup. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Calls will be returned the next . UAC. Blue Cross Blue Shield insurance Companies - Statewise. The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. How To Identify Blue Cross Blue Shield Member? Curious to know what are national Accounts? 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. To view this file, you may need to install a PDF reader program. Does united healthcare community plan cover chiropractic treatments? 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 more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. Note: Checking eligibility and benefits is key, butwe also have other resources to help you prepare. stream BSBS insurance involves unique prefixes and follows up a unique ID number. Admin 22. Always make sure to submit claims to insurance company on time to avoid timely filing denial. First Character Z assigned to the BCBS Plan. <> 365days . The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. [ 15 0 R] Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information, BCBS Alpha Numeric Prefix from U2A to U9Z (Updated 2023), BCBS Alpha Prefix from TAA to TZZ (Updated 2023). Normally, account specific prefix associates to the employer group name. BCBS Prefix List 2021 - Alpha. It is one of the giant sectors that provide more than 106 million health facilities. In addition, some sites may require you to agree to their terms of use and privacy policy. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Every Blue Cross and Blue Shield plan starts with an alpha prefix so they are called in medical terms BCBS Alpha Prefix. Search your plan's drug list, find a pharmacy, and more. Availity is a trademark of Availity, LLC., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. What is 25 modifier and how to use it for insurance Payment, How to code for diagnosis and procedures related to Monkey pox, BCBS Alpha Prefix List from YAA to YZZ Updated 2023, Timely Filing Limits for all Insurances updated (2023), Blue Cross Blue Shield insurance Companies Statewise, BCBS of South Carolina (SC) / Southcarolinablues, Highmark Blue Shield (BS) of Pennsylvanaia (PA), Blue shield(BS) of Northeastern New York (NeNY). For government programs prior authorization requests handled by eviCore healthcare (eviCore): 9 0 obj By using this directory, you can ensure that you have the most up-to-date information about BCBS home plans and make more informed decisions about choosing right insurance plan. 7 0 obj State Lookup. <> 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. As you transition to Medicare, we hope you'll Stay with Blue and get Medicare coverage from a company you trust. Anthem BCBS of Connecticut. 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. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . 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. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. What is Medical Billing and Medical Billing process steps in USA? The content shared in this website is for education and training purpose only. Home plans are generally used as a member of the former application. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] T2*uug)T%D._M/5WIdB;zg@W01>X_b( vkWXth$OYD8x$Ygt{" BB> V2A to V9Z. What If BCBS Member ID doesnt have Prefix mentioned on Card? It means that BCBS members IDs prefixes will must have alphabets. 15 0 obj Hi, Im Kim Keck! F1Xkt~ n_]}M,h>@iB;jVhX8M5%s9A}SHB+;zwOUR*7Y@"Z/j[xW[,5ygwxxe7cjgj;=d sXT >oTL{ $(5V7Ev-BNlJaZw7F^Uv >U$+o\!je mR[D-h?jkC: .cJ]QC,1p 9ArnWP) v5s]M*I'vv Y2A to Y9A. 17 0 obj An example of data being processed may be a unique identifier stored in a cookie. BAA. In general, there arethreestepsprovidersshould follow. U2A to U9Z. The presence of the members in the organization deals with decisions on certain critical conditions of the customers and getting steps to solve the issues. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. It holds a huge role in the cancellation policy, hotel booking and loss of passports. BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. '/&s0k?Nb~$;,KAz1J X#!&H&K8 '!q15O*e g'<2Aq$04g[ UmKU80xxR Yes, Policy number same as member ID number and also known as subscriber ID number. The benefits that BCBS Insurance provides are. Search articles and watch videos; ask questions and get answers. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. Ans. J7Wr}pY+Gqpgx ck 4=!omPyC]6bRw@;-:.L^]UMw6xAjAA8 et Ans. When does health insurance expire after leaving job? The prefix acts as a key element in confirming the members' eligibility and coverage information. mr+*W@B Blue-Cross Blue-Shield of Illinois. BCBS Prefix will not only have numbers and the digits 0 and 1. <> The Blue Cross helps to deal with the coverage of finding out medical costs and other emergencies. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) 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). BCBS Alpha Numeric Prefix from L2A to L9Z (Updated 2023), BCBS Provider Phone Number for Claims and Eligibility Verification, PR 27 Denial Code Description and Solution, How to Improve Your Coding Accuracy? BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. The Blue cross blue shield company mainly provides proper health insurance coverages. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. For accurate and quick claims processing, it is necessary to get complete patient insurance information. giV7Lxp^^YM(_{27e;//3_`|eC9EliUDD.3fJ0]6DT{,dMZRPRWN2C7?HL4fvy|\b%^SKwIOh)xo${A%t7A3_h}AL In case, you need any additional information related to BCBS prefix then feel free to reach out to us. 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. !D)v&GVr`&dq:1+{maO1DmP[ +|zUma-lT *5+J&E k$T46Bt^:+~/ES" Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. For Example: ABC, A2B, 2AB, 2A2 etc. 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. These documents are located inhttp://www.hisccompliance.com. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . } !1AQa"q2#BR$3br Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. If you have questions on a request handled by BCBSIL, contact our Medical Management department. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. In most ways, the policy numbers and their section move forward with a unique number to get respective orders and their identification to analyze the main purposes of billing the healthcare system. These prefixes may include alpha and numerical characters. 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. <> Among these principles are a commitment to the highest standard of business ethics and integrity. 8 0 obj Lets dig into it! x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. Make sure to make copies of the front and back of member ID card. CPT is registered trademark of American Medical Association. 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. It covers the plans and analyses the services with the complete access of the employees. It also suggests that the members enjoy the networks participating with the hospital and other medical costs. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. BCBS Company. Information current and approximate as of December 31, 2018. For Example: XYZ123456789. Benefits will be determined once a claim is received and will be based upon, among other things, the members eligibility and the terms of the members certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. BCBS of Kansas City. Here we have listed down all the Blue Cross Shield Prefix along with BCBS home plan name and website for BCBS member IDs ranging from W2A to W9Z. The site may also contain non-Medicare related information. &UMDU}%h UX[_kRGyzte,.-pD?^]Yt%i7=$Foy*ja(5}31$9w}eLvdA oV;_$myuVLW5v^{=GW;ig)aYff,WW(/-"*{Wf;x5qS:@-q$QJLgvCd2>OXe|lqc;Kv.&Pkuz?&jm*1qm1UqmeETH}6Iq?} Dl]mh*MNgUh9dzQ!hTk H:Azif+ ]V"U23 Prefix UTS assigned to University of Texas. <> Business health insurance plans designed to fit any size small business and budget. Commercial Communications The consent submitted will only be used for data processing originating from this website. They always offer packages within the amounts mentioned. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. 11 0 obj <> 6 0 obj 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. BCBS Prefix List 2021 - Alpha. Log In to the Shopping Cart, Need to Make a Payment? A prior authorization isnota guarantee of benefits or payment. endobj Ans. Choose a state to see how Blue Cross Blue Shield is working in your community. In addition, some sites may require you to agree to their terms of use and privacy policy. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ? We are also the largest provider of health benefits in Illinois, serving more than 8.1 million members in all 102 counties across the state. Phone - Call eviCore toll-free at 855-252-1117 . In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. endobj All claims must be submitted to Blue Cross Blue Shield. Account Specific Prefix are assigned by BCBS to national accounts. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. 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: You may also be interested to read about denial code 27 reason and solutions. The 34 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. We update BCBS prefix data on daily basis to provide latest BCBS prefix information. New to Blue Access for Members? Language Assistance (opens in a new window) and Non-Discrimination Notice . BCBS Alpha Prefix List of "E"-series: Blue Cross Blue Shield insurance Companies - Statewise: EAA: Not assigned prefix: EAB: BCBS of Kansas City: EAC: Anthem BCBS of Virginia (VA) EAD: BCBS of Illinois (IL) EAE: Regence BCBS: EAF: BCBS of Massachusetts (MA) EAG: Capital Blue Cross of Pennsylvania (PA) EAH: BCBS of Alabama (AL) EAI: Not . 107. 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, HMO Medical Service Agreement Highlight and Process Summary, 3rd Trimester Pregnancy IPA Transfer Policy, 3rd Trimester Pregnancy IPA Transfer Procedure, Ancillary Hospital Institution Care Transition Exceptions Policy, Ancillary Hospital Institution Care Transition Exceptions Procedure, Contract Management Firms Confidentiality Agreement Policy, Contract Management Firms Confidentiality Agreement Procedure, Corrective Action for Failed Utilization Management Audit of Participating IPAs Policy, Corrective Action for Failed Utilization Management Audit of Participating IPAs Procedure, Collaborative Improvement Coaching for HMO Quality Improvement Projects Policy, Collaborative Improvement Coaching for HMO Quality Improvement Projects Procedure, IPA Availability andAccessibility Requirements forImmediate Care Services Policy, IPA Availability andAccessibility Requirements forImmediate Care Services Procedure, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure, IPA Process for Establishing Out of Area for Emergency Services Policy, IPA Process for Establishing Out of Area for Emergency Services Procedure, IPAs Request for Member Transfer Procedure, Member Access to Behavioral Health Services Policy, Member Access to Behavioral Health Services Procedure, Member Notification Process when a Provider Leaves the IPA Policy, Member Notification Process when a Provider Leaves the IPA Procedure, Oversight of Contracted Infertility Vendor Policy, Oversight of Contracted Infertility Vendor Procedure, Primary Care Physician (PCP) Affiliation with Multiple IPAs Policy, Primary Care Physician (PCP) Affiliation with Multiple IPAs Procedure, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Policy, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Procedure, Accountable Care Organization (ACO) Dual Claimed Physician Policy and Procedure, BCBSIL Marketing Communications HLA Policy Procedure, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Policy, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Procedure, Provider Handling of Member Inquiries Complaints and Appeals, Provider Urgent/Expedited Clinical Appeal Process, Recovery of Provider Overpayments due BCBSIL, MA HMO Detailed Explanation ofNon-coverage, MA HMO Notice of Dismissal of Organization Determination Request, MA HMO UM Approval In Network ProviderLetter, MA HMO UM Approval Out of Network ProviderLetter, MA HMO Sample Provider Appeal Language for Explanation ofPayment, MA HMO Sample Waiver of LiabilityStatement, MA HMO Transition to Transplant ManagementForm, HMO Provider Credentialing Pre-application. Step 1 Confirm if Prior Authorization is Required. Manage Settings Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. <> FA%[: . Save my name, email, and website in this browser for the next time I comment. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. 2/1/2023. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. So, to answer this query, we have mentioned below few important points to consider. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. In that situation, health insurance makes the right baggage and passport coverage decisions. endobj Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. 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.