K8Y . 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. Does BCBS Cover Wegovy for Weight Loss? One option is Adobe Reader which has a built-in reader. 1229 0 obj <> endobj Member identification numbers beginning with R belong to Federal Employee Program (FEP) and will not have a three-character prefix when filing. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. For accurate and quick claims processing, it is necessary to get complete patient insurance information. For Federal Employee Program (FEP) precertification requirements, please see the separate FEP precertification list. If youre a medical biller or a provider and going to submit BCBS plan member claim to the insurance, make sure to submit member ID including prefix. 0 NBT . Normally, account specific prefix associates to the employer group name. b(f{YH^tn}u62\}TgT>ENWJB=J #=a$oXIq(n,tU+D'j}L(t#,w?!^oZUQR, 7a. The policy number is a unique identifier which may cover multiple members under the same policy, such as a family or a group. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. 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 . 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. Third, it can help you make more informed decisions to choose right insurance plan and benefits. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. If you have any questions, call the number on the members ID card. If you have any questions or need help submitting a prior authorization, please call 816-395-3989 for assistance. BlueCard. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved, Blue Cross Blue Shield BCBS Prefix List Lookup. Commercial Communications BCBS Prefix will not only have numbers and the digits 0 and 1. endstream endobj startxref We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. This indicates that the claims are excluded from the BlueCard Program. 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. 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. Independence Blue Cross* Quick Reference Guide . For 2021, there were no changes to overall care categories, but some of the codes within certain categories may have been updated. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Enter a location and search by doctor or hospital name, health condition, or specialty. Prior Authorization Services For Fully Insured and ASO, Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO), Prior Authorizations Lists for Designated Groups, Prior Authorization Exemptions (Texas House Bill 3459), Medicare Advantage Private Fee-for-Service (PFFS), Eligibility and Benefits Inquiry (HIPAA 270/271), Behavioral Health Care Management Program, Quality Care Partner With Your Patients, Preventive Care Guidelines/Patient Wellness Guidelines, Health Equity and Social Determinants of Health (SDoH), Prescription Drug List and Prescribing Guidelines, Prior Authorization and Step Therapy Programs, Medical Policy and Pre-certification/Pre-authorization Information for Out-of-Area Members, Consolidated Appropriations Act and Transparency in Coverage Final Rule, Blue Cross Blue Shield of Texas provider website. PAJ. What is a member ID prefix? 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. The notice also refers to a medical policy for more information to help clarify when and how prior authorization requirements may apply. These prefixes may include alpha and numerical characters. Search for doctors near you and in your network. The policy number is usually provided to the policyholder, who is the individual or entity that holds the insurance policy. How To Identify Blue Cross Blue Shield Member? Born in Texas, USA. 15363 0 obj <> endobj eah xp`}L s1zIq%A9Zc~(Iz~HQu;AT#2$ Wp`Hlpp6NQIV0hg`,g H20[20* ": BCBS alpha prefix only contains alphabets and each alpha prefix represents different BCBS home plan. Some members ID cards may not have an alpha prefix. 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: Customer Service: 1-800-409-9462 HCSC-PORT. These BCBS prefix may include alpha and numerical characters. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. BCBS Railroad member IDs are assigned to members who served in railroad organizations. Group Name. This includes our Medicaid Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and Blue Cross Medicare Advantage (PPO)SM(MA PPO) members. 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. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. 0 Note: Current three-character, alpha-only prefixes will not be affected by this change. Commercial Prior Authorization Summary and Code Lists Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Member ID cards with no prefix Some member ID cards may not have a prefix. a'm So, all BCBS plans, including Anthem prefix and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). 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) . 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. 1 of 7. Yes, Policy number same as member ID number and also known as subscriber ID number. Call 1-800-388-3193 . 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 Complete patient information, on the other hand, allows your claims to process without delays. ). 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 BCBS Railroad member IDs starts with a letter R. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. Wheelchairs - Mobility Assistive Equipment (Manual & Power) & Scooters - Wheelchair Purchase only -Motorized) Wheelchair: E1050, E1060, E1070, E1083, E1084, E1085 . Here Letter R indicates BCBS FEP prefix. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. In the District of Columbia and . 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. So, to answer this query, we have mentioned below few important points to consider. 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: Medicaid hbbd``b`f3$ bE FM Dmb"@ $$@z$u ad#B cG AZBlue - Blue Cross Blue Shield of Arizona - Health Insurance Plans A healthier Arizona is what we're all about. Do not create one or use the BCBS prefix from another member ID card. (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. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. Carefirst BCBS of Maryland the (MD), District of Columbia (DC) and the Northern Virginia (VA) Northwest Arizona Employee Benefit Trust (NAEBT) Group # 037461 . 741 0 obj <> endobj The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. This step will help you determine if prior authorization may be required for a specific member and service. endstream endobj startxref B}hJu`n+Z9>)2B~feo,TV [ZI^ylRr8DGo;ckrA;X2SjUlW]$4_vN(Tvh6#moc0!pbJ;oW)A'oR&bH=`1K}P(u3gD9:#1!m2saW1SD5/p2 'Su &x@`N.e#U(Fne]4;$"o*k;$~gn-Sd"mjdTY2R*I:w8w3;fpCfQH& BCBS of Illinois (IL) PAK. eO\v; tU9kN@]fh:~q:Fye{Q)ihJ HP/VD/_oy\ H ~fa4L?!ekF(\0>o `xn_F-y(MQ&O!y1?-uZ=t'=E$r2$IA)gYWp&g` Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. 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. Please look for claim filing instructions on the back of the ID card. (Note: For changes to come later this year, refer to this notice, posted Dec. 31, 2020: New Prior Authorization Requirements for Advocate Aurora Health Members Will Take Effect April 1, 2021.). Second Character G assigned to the BCBS Plan as well. Last updated: 07/01/2022. Narrow Network: Provider participation is by invitation. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. There are three variants; a typed, drawn or uploaded signature. One option is Adobe Reader which has a built-in reader. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. PAGE : Amkor Technology, Inc. Group # 039176 : AmeriBen . T. he Summary of Benefits and Coverage (SBC) document will help you choose a health. What is Medical Billing and Medical Billing process steps in USA? Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information. CareFirst IDs have plan codes 080/580 and 190/690. Baltimore, MD 21237 . AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. 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. American Health Group (AHG) Call 1-800-847-7605 . 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 Save my name, email, and website in this browser for the next time I comment. Blue Shield (BS) of California. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) PAI. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k BCBS alpha numeric prefix contains alphabets as well as digits ranging from 1 to 9. BCBS Alpha prefix are the three characters at the start of each BCBS insurance member ID. You can also contact us for specialty medical billing services. Prior authorization requirements are specific to each patients policy type and the procedure(s) being rendered. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. claims_and_billing/edi/ibc_ professional_payer_id.pdf 54704 -SX083 837I -12X26 Claims Address Claims Receipt Center Box 211184 Eagan, MN 55121 Adjustment Claims Inquiries P.O. BCBS Prefix will not only have numbers and the digits 0 and 1. For more information, contact your Network Provider Consultant or call 406-437-6100. 800-676-2583. Current prefixes will still be valid once the new alpha-numeric prefixes are issued, unless there is another need to change or remove a prefix . You may also want to know: United Healthcare Claims Address Information. BCBS FEP Its indicated with letter R followed by the id number. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. PAH. %{!]/Ox^ A[BXe S#(Df What is the difference between BCBS alpha prefix and BCBS alpha numeric prefix? 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. 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. 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, 2021 Commercial Prior Authorization Requirements Summary, 2021 Commercial Outpatient Medical Surgical Prior Authorization Code List, 2021 Commercial Specialty Pharmacy Prior Authorization Drug List, 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List, New Prior Authorization Requirements for Some Custom Account Members Will Take Effect Jan. 1, 2021, 2021 Medicaid Prior Authorization Requirements Summary, 2021 Medicaid Prior Authorization Code List, 2021 MA PPO Prior Authorization Requirements Summary, 2021 MA PPO Prior Authorization Code List, BCBSIL Provider Network Consultant (PNC) team, Update: Utilization Management Change for Advocate Aurora Health Members, Effective Jan. 1, 2021 This News and Updates was posted Dec.15, 2020, and updated Dec. 31, 2020 to reflect a corrected phone number. For Example: XYZ123456789. %%EOF 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 BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. by calling 1-844-377-1278 (BCN) or 1-800-728-8008 (Blue Cross) or by logging oncology and in to the AIM ProviderPortal. Most PDF readers are a free download. You may see cards with four-character prefixes, e.g., HMSA Blue Cross Blue Shield of Hawaii uses four-character prefixes. See the Medical oncology prior authorization list for Blue Cross and BCN commercial members for a supportive care drugs (other than CAR -T comprehensivelist of managed by AIM, and groupsincluded in the program. It is used to identify and track the healthcare coverage and benefits for that specific member. BCBS prefix are easy to identify using our BCBS prefix lookup because they're part of every BCBS member ID and we included all of them here in the BCBS prefix list. All prefixes are unique. Plan Type: PPO . %PDF-1.6 % This new site may be offered by a vendor or an independent third party. Does BCBS policy number same as BCBS member ID number? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. 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. These plans provide health insurance coverage for railroad employees, retirees, and their eligible dependents. 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. The purpose of this list is to assist WA and AK providers to determine plan [PDF] CareFirst Third Party Administrator (TPA)/Network Lease Accounts Prefix. Here are links to some recent communications that were posted to notify you of important changes: Government Programs Prior Authorization Summary and Code Lists Please DO NOT randomly select a three-character prefix. BCBS Alpha Numeric prefix are three characters at the start of each BCBS insurance member ID. For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. For Example: ABC, A2B, 2AB, 2A2 etc. 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. 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. Prior Authorization Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). It means that BCBS members IDs prefixes will must have alphabets. ", Blue Cross and Blue Shield of Texas, 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). Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. . We make it easy for you to offer the healthcare coverage that delivers for your business. Most PDF readers are a free download. Summaries and code lists are posted as a reference to help you determine when prior authorization may be required for non-HMO government programs members. %%EOF PREFIXES . BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. for medical policies and prior authorization requests. 15388 0 obj <>/Encrypt 15364 0 R/Filter/FlateDecode/ID[]/Index[15363 94]/Info 15362 0 R/Length 122/Prev 932133/Root 15365 0 R/Size 15457/Type/XRef/W[1 3 1]>>stream 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. We have the right plan for you to keep you and your family covered. 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. q8-_?UT"X e+1?#7DMKHY]?R,-e;PE\mL Coverage For: Individual + Family. endstream endobj 742 0 obj <. By doing it may cause delay in processing or handling the claim. To view this file, you may need to install a PDF reader program. 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. bcbs prefix list PDF,Doc ,Images [PDF] Common Prefix Portal List PBC Premera Blue Cross Three Character Prefixes. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy. Three-Character Prefixes. 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. This new site may be offered by a vendor or an independent third party. Does policy number same as member ID number? 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. 'MNiXG]dRBC; 0'Va~9&c}Ag$Pge;\UY,$MtN TT$%b"Dg!h^`]-ce?i8xRiu1IrD-%oR#yt;JBOJ#"TXwD0L Fw,]xS_CU3zf]06_T} PNGCqWV^UET6X~`U Individuals & Families We offer a wide choice of individual plans to fit your health needs and budget. Our Health Choice plans are available to Arizonans who qualify for Medicaid. Benefits and eligibility should be verified for all members prior to rendering services. $=0j]xkM#[f4YgI|in Z(0zF1-9gk!D @WeUUn/R%$'c|J6:z}\}8ZNd+SL5-h"\wE$w{3\zO>,Vta$a`D7rHmr$bwZm7yYO)&^E<2@9#&UDOz It shows that these type of BCBS member IDs are different. 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. No, the BCBS policy number is not typically the same as the BCBS member ID number. Its important to remember that benefit plans differ in their benefits, and details such as prior authorization requirements are subject to change. Its critical to check member eligibility and benefits through the Availity Provider Portal or your preferred vendor portal prior to every scheduled appointment. This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. 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. Codes may chan ge, and this list may be updated throughout the year. Each BCBS alpha numeric prefix represents different BCBS home plan. 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. 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). It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. These BCBS prefix may include alpha and numerical characters. %PDF-1.5 % 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. 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. Availity provides administrative services to BCBSIL. What is Medical Billing and Medical Billing process steps in USA? therapy) 404 0 obj <>stream You may also be interested to read about denial code 27 reason and solutions. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Box 14114 Lexington, KY 40512 Federal Employee Program (FEP) R prefix DC/Metropolitan Area 2024884900 MD 8008545256 DC/Metropolitan Area Mail Administrator P.O . Please look for instructions or a phone number on the back of the member ID card. Blue Cross and Blue Shield of Illinois, P.O. O}BAXv:OP)Qt9>PN,RG4uZu~?raYW+Q`|w[OD klW1Kg|'6'8=rRW00+,oD~`Ox(4DLMm,$Uy69r!$w0.<5>gJd'0?wf\2t| :\xQ cwh)}Ycb8I5vg~TQNnx^Y$M'JL+0?\:3Y(+Sb1:_%^uur(h>mS If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. nKvo2>)*Y=}4i,+s[yL*2#kN@r115};|`R[5/iZ hbbd```b``"`r9LLN`DR,>6l30&U$60D2HO rH+H f`bdV8J There are several benefits of using our BCBS Prefix Lookup tool. External link You are leaving this website/app (site). BCBS Prefix should be included along with ID number, exactly as it appears on the member ID card when filing the claims to insurance company. %%EOF =&m$ z90P&\:?$IRIj"c5l\"aD(@?Yuk>{8lkelu3X*FpT=6Rv;9'*4O-o|ELLG?-Yec,cqh(e96e4^QyD8H}'o(3 endstream endobj startxref 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. BCBS is one of the largest medical insurance company by total members of more than 45 million. The three-character prefix at the beginning of the members identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. ;MTK In case, you need any additional information related to BCBS prefix then feel free to reach out to us. 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. For example: A2A12345678 Here " A2A" is BCBS alpha numeric prefix. Coverage Period: 01/01/2021 - 12/31/2021 . A2Z, G2A, J4K etc. K8Z : Page 2 . The prior authorization information in this notice does not apply to requests for HMO members. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as eviCore, AIM or Availity. 0t9~pE_ >if}~t~iM 'yn8Pgi |hxQD_Y. The three-character prefixes listed do not represent an exhaustive listing of prefixes. To view this file, you may need to install a PDF reader program. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. endstream endobj 1230 0 obj <. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. In that case claim may be denied as Submit the claim to the correct address / Member ID not found.
Christian Jokes On Worry,
Trevon Diggs Coverage Stats,
Dr Phil Corina Polygraph Results,
Chris Barker Obituary,
Do You Capitalize Heavenly Father,
Articles B
