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;$~gn-Sd"mjdTY2R*I:w8w3;fpCfQH& Last updated: 07/01/2022. Medicaid BCBS Prefix AAA Home Plan and Phone Number, BCBS Alpha Numeric Prefix from Y2A to Y9Z, BCBS Alpha Numeric Prefix from X2A to X9Z, BCBS Alpha Numeric Prefix from W2A to W9Z, BCBS Alpha Numeric Prefix from V2A to V9Z, Frequently Asked Questions Related to BCBS Prefix. Prior Authorization Services For Fully Insured and ASO, Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO), Prior Authorizations Lists for Designated Groups, Prior Authorization Exemptions (Texas House Bill 3459), Medicare Advantage Private Fee-for-Service (PFFS), Eligibility and Benefits Inquiry (HIPAA 270/271), Behavioral Health Care Management Program, Quality Care Partner With Your Patients, Preventive Care Guidelines/Patient Wellness Guidelines, Health Equity and Social Determinants of Health (SDoH), Prescription Drug List and Prescribing Guidelines, Prior Authorization and Step Therapy Programs, Medical Policy and Pre-certification/Pre-authorization Information for Out-of-Area Members, Consolidated Appropriations Act and Transparency in Coverage Final Rule, Blue Cross Blue Shield of Texas provider website. These BCBS prefix may include alpha and numerical characters. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. Prior Authorization List for Blue Shield Effective April 1, 2023 (This list is updated monthly) blueshieldca.com 601 12th Street | Oakland, CA 94607 Blue Shield of California is an independent member of the Blue Shield Association April 1, 2023 Page 1 of 8 Policy Name/Program Procedure Code (To search, press Ctrl + F) . TT$%b"Dg!h^`]-ce?i8xRiu1IrD-%oR#yt;JBOJ#"TXwD0L Fw,]xS_CU3zf]06_T} PNGCqWV^UET6X~`U BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. It shows that these type of BCBS member IDs are different. If you have any questions, call the number on the members ID card. Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD. %PDF-1.5 % And to manage such a big network, they divided it into different departments state wise or employer specific. An incorrect or missing three-character prefix may cause possible delays in the processing of your claims. Narrow Network: Provider participation is by invitation. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. Codes may chan ge, and this list may be updated throughout the year. 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 . The prefix routes eligibility/benefits inquiries and claims to the appropriate BCBS Plan or system for timely processing. 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. Does BCBS policy number same as BCBS member ID number? Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. 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 Prefix List from PAA to PZZ Updated 2023 Customer Service: 1-800-409-9462 HCSC-PORT. All prefixes are unique. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved, Blue Cross Blue Shield BCBS Prefix List Lookup. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan. Member identification numbers beginning with R belong to Federal Employee Program (FEP) and will not have a three-character prefix when filing. Search for doctors near you and in your network. 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. 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. BCBS is one of the largest medical insurance company by total members of more than 45 million. b(f{YH^tn}u62\}TgT>ENWJB=J #=a$oXIq(n,tU+D'j}L(t#,w?!^oZUQR, 7a. PDF BCBSAZ/TPA Co-Administered Group Plans - AZBlue A2Z, G2A, J4K etc. Check any internal documents you may have and update any references of "alpha prefix" to "prefix". endstream endobj 1230 0 obj <. 1268 0 obj <>stream To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. For accurate and quick claims processing, it is necessary to get complete patient insurance information. It means that BCBS members IDs prefixes will must have alphabets. Prior Authorization List for Blue Shield Effective April 1, 2023 8772287268 Mail Administrator P.O. bcbs prefix list PDF,Doc ,Images [PDF] Common Prefix Portal List PBC Premera Blue Cross Three Character Prefixes.