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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. PPO 837P Prefixes are also applicable, . Learn more about timely filing limits and CO 29 Denial Code. Working or retired, we'll help you every step of the way to find the right plan. These BCBS prefix may include alpha and numerical characters. 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. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. PDF 2021 Three Character Prefix The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Three-Character Prefixes. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. BCBS Prefix List Lookup 2023 - Latest Blue Cross Blue Shield Directory Lets dig into it! 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. Decide on what kind of signature to create. Coverage For: Individual + Family. PDF HMO Networks - Blue Cross and Blue Shield of Illinois For Example: XYZ123456789. One option is Adobe Reader which has a built-in reader. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. NBT . First Character P is symbolizing that member plan/product type is BCBS PPO. For more information, contact your Network Provider Consultant or call 406-437-6100. Our Health Choice plans are available to Arizonans who qualify for Medicaid. "Y24Oz>V ?I L r%dl=vHd z/;/X #k> Gq For example: A2A12345678 Here " A2A" is BCBS alpha numeric prefix. Check any internal documents you may have and update any references of "alpha prefix" to "prefix". American Health Group (AHG) Call 1-800-847-7605 . BCBS Prefix List Z2A to Z9Z - Alpha Numeric Lookup 2022 Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. %PDF-1.6 % 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. To get information about such member IDs, you can contact BCBS prefix directory phone number i.e. Note: Current three-character, alpha-only prefixes will not be affected by this change. How To Identify Blue Cross Blue Shield Member? CareFirst IDs have plan codes 080/580 and 190/690. 2021 Prior Authorization Requirement Summaries, Code Lists and Related %PDF-1.5 % We have the right plan for you to keep you and your family covered. Independence Blue Cross* Quick Reference Guide . 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. Wheelchairs - Mobility Assistive Equipment (Manual & Power) & Scooters - Wheelchair Purchase only -Motorized) Wheelchair: E1050, E1060, E1070, E1083, E1084, E1085 . 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 For Example: ABC, A2B, 2AB, 2A2 etc. What is Medical Billing and Medical Billing process steps in USA? 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. 365 0 obj <> endobj 0 The prefix may also route claim status inquiries and remit searches. PREFIXES . 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. 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. Always make sure to submit claims to insurance company on time to avoid timely filing denial.