Let's start with you. Normally, account specific prefix associates to the employer group name. Third, it can help you make more informed decisions to choose right insurance plan and benefits. American Health Group (AHG) Call 1-800-847-7605 . Group Name. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. 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. Three-Character Prefixes. for medical policies and prior authorization requests. Benefits and eligibility should be verified for all members prior to rendering services. Medicaid 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 $=0j]xkM#[f4YgI|in Z(0zF1-9gk!D @WeUUn/R%$'c|J6:z}\}8ZNd+SL5-h"\wE$w{3\zO>,Vta$a`D7rHmr$bwZm7yYO)&^E<2@9#&UDOz 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. Northwest Arizona Employee Benefit Trust (NAEBT) Group # 037461 . ?} AN %%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 %%EOF BCBS Railroad member IDs are assigned to members who served in railroad organizations. To get information about such member IDs, you can contact BCBS prefix directory phone number i.e. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. BCBS Alpha prefix are the three characters at the start of each BCBS insurance member ID. The main difference between BCBS alpha prefix and BCBS alpha numeric prefix is that BCBS alpha prefix only contains alphabets whereas BCBS alpha numeric prefix consists of alphabets as well as numbers ranging from 1 to 9. endstream endobj 742 0 obj <. For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. What is a member ID prefix? 761 0 obj <>/Filter/FlateDecode/ID[]/Index[741 37]/Info 740 0 R/Length 98/Prev 110535/Root 742 0 R/Size 778/Type/XRef/W[1 2 1]>>stream We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. 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. 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. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. bcbs prefix list PDF,Doc ,Images [PDF] Common Prefix Portal List PBC Premera Blue Cross Three Character Prefixes. How To Identify Blue Cross Blue Shield Member? PDF CSS-E121 Blue Cross Select Silver 01012021 - bcbsal.org 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. What is Medical Billing and Medical Billing process steps in USA? endstream endobj startxref In addition, some sites may require you to agree to their terms of use and privacy policy. Services that require precertification As of January 1, 2022, this list applies to all Independence Blue Cross HMO, PPO, and POS products, including Flex products. 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. BCBS alpha numeric prefix digits are usually in between the prefix e.g. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. Prior Authorization List for Blue Shield Effective April 1, 2023 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. BCBS Prefix will not only have numbers and the digits 0 and 1. 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. 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. PDF 2022 Commercial PA Code Lists December Updates - BCBSIL In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS Railroad member IDs starts with a letter R. So, to answer this query, we have mentioned below few important points to consider. For example: ABC12345678 Here " ABC" is BCBS alpha prefix. Availity provides administrative services to BCBSIL. You may see cards with four-character prefixes, e.g., HMSA Blue Cross Blue Shield of Hawaii uses four-character prefixes.
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