If you have any questions or need help submitting a prior authorization, please call 816-395-3989 for assistance. Most PDF readers are a free download. 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 15456 0 obj <>stream PAGE : Amkor Technology, Inc. Group # 039176 : AmeriBen . Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. BlueCard. PDF 2022 Commercial PA Code Lists December Updates - BCBSIL Here are links to some recent communications that were posted to notify you of important changes: Government Programs Prior Authorization Summary and Code Lists Few times, BCBS plan members doesnt have prefix mentioned on their BCBS Insurance card. by calling 1-844-377-1278 (BCN) or 1-800-728-8008 (Blue Cross) or by logging oncology and in to the AIM ProviderPortal. PDF Blue Cross and Blue Shield of Minnesota and Blue Plus Commercial Prior . 1 of 7. For Example: XYZ123456789. endstream endobj startxref 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. b(f{YH^tn}u62\}TgT>ENWJB=J #=a$oXIq(n,tU+D'j}L(t#,w?!^oZUQR, 7a. For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. The three-character prefix at the beginning of the member's identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. The SBC shows you how you and the plan would share t. he cost for covered health care services. BCBS Alpha prefix are the three characters at the start of each BCBS insurance member ID. So, all BCBS plans, including Anthem prefix and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. Availity provides administrative services to BCBSIL. Working or retired, we'll help you every step of the way to find the right plan. The prior authorization information in this notice does not apply to requests for HMO members. The main difference between BCBS alpha prefix and BCBS alpha numeric prefix is that BCBS alpha prefix only contains alphabets whereas BCBS alpha numeric prefix consists of alphabets as well as numbers ranging from 1 to 9. We make it easy for you to offer the healthcare coverage that delivers for your business. There are several benefits of using our BCBS Prefix Lookup tool. 404 0 obj <>stream eah xp`}L s1zIq%A9Zc~(Iz~HQu;AT#2$ Wp`Hlpp6NQIV0hg`,g H20[20* ": bcbs prefix list PDF,Doc ,Images - pdfprof.com If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. endstream endobj 15364 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(a;uY[7y\\ Y)/P -1036/R 4/StmF/StdCF/StrF/StdCF/U(ZgYX: )/V 4>> endobj 15365 0 obj <>/Metadata 280 0 R/PageLayout/OneColumn/Pages 15351 0 R/StructTreeRoot 2939 0 R/Type/Catalog>> endobj 15366 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 15367 0 obj <>stream TPA Name & Address. These BCBS prefix may include alpha and numerical characters. 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. 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. `xn_F-y(MQ&O!y1?-uZ=t'=E$r2$IA)gYWp&g` 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 applicable on the date services were rendered. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. This new site may be offered by a vendor or an independent third party. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. PDF CSS-E121 Blue Cross Select Silver 01012021 - bcbsal.org BCBS is one of the largest medical insurance company by total members of more than 45 million. Box 14114 Lexington, KY 40512 Federal Employee Program (FEP) R prefix DC/Metropolitan Area 2024884900 MD 8008545256 DC/Metropolitan Area Mail Administrator P.O . BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. for medical policies and prior authorization requests . 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. Commercial Prior Authorization Summary and Code Lists 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. So, to accomplish our goal, we have listed down the complete BCBS alpha prefix list so that you can easily identify correct BCBS plan.
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