bcbs prefix list 2021 pdf

>>>>>>bcbs prefix list 2021 pdf

bcbs prefix list 2021 pdf

Checking eligibility and/or benefit information and/or the fact that a service has been prior authorized is not a guarantee of payment. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. It means that BCBS members IDs prefixes will must have alphabets. Here Letter R indicates BCBS FEP prefix. BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. 01/01/2021 . 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. Most Blue Cross Blue Shield (BCBS) member IDs begin with a three-character prefix. (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.). The prefix routes eligibility/benefits inquiries and claims to the appropriate BCBS Plan or system for timely processing. These BCBS prefix may include alpha and numerical characters. $=0j]xkM#[f4YgI|in Z(0zF1-9gk!D @WeUUn/R%$'c|J6:z}\}8ZNd+SL5-h"\wE$w{3\zO>,Vta$a`D7rHmr$bwZm7yYO)&^E<2@9#&UDOz There are three variants; a typed, drawn or uploaded signature. for medical policies and prior authorization requests . To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. Commercial Prior Authorization Summary and Code Lists Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. You may also be interested to read about denial code 27 reason and solutions. The three-character prefix at the beginning of the members identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. Baltimore, MD 21237 . For Example: XYZ123456789. The BCBS prefix lookup directory is regularly updated with the latest BCBS insurance plan information, so you can be sure that the information youre viewing is 100% accurate. BCBS Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan. Learn more about timely filing limits and CO 29 Denial Code. The main difference between BCBS alpha prefix and BCBS alpha numeric prefix is that BCBS alpha prefix only contains alphabets whereas BCBS alpha numeric prefix consists of alphabets as well as numbers ranging from 1 to 9. BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters. 15363 0 obj <> endobj We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. b(f{YH^tn}u62\}TgT>ENWJB=J #=a$oXIq(n,tU+D'j}L(t#,w?!^oZUQR, 7a. 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. BCBS is one of the largest medical insurance company by total members of more than 45 million. PPO 837P Prefixes are also applicable, . 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. 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 Please look for instructions or a phone number on the back of the member ID card. Does BCBS Cover Wegovy for Weight Loss? A follow-up article with additional information on transition of member care was posted Dec. 4, 2020. AZBlue - Blue Cross Blue Shield of Arizona - Health Insurance Plans A healthier Arizona is what we're all about. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. q8-_?UT"X e+1?#7DMKHY]?R,-e;PE\mL 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. 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. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. Individuals & Families We offer a wide choice of individual plans to fit your health needs and budget. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. This new site may be offered by a vendor or an independent third party. 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. This indicates that the claims are excluded from the BlueCard Program. Prior authorization requirements are specific to each patients policy type and the procedure(s) being rendered. 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. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. Narrow Network: Provider participation is by invitation. The notice also refers to a medical policy for more information to help clarify when and how prior authorization requirements may apply. For Federal Employee Program (FEP) precertification requirements, please see the separate FEP precertification list. BCBS Railroad refers to Blue Cross Blue Shield health insurance plans that are specifically designed for members who are affiliated with railroad organizations in the United States. Lets dig into it! We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Follow the step-by-step instructions below to design your premiere blue cross amp the regency group three character prefixes: Select the document you want to sign and click Upload. An incorrect or missing three-character prefix may cause possible delays in the processing of your claims. 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. Make sure to make copies of the front and back of member ID card. So, to answer this query, we have mentioned below few important points to consider. 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 External link You are leaving this website/app (site). Our Health Choice plans are available to Arizonans who qualify for Medicaid. What is the difference between BCBS alpha prefix and BCBS alpha numeric prefix? In addition, some sites may require you to agree to their terms of use and privacy policy. =&m$ z90P&\:?$IRIj"c5l\"aD(@?Yuk>{8lkelu3X*FpT=6Rv;9'*4O-o|ELLG?-Yec,cqh(e96e4^QyD8H}'o(3 In addition, some sites may require you to agree to their terms of use and privacy policy. Does BCBS policy number same as BCBS member ID number? In that case claim may be denied as Submit the claim to the correct address / Member ID not found. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. The site may also contain non-Medicare related information. It is used to identify and track the healthcare coverage and benefits for that specific member. Customer Service: 1-800-409-9462 HCSC-PORT. eO\v; tU9kN@]fh:~q:Fye{Q)ihJ HP/VD/_oy\ H ~fa4L?!ekF(\0>o What If BCBS Member ID doesnt have Prefix mentioned on Card? %%EOF We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. 'MNiXG]dRBC; 0'Va~9&c}Ag$Pge;\UY,$MtN ", Blue Cross and Blue Shield of Texas, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). 1 of 7. Please look for claim filing instructions on the back of the ID card. Save my name, email, and website in this browser for the next time I comment. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. Its important to remember that benefit plans differ in their benefits, and details such as prior authorization requirements are subject to change. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. BlueCard. Plan Type: PPO . It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. For Example: ABC, AQT, TXX, TEA, A2B, 2AB, 2A2, PAS, ZGP, XXU etc. endstream endobj startxref Blue Cross and Blue Shield of Illinois, P.O. What is Medical Billing and Medical Billing process steps in USA? Benefits and eligibility should be verified for all members prior to rendering services. 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. endstream endobj 742 0 obj <. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. To identify the plan that holds the members benefits, please call the Out-of-State Blues Plan Subscriber #: 1-800-676-BLUE (2583). The policy number is a unique identifier which may cover multiple members under the same policy, such as a family or a group. 0 We have the right plan for you to keep you and your family covered. For Example: ABC, A2B, 2AB, 2A2 etc. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. 365 0 obj <> endobj Does policy number same as member ID number? To get information about such member IDs, you can contact BCBS prefix directory phone number i.e. Always make sure to submit claims to insurance company on time to avoid timely filing denial. K8Z : Page 2 . 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 PAGE : Amkor Technology, Inc. Group # 039176 : AmeriBen . This new site may be offered by a vendor or an independent third party. 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. Availity provides administrative services to BCBSIL. 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 There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. 8772287268 Mail Administrator P.O. One option is Adobe Reader which has a built-in reader. For example: A2A12345678 Here " A2A" is BCBS alpha numeric prefix. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. This article offers an overview of 2021 prior authorization support materials and related communications that may apply for some of our non-HMO commercial and government programs members, effective Jan. 1, 2021. a'm 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. We make it easy for you to offer the healthcare coverage that delivers for your business. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Third, it can help you make more informed decisions to choose right insurance plan and benefits. 800-676-2583. Decide on what kind of signature to create. 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: for medical policies and prior authorization requests. 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 The prior authorization information in this notice does not apply to requests for HMO members. endstream endobj startxref Box 7930 Philadelphia, PA 19101-7930 Carefirst BCBS of Maryland the (MD), District of Columbia (DC) and the Northern Virginia (VA) And to manage such a big network, they divided it into different departments state wise or employer specific. 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 Box 14115 Lexington, KY 40512 Mail Administrator P.O. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. 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. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). 1229 0 obj <> endobj Each BCBS alpha numeric prefix represents different BCBS home plan. 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. `xn_F-y(MQ&O!y1?-uZ=t'=E$r2$IA)gYWp&g` BCBS Alpha Numeric prefix are three characters at the start of each BCBS insurance member ID. 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. Also, pre-authorization information and medical policy for out of state plans may be found on the Blue Cross Blue Shield of Texas provider website section under Standards and Requirements, and then select "Medical Policy and Precertification/Preauthorization for Out of Area Members. %PDF-1.6 % So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. %PDF-1.6 % First Care, Inc. are independent licensees of the Blue Cross and Blue Shield Association. 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. Complete patient information, on the other hand, allows your claims to process without delays. 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. . What is a member ID prefix? Call 1-800-388-3193 . The three-character prefixes listed do not represent an exhaustive listing of prefixes. T. he Summary of Benefits and Coverage (SBC) document will help you choose a health. therapy) Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. 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. 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) . BCBS of Illinois (IL) PAK. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. 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 Wheelchairs - Mobility Assistive Equipment (Manual & Power) & Scooters - Wheelchair Purchase only -Motorized) Wheelchair: E1050, E1060, E1070, E1083, E1084, E1085 . Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Contact Name Phone . It shows that these type of BCBS member IDs are different. 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$M'JL+0?\:3Y(+Sb1:_%^uur(h>mS endstream endobj 1230 0 obj <. BCBS FEP Its indicated with letter R followed by the id number. BCBS Prefix will not only have numbers and the digits 0 and 1. 0 BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Lo-+J52(h' American Health Group (AHG) Call 1-800-847-7605 . BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify members eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim. Second Character G assigned to the BCBS Plan as well. Yes, Policy number same as member ID number and also known as subscriber ID number. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. There are several benefits of using our BCBS Prefix Lookup tool. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue . BCBS Prefix will not only have numbers and the digits 0 and 1. BCBS Railroad member IDs starts with a letter R. Final Remarks about BCBS Prefix Lookup Directory. Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. Benefits will be determined once a claim is received and will be based upon, among other things, the members eligibility and the terms of the members certificate of coverage applicable on the date services were rendered. nKvo2>)*Y=}4i,+s[yL*2#kN@r115};|`R[5/iZ hbbd``b`f3$ bE FM Dmb"@ $$@z$u ad#B cG 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. Note: Current three-character, alpha-only prefixes will not be affected by this change. View Medicare information Radiology utilization for Arkansas Blue Cross FEP 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. BCBS Prefix can be classified as follows: BCBS Alpha Prefix - It's a three letter alpha prefix followed by id number. A2Z, G2A, J4K etc. 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. ). These BCBS prefix may include alpha and numerical characters. Search for doctors near you and in your network. If you have any questions, call the number on the members ID card. Blue Shield (BS) of California. 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 . 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. hb```I! The site may also contain non-Medicare related information. For more information, contact your Network Provider Consultant or call 406-437-6100. %%EOF 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. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. You may see cards with four-character prefixes, e.g., HMSA Blue Cross Blue Shield of Hawaii uses four-character prefixes. 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). Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. First Character P is symbolizing that member plan/product type is BCBS PPO. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. Address: 11070 Katy Fwy, Houston, TX 77043, 2023 Xceed Billing Solution.com - All Rights Reserved, Blue Cross Blue Shield BCBS Prefix List Lookup. These plans provide health insurance coverage for railroad employees, retirees, and their eligible dependents. CareFirst IDs have plan codes 080/580 and 190/690.

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bcbs prefix list 2021 pdf