If you are age 65 or older, this number may not be the same as your medicare number. Some members id cards may not have an alpha prefix. This guide will give you an overview of the various bluecross blueshield of south. The alpha prefix is the key element used to identify and correctly route electronic or hard copy claims to the appropriate processing area or blue cross plan.
Aarp medicarerx plans united healthcare pdf download medicare benefits pdf download medicare coverage pdf download medicare part d pdf download medicare part b pdf download blue shield alpha prefix lookup. Act of 2003 mma made many changes to the medicare program by not only. Anthem blue cross blue shield kentucky productgroup prefix provider inquiry precertification miscellaneous anthem blue access ppo yrl anthem blue preferred hmo yrg yrm anthem traditional yrt yrb y anthem medicare supplement select yrp yrn yrj yze ry. Blue cross prefix list verified the health exhibit. When bcbs members arrive at your office or facility, ask to see their current member identification cards at each visit. Id cards for the following products and programs do not have a threecharacter. Anthem blue cross and blue shield is the trade name of rocky mountain hospital and medical service, inc. An independent licensee of the blue cross blue shield association 010365 032020 dr 4845 march 20, 20. Quick guide to blue cross and blue shield member id cards. The alpha prefix identifies the plan or national account to which the member belongs. Members of some group health plans may have terms of coverage or benefits that differ from the information presented here. If you have any additional questions, please call the paid pharmacy services. If you experience difficulties or need additional information, call 800.
Bcbs alpha prefix list from yaa to yzz along with phone. Anthem blue cross and blue shield in new hampshire mailing addresses and phone numbers effective november 1, 2003 reminders claims the patients id number must include the members 3character alpha prefix. Blue cross and blue shield associations web site, which. Bcbs member identification numbers are six to 14 characters long, although some id cards lack the prefix, says the bcbs of texas. Global core program at 3digit alpha prefix that precedes the. Registered marks blue cross and blue shield association. Then enter the first letter of your last name and select login. A new unique the current health insurance claim number hicn on the new medicare cards.
We re additional processing instructions to update the. Bcbs prefix list, bcbs alpha prefix list, blue cross blue shield prefix list. Hrt will replace fem alpha prefix in the western region 363, hrf will replace fer alpha prefix in the central region 378 for. Empire provider manual empire blue cross blue shield. Most contract numbers are preceded by a 3position alpha prefix. Quick guide to blue cross and blue shield member id cards 14 numbersletters.
Most members with coverage through a blue cross blue shield plan are assigned a three letter alpha prefix as a part of their unique identification number. The prefix acts as a key element in confirming the members eligibility and coverage information. Prefixes are also used to identify and correctly route claims to the appropriate blue cross blue shield plan for processing. Blue cross and blue shield of texas refers to hcsc insurance services company, which is a wholly owned subsidiary of healthcare service corporation, a mutual. Please enter the id number exactly as it appears on the id card or electronic eligibility files, like blue e. Using the members current prefix is critical for eligibility inquiries and claims to be routed correctly. News from blue cross and blue shield of north carolina. Quick guide to blue cross and blue shield member id cards april 2015 2 introduction this guide offers an overview of blue cross and blue shield id cards, including what the symbols mean and how to use the information on them.
The alpha prefix identifies the blue cross and blue shield plan to which the. This information is not to be relied upon as preauthorization or pre. Enter the identification number and any alpha prefix as shown on your blue cross and blue shield card. I any decisions made about coverage for care or service are based on your patients benefit plan. Id cards for the following products and programs do not have an alpha prefix. The alpha prefix is very important to the identification number.
It identifies the members highmark blue shield plan or national account. Payor alpha 50 fedex ground tracking id prefix numeric 3 to 9 fedex express or fedex ground tracking id numeric 12 transportation charge amount numeric 50 variable length, two decimal positions. New payer id for blue cross medicare advantage effective jan. I work in the franklin tn office and have been on the bcbs tn team for a little over a year now, the ids for tennessee can have various 3 letter alpha prefixes but almost always are followed by 9digits we leave the alpha prefix off when entering the members id in image1 unless they are a bluecare or medicaid plan member which always incluced the letter m before the remaining.
Yif individual members group number, where applicable indication of. Bcbs alpha prefix list blue cross blue shield companies bcbs phone numbers. The state health plan and state savings plan alpha prefix is zcs. However, the filing instructions for the identification cards that lack alpha prefixes are different from instructions for. If you have questions regarding this notice you may contact the edi operations of mountain state blue cross blue shield at 18882225950 or 3044247728. Alpha prefixes bcbs plans assign an individual contract number to each subscriber. Medicare advantage contract numbers include new alpha prefix all blue cross blue shield of michigan s medicare plus blue pposm and medicare plus blue group pposm member identification cards will have the new alpha prefix of xyl, starting jan. As a participating provider of blue cross blue shield of new mexico bcbsnm you may render services to patients who are national account members of other blue plans, and who travel or live in new mexico.
The alpha prefix is the key element used to identify and correctly route electronic or hard copy claims to the appropriate processing area or blue. If the card presented has no alpha prefix, follow the instructions on the back of the id card for inquiries and claim handling. Independence health plans prefix payer paperinformation emdeon payer information claim mailing address authorizations and isa08 gs03 eligibility keystone health plan. Member id cards for blue cross blue shield of massachusetts plans. This manual describes the advantages of the program, and provides information to make filing claims easy. An independent licensee of the blue cross and blue shield association medical record attached.
Bcbs alpha prefix list from paa to pzz along with phone. The following information describes the general policies of blue cross and blue shield of florida, inc. Quick guide to blue cross and blue shield member id cards july 2015 3 introduction blank suitcase alpha prefixes most bcbsbranded id cards display a threecharacter alpha prefix in the first three positions of the members id number. This guide offers an overview of blue cross and blue shield bcbs id cards, including what. Fbo fedex express and fedex ground download data dict. If the prefix is not a bcbsmn prefix, bcbsmn will route the inquiry request to the appropriate outofstate bcbs blue plan based on the prefix. A threecharacter alpha prefix at the beginning of the members identification number is the key element used to identify and correctly route outofarea bluecard claims.
Below you will find a list of the 2015 bcnepa plans with the corresponding highmark blue cross blue shield plans for 2016. Volume 5 november 2003 group name group number alpha prefix product type effective. Bcbsks does not keep record of eligibility for outofstate members, and therefore is not able to cross the primary and secondary coverage within. For more information, contact your network provider consultant or call 4064376100. If you experience difficulties or need additional information, please contact 1. State blue cross blue shield webstate blue cross blue shield websites thesites. Preferred pposm alpha prefix codes december 15, 2015 as a reminder, the alpha prefix codes on blue cross and blue shield of illinois bcbsil members id cards in the bluecare direct and blue choice preferred ppo plans have been updated. Bcbs coverage follows the same process as submitting a commercial secondary claim to bcbsks. The following are examples of id numbers showing the alpha prefix. The bluecard program provider manual blue cross blue.
Blue cross blue shield of massachusetts is an independent licensee of the blue cross and blue shield association. New amazon innetwork only plan requires pcp, referrals. Medicare advantage contract numbers include new alpha prefix. If the subscriber id does not contain an alpha prefix, bcbsmn will attempt to look up the subscriber information. It is critical for confirming a patients membership and coverage. Networkblue impacted publix associates received new member identification id cards with a new pxn alpha prefix. The blank suitcase, in conjunction with the alpha prefix, will communicate to providers how to process member claims.
The alpha prefix can easily be identified as it is the first three characters. Blue cross blue shield of texas alpha prefix importance. Bluecard program alpha prefixes blue cross and blue. Most blue cross and blue shield bcbs branded id cards display a threecharacter prefix in the first three positions of the members id number. If there is an alpha prefix on your bcbs patients id card, its important for you to know how critical that information is when verifying eligibility or getting a claim processed in a timely manner. Remember to include this prefix as part of the contract number on claims and other records. Blue cross and blue shield of alabama action prompted this appeal. New alpha prefixes will be assigned to highmark senior health company members. Out of area search blue cross blue shield of wyoming. Provider network change and new alpha prefix for florida publix members effective jan. Whenever submitting a claim, members should not omit or randomly choose the alpha prefix.
The threecharacter prefix identifies the blue cross and blue shield plan to which the member belongs. A correct member id number includes the alpha prefix, in the first three positions, and all. Provider will enter alpha prefix in a designatedprovider will enter alpha prefix in a designated areas on the local plans web site. Claims submission blue cross blue shield of new mexico. An independent licensee of the blue cross and blue shield association. What you need to know about member identification cards. To access this blue cross and blue shield of alabama service, please enter your contract number including alpha prefixes. Business rules for institutional claims blue cross and. Fbo fedex express and fedex ground download data dict updated dec15. Today, electronic claims for blue cross blue shield, medicare, and commercial claims are being submitted through the health information network thin clearinghouse and to the payers in the hipaa compliant version, 4010a1, with the exception of medicaid.
Quality assurance ncqa, a notforprofit organization that accredits blue cross and blue shield of north carolina, has developed standards that do just that. Quick guide to member id cards blue cross blue shield of new. Member id cards blue cross blue shield of massachusetts. The alpha prefix identifies the blue plan or national account to which the member belongs. This guide offers an overview of blue cross and blue shield bcbs id cards. Virgin islands you will receive the members accumulated benefits both through navinet or by phone to. Quick guide to blue cross and blue shield member id. The threecharacter prefix at the beginning of the members identification number is the key element used to identify and correctly route outofstate claims to the appropriate bcbs plan. The threecharacter alpha prefix at the beginning of the members identification number is the key element used to identify and correctly route claims. An independent licensee of the blue cross blue shield association 020469 04012020 prefix bcbs plan prefix bcbs plan prefix bcbs plan a2t premera blue cross a9p premera blue cross acf premera blue cross agl premera blue crossshared admin cxf ahc d8lpremera blue cross gwj. State of alabama state employee injury compensation trust fund seictf present to pharmacy rx billing instructions. Premera blue cross three character prefixes last updated.
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