Clearinghouses may update submission rules, so always confirm specific submission requirements with your clearinghouse. Traditional or indemnity coverage is a health benefit plan that provides basic andor supplemental hospital and medicalsurgic\. Weve gathered important details here, but were always happy to answer your questions. The alpha prefix can easily be identified as it is the first three characters. Blue cross prefix list verified the health exhibit. Blue cross blue shield of massachusetts is an independent licensee of the blue cross and blue shield association. The tennessee blue plan adjudicates the claim according to the members benefits and the providers arrangement with the illinois plan. Health insurance marketplace bluecross blueshield of tennessee. 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 standard bcn id card layout id cards for bcn products include the following. 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. Bcbs alpha prefixes list and claim submission address updated list. It is critical for confirming a patients membership and coverage.
Blue cross blue shield of texas alpha prefix importance. Tennessee bcbs of tennessee 1 cameron hill circle chattanooga, tn 37402 texas bcbs of texas. Bluecross blueshield of tennessee partners with providers for a healthier tennessee. Yellow highlight new prefix effective january 1, 2020 pos prefix plan type name. Box 105187 atlanta, ga 303485187 wyoming bcbs of wyoming attn. Bluecross blueshield of tennessee provider administration manual. Bcbs alpha prefix list from paa to pzz along with phone. Coverkids member services, monday through friday, 8 a. Bcbs alpha prefixes list and claim submission address. The bluecross blueshield of tennessee medical policy manual will be. In general, this prefix is mainly used to confirm the eligibility of the member and coverage information. Prefix listing this document provides the current prefixes for blue cross and blue shield of vermont, cba blue, new england health plan and access blue new. Member id cards for blue cross blue shield of massachusetts plans. January 4 for use only by those who use emdeon as their clearinghouse.
A division of health care service corporation, a mutual legal reserve company, an independent licensee of the blue cross and blue shield association. When bcbs members arrive at your office or facility, ask to see their current member identification cards at each visit. Whenever submitting a claim, members should not omit or randomly choose the alpha prefix. Claims for canadian blue cross members are not processed through the bluecard program. The main identifier for outofarea members is the alpha prefix. 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. If you are aware about the bcbs alpha prefix of your health insurance, then you can get the desired support on time for claiming the insurance. Quick guide to blue cross andor blue shield member id cards 8 because there are different benefit plans represented by the blank empty suitcase logo, always verify eligibility and benefits electronically with bluecross blueshield of tennessee or by calling 1800676blue 2583. You may occasionally see id cards for members who are covered by a canadian blue cross plan. Provider will enter alpha prefix in a designatedprovider will enter alpha prefix in a designated areas on the local plans web site.
Some cba blue prefixes are alphanumeric prefix product andor account a5l land air express. Exx tennessee eyg new york empire eys tennessee fbi alabama fbx missouri. The preferred method for submitting a claim is electronically or hard copy. Local blue cross and blue shield mailing addresses state. Possession of this card does not guarantee eligibility for benefits. Alpha prefix abc1234h567 alpha prefix abc12345678901234 alpha. The threecharacter alpha prefix at the beginning of the members identification number is the key element used to identify and correctly route claims. Premera blue cross three character prefixes last updated. The alpha prefix identifies the blue plan or national account to which the member belongs. There are two scenarios where that member might need to see a provider in another plans. Bcbs alpha prefix list from yaa to yzz along with phone. Bluecard program bluecross blueshield of tennessee. Quick guide to blue cross and blue shield member id cards. Give us a call or email us if you cant find what you need.
These changes will be included in the appropriate 4q 20 or 1q 2014 provider administration manual update. Xfa blue priority hmo 8778335742 anthem blue cross and blue shield p. Provider administration manual bluecross blueshield. The program links participating healthcare providers with the independent blue cross and blue shield plans across the country, and. Blue cross and blue shield of florida is an independent licensee of the blue cross and blue shield association. This guide offers an overview of blue cross and blue shield bcbs id cards, including what the. 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.
For instance, uts is the national account prefix for the university of texas. Professional provider office manual bcbsla blue cross and december 2015 medicare advantage members from other blue plans. Medicare advantage contract numbers include new alpha prefix. The main identifiers for bluecard members are the alpha prefix, a blank suitcase logo, and, for eligible ppo members, the ppo in a suitcase logo. Bcbs alpha prefix lists 2020 with phone numbersblue cross. Payer id provider number reference professional ev. Member id cards blue cross blue shield of massachusetts. The threecharacter prefix identifies the blue cross and blue shield plan to which the member belongs. Anthem blue cross and blue shield healthcare solutions p. Were here to help you serve our neighbors who are covered by bluecare tennessee and other programs supported by the state of tennessee. Tennessee is home sweet home to you, your patients and us. Bcbs alpha prefix list from xaa to xzz along with phone.
All you have to do is call this number and provide a 3 digit bcbs prefix to the operator, and then they will transfer the call to the particular members plan customer service department. If you have cards that look like the ones you see here, you could get extra help, plus things like dental, vision and everyday needs like toothpaste and cold medicine with bluecare plus our dual eligible special needs plan dsnp. Blue cross prefix list updated often the health exhibit. 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. Remember to include this prefix as part of the contract number on claims and other records.
For this threecharacter advantage hmo snpprefix, phone numbers are different than local members. Bcbs alpha prefix list blue cross blue shield companies bcbs phone numbers. Statealpha prefix claims filing address alabama bcbs of alabama p. Blue cross blue shield companies provide a bestinclass, comprehensive suite of international products and services for people who live, work and travel internationally, giving them confidence that quality care can be accessed wherever and whenever they need it. 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. Out of area search blue cross blue shield of wyoming.
Box 61010 virginia beach, va 234661010 it is important to use the new alpha character prefix vnv added to the member id number on the anthem card to bill a claim regardless if the date of service is prior to. Most blue id cards have a threecharacter alpha prefix. Id cards for the following products and programs do not have a threecharacter. This guide offers an overview of blue cross and blue shield bcbs id cards, including what. Bcbs member identification numbers are six to 14 characters long, although some id cards lack the prefix, says the bcbs of texas. Ump cdhp 2019 certificate of coverage washington state. Bluecard is a national program that enables members of one blue plan to obtain healthcare service benefits while traveling or living in another blue plan s service area. See complete details about working with us in the provider administration manual for each of our networks. Blue cross blue shield bcbs plans across the country and in more than 200. The bluecard program provider manual blue cross blue. Provider is reimbursed according to bluecross blueshield of tennessees. New payer id for blue cross medicare advantage effective jan. See a sample member thank you for choosing bluecross blueshield of. 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.
Blue cross medicare advantage ppo provider manual january 2020 2. If you experience difficulties or need additional information, call 800. Quick guide to blue cross andor blue shield member id cards. For more information, contact your network provider consultant or call 4064376100. Bcbs hmo members affiliated with another blue plan will seek care at your office or facility. Using the members current prefix is critical for eligibility inquiries and claims to be routed correctly. Whether youre new or a longtime coverkids member or parent, were glad you stopped by. Medical policy and precertification information bcbs of tennessee. For all 3 digit bcbs alpha prefix identification number, eligibility can be obtained at 8006762583. Diagnostic and bluecard ppo and blue cross blue shield global core programs for care chiropractic, manual medical interventions.
List of alpha prefix of bcbs from aaa to azz along with. Some members id cards may not have an alpha prefix. Bluecard program alpha prefixes blue cross and blue. Enter insureds id number including the threeletter alpha prefix, exactly. Amerigroup community care is now anthem blue cross and.
325 1015 614 1501 414 530 1300 1369 1101 1072 132 980 995 24 4 242 1108 1337 1159 71 50 558 614 760 1297 867 633 667 1087 485 734 372 336 5 474 562 308 1477