First Character P is symbolizing that member plan/product type is BCBS PPO. Its important to remember that benefit plans differ in their benefits, and details such as prior authorization requirements are subject to change. 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. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. 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 Search for doctors near you and in your network. What is Medical Billing and Medical Billing process steps in USA? 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. To view this file, you may need to install a PDF reader program. Blue Cross Select Silver. Last updated: 07/01/2022. To run such a large number of people, they divided Blue Cross Blue Shield Insurance Association into different departments which is employer specific or state wise. BCBS Alpha Prefix List BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. 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. Box 14114 Lexington, KY 40512 Federal Employee Program (FEP) R prefix DC/Metropolitan Area 2024884900 MD 8008545256 DC/Metropolitan Area Mail Administrator P.O . Benefits Administration Corporation, Inc. (BACI) 9411 Philadelphia RD. A2Z, G2A, J4K etc. 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. %PDF-1.5 % Plan Type: PPO . ). Complete patient information, on the other hand, allows your claims to process without delays. 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. PPO 837P Prefixes are also applicable, . An incorrect or missing three-character prefix may cause possible delays in the processing of your claims. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. We make it easy for you to offer the healthcare coverage that delivers for your business. Most PDF readers are a free download. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. $=0j]xkM#[f4YgI|in Z(0zF1-9gk!D @WeUUn/R%$'c|J6:z}\}8ZNd+SL5-h"\wE$w{3\zO>,Vta$a`D7rHmr$bwZm7yYO)&^E<2@9#&UDOz All prefixes are unique. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. 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 list is useful for both providers and BCBS enrolled members/patients. BCBS Prefix will not only have numbers and the . Baltimore, MD 21237 . It allows you to quickly and easily identify your insurance home plan, saving you time and hassle.
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