It is critical for confirming a patients membership and coverage. Anthem blue cross and blue shield healthcare solutions p. These changes will be included in the appropriate 4q 20 or 1q 2014 provider administration manual update. Provider administration manual bluecross blueshield. Exx tennessee eyg new york empire eys tennessee fbi alabama fbx missouri. 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. Statealpha prefix claims filing address alabama bcbs of alabama p. Using the members current prefix is critical for eligibility inquiries and claims to be routed correctly.
Yellow highlight new prefix effective january 1, 2020 pos prefix plan type name. Bluecard program bluecross blueshield of tennessee. Some cba blue prefixes are alphanumeric prefix product andor account a5l land air express. Bcbs alpha prefix lists 2020 with phone numbersblue cross. Tennessee is home sweet home to you, your patients and us. Tennessee bcbs of tennessee 1 cameron hill circle chattanooga, tn 37402 texas bcbs of texas. Blue cross prefix list updated often the health exhibit. Medical policy and precertification information bcbs of tennessee. Quick guide to blue cross andor blue shield member id cards. 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. Clearinghouses may update submission rules, so always confirm specific submission requirements with your clearinghouse. The tennessee blue plan adjudicates the claim according to the members benefits and the providers arrangement with the illinois plan.
The alpha prefix can easily be identified as it is the first three characters. Blue cross blue shield bcbs plans across the country and in more than 200. Blue cross blue shield of texas alpha prefix importance. Blue cross and blue shield of florida is an independent licensee of the blue cross and blue shield association. 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. Traditional or indemnity coverage is a health benefit plan that provides basic andor supplemental hospital and medicalsurgic\. Remember to include this prefix as part of the contract number on claims and other records. If you experience difficulties or need additional information, call 800. List of alpha prefix of bcbs from aaa to azz along with.
Alpha prefix abc1234h567 alpha prefix abc12345678901234 alpha. New payer id for blue cross medicare advantage effective jan. The standard bcn id card layout id cards for bcn products include the following. 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.
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. Bcbs alpha prefix list from xaa to xzz along with phone. For instance, uts is the national account prefix for the university of texas. Possession of this card does not guarantee eligibility for benefits. Most blue id cards have a threecharacter alpha prefix.
Claims for canadian blue cross members are not processed through the bluecard program. 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. A division of health care service corporation, a mutual legal reserve company, an independent licensee of the blue cross and blue shield association. Whenever submitting a claim, members should not omit or randomly choose the alpha prefix. Bcbs alpha prefix list blue cross blue shield companies bcbs phone numbers. Professional provider office manual bcbsla blue cross and december 2015 medicare advantage members from other blue plans.
Payer id provider number reference professional ev. The alpha prefix identifies the blue plan or national account to which the member belongs. For this threecharacter advantage hmo snpprefix, phone numbers are different than local members. The preferred method for submitting a claim is electronically or hard copy. Bluecard program alpha prefixes blue cross and blue. In general, this prefix is mainly used to confirm the eligibility of the member and coverage information.
This guide offers an overview of blue cross and blue shield bcbs id cards, including what the. Bcbs alpha prefixes list and claim submission address. 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. Bluecross blueshield of tennessee partners with providers for a healthier tennessee. Diagnostic and bluecard ppo and blue cross blue shield global core programs for care chiropractic, manual medical interventions.
Local blue cross and blue shield mailing addresses state. Member id cards for blue cross blue shield of massachusetts plans. Blue cross medicare advantage ppo provider manual january 2020 2. Medicare advantage contract numbers include new alpha prefix. 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. When bcbs members arrive at your office or facility, ask to see their current member identification cards at each visit. Whether youre new or a longtime coverkids member or parent, were glad you stopped by. Ump cdhp 2019 certificate of coverage washington state. Bcbs hmo members affiliated with another blue plan will seek care at your office or facility. 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.
Provider is reimbursed according to bluecross blueshield of tennessees. For all 3 digit bcbs alpha prefix identification number, eligibility can be obtained at 8006762583. Enter insureds id number including the threeletter alpha prefix, exactly. Weve gathered important details here, but were always happy to answer your questions. Were here to help you serve our neighbors who are covered by bluecare tennessee and other programs supported by the state of tennessee. Bcbs alpha prefix list from yaa to yzz along with phone. Bcbs alpha prefixes list and claim submission address updated list. 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. Some members id cards may not have an alpha prefix.
Health insurance marketplace bluecross blueshield of tennessee. Amerigroup community care is now anthem blue cross and. For more information, contact your network provider consultant or call 4064376100. Blue cross prefix list verified the health exhibit. Provider will enter alpha prefix in a designatedprovider will enter alpha prefix in a designated areas on the local plans web site. The bluecard program provider manual blue cross blue. Bcbs member identification numbers are six to 14 characters long, although some id cards lack the prefix, says the bcbs of texas. 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. Id cards for the following products and programs do not have a threecharacter. Quick guide to blue cross and blue shield member id cards. This guide offers an overview of blue cross and blue shield bcbs id cards, including what. Bcbs alpha prefix list from paa to pzz along with phone. The main identifier for outofarea members is the alpha prefix. See a sample member thank you for choosing bluecross blueshield of.
Blue cross blue shield of massachusetts is an independent licensee of the blue cross and blue shield association. See complete details about working with us in the provider administration manual for each of our networks. Premera blue cross three character prefixes last updated. 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. The bluecross blueshield of tennessee medical policy manual will be. There are two scenarios where that member might need to see a provider in another plans. Member id cards blue cross blue shield of massachusetts.
Xfa blue priority hmo 8778335742 anthem blue cross and blue shield p. The threecharacter prefix identifies the blue cross and blue shield plan to which the member belongs. Out of area search blue cross blue shield of wyoming. 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. January 4 for use only by those who use emdeon as their clearinghouse. Bluecross blueshield of tennessee provider administration manual. Box 105187 atlanta, ga 303485187 wyoming bcbs of wyoming attn.
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