). Save my name, email, and website in this browser for the next time I comment. 0 BCBS alpha prefix only contains alphabets and each alpha prefix represents different BCBS home plan. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. 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. Narrow Network: Provider participation is by invitation. It clarifies a utilization management vendor change for specific members. This new site may be offered by a vendor or an independent third party. 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. Services that require precertification - IBX AZBlue - Blue Cross Blue Shield of Arizona - Health Insurance Plans In case, you need any additional information related to BCBS prefix then feel free to reach out to us. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Most PDF readers are a free download. plan. For Example: XYZ123456789. 15363 0 obj <> endobj Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. PDF Network Prefix List - CareFirst Provider What is the difference between BCBS alpha prefix and BCBS alpha numeric prefix? Its important to remember that benefit plans differ in their benefits, and details such as prior authorization requirements are subject to change. Does BCBS policy number same as BCBS member ID number? %%EOF This new site may be offered by a vendor or an independent third party. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) PAI. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. This indicates that the claims are excluded from the BlueCard Program. This step will help you determine if prior authorization may be required for a specific member and service. BCBS Railroad member IDs starts with a letter R. Check any internal documents you may have and update any references of "alpha prefix" to "prefix". In addition, some sites may require you to agree to their terms of use and privacy policy. T. he Summary of Benefits and Coverage (SBC) document will help you choose a health. . We offer a wide choice of individual plans to fit your health needs and budget. Does BCBS Cover Wegovy for Weight Loss? There are three variants; a typed, drawn or uploaded signature. External link You are leaving this website/app (site). To view this file, you may need to install a PDF reader program. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. The prefix may also route claim status inquiries and remit searches. Box 7930 Philadelphia, PA 19101-7930 Does policy number same as member ID number? The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. BlueCard Program Alpha Prefixes | Blue Cross and Blue Shield - BCBSTX Not assigned prefix. Lo-+J52(h' bcbs prefix list PDF,Doc ,Images - pdfprof.com

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