3 0 obj The blue cross blue shield coverage deals with the best services for its customers and involves a better statement of the medical treatments. Health Care DeliveryPolicy and Procedures, Blue Cross Community Health Plans ProviderManual, Medicaid Provider Orientation(Professional), Medicaid Prior Authorization RequestForm, Medicaid Provider Orientation (Professional), Blue Cross Community OptionsSMBehavioral Health Benefit Grid. The coverage that the organization holds on travel, medical and other conditions. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. endobj BCBS Alpha Numeric Prefix from L2A to L9Z (Updated 2023), BCBS Provider Phone Number for Claims and Eligibility Verification, PR 27 Denial Code Description and Solution, How to Improve Your Coding Accuracy? $TbYmVcI^ONr#H2.G uG!`;4%x$;L[| BCBS Alpha Prefix List of "U"-series. The employees suggest to the customers select the packages and illustrate more about the service. W2A to W9Z. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. These documents are located inhttp://www.hisccompliance.com. As noted above, when you check eligibility and benefits, in addition to confirming if prior authorization is required, youll also be directed to the appropriate vendor, if applicable. Find a BCBS Company by Prefix. endobj U2A to U9Z. Continue with Recommended Cookies. Blue cross blue shield itself is a federation of 35 separate health insurance in the United States. For . LAB. Other providers are available in our network. It holds a huge role in the cancellation policy, hotel booking and loss of passports. <> We cant decide Blue cross Blue shield members state just by looking first alpha prefix. These BCBS prefix may include alpha and numerical characters. <> When does health insurance expire after leaving job? eviCore healthcare (eviCore) is an independent company that has contracted with BCBSIL to provide prior authorization for expanded outpatient and specialty utilization management for members with coverage through BCBSIL. BCBS is one of the largest medical insurance company by total members of more than 45 million. BAB. <> V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw Y_8NzZtAj&4B8%5"a t@BpweUI#t@SsRR)tx6a5B+sPWO^p[,U\ewdRyN@! BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors. Ans. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. % BCBS Alpha Prefix List of "E"-series: Blue Cross Blue Shield insurance Companies - Statewise: EAA: Not assigned prefix: EAB: BCBS of Kansas City: EAC: Anthem BCBS of Virginia (VA) EAD: BCBS of Illinois (IL) EAE: Regence BCBS: EAF: BCBS of Massachusetts (MA) EAG: Capital Blue Cross of Pennsylvania (PA) EAH: BCBS of Alabama (AL) EAI: Not . October 1, 2022 by Rebecca Williams. endobj Yes, Policy number same as member ID number and also known as subscriber ID number. 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. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry. BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. BCBS of Arkansas Blue Advantage Administrators. This new site may be offered by a vendor or an independent third party. We make sure to share latest data but in case you find some misinformation, please let us know so that we can help you to provide most accurate BCBS Alpha Prefix List. First Character Z assigned to the BCBS Plan. Z2A to Z9A. Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. We offers a wide range of RCM solutions to improve your healthcare services financial health and allows you to focus on patients care rather than collecting payments from insurances and patients for services performed. Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Most of the coverages are associated with baggage loss. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. 1 0 obj Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. The Home and Host plan is also working in the Blue Cross Blue Shield plan. In the USA, the BCBS is a very well-known health insurance statement that conveys more association and deals with numerous activities. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Include the alpha prefix and all alpha characters preceding the alpha prefix on all correspondence and claims submitted to Blue Cross Blue Shield of Texas. To view this file, you may need to install a PDF reader program. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. Some requests are handled by BCBSIL; others are handled by utilization management vendors. For more than 85 years, we've provided our members with comprehensive, affordable health . For example: A2A12345678. <> The plans and system go on covering up the international travel ventures. The alpha prefix is very important to the identification number. There are several benefits of using our BCBS Prefix Lookup tool. Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. JFIF x x C Blue Cross Blue Shield Federal Phone Number. Make sure to make copies of the front and back of member ID card. It also issues for automation extension of the travel insurance plan. XCC. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. stream In certain situations, the baggage gets lost or goes on delaying for the baggage from the airport by claiming to the insurance company and policies for losing the baggage. CPT is registered trademark of American Medical Association. Most PDF readers are a free download. 365days . Information current and approximate as of December 31, 2018. Unassigned Prefix. Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. Blue-Cross Blue-Shield of Illinois. Here Letter R indicates BCBS FEP prefix. BCBS Alpha Numeric Prefix - It's a three letter Alpha numeric prefix followed by id number. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix. Bcbs prefix list is showing the exact BCBS plan of the patient, so you can easily call to exact location plan and handle AR follow-up effectively. BCBS Company. Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. Curious to know what are national Accounts? Livestock Protection. It has also helped customers during emergencies by providing the proper medical treatments and other sources. Always make sure to submit claims to insurance company on time to avoid timely filing denial. 17 0 obj The site may also contain non-Medicare related information. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. Contact us to learn how we can improve your revenue cycle. mr+*W@B Here " ABC" is BCBS alpha prefix. An example of data being processed may be a unique identifier stored in a cookie. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. Customer services are indulged with great services. BCBS Prefix will not only have numbers and the digits 0 and 1. endobj Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee 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, including, but not limited to, exclusions and limitations applicable on the date services were rendered. Here I have shared the list of BCBS alpha prefix ranging from BAA to BZZ. Do not delay the billing of a claim for any reason. xyl prefix provider phone number aqt bcbs prefix bcbs of minnesota prefix bcbs prefix lookup anthem prefixes by state 2022 bcbs illinois prefix list 2022. Create an account. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. _( ~ G+[~:d#y8J5)-*]4hLFk-P3sI77O. BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. Home plans are generally used as a member of the former application. It covers the plans and analyses the services with the complete access of the employees. First, it saves you time and hassle by allowing you to quickly identify correct BCBS insurance home plan without having to call customer service. Third, it can help you make more informed decisions to choose right insurance plan and benefits. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . Availity is a trademark of Availity, LLC., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. We make sure to update the information on daily basis, however, if you find some kind of inaccurate information, feel free to contact us. Claims that are submitted after . BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. Blue Cross Blue Shield insurance Companies - Statewise. . We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Does policy number same as member ID number? 6 0 obj BCBS Prefix List 2021 - Alpha. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). If you donotget prior approval via the prior authorization process for services and drugs on our prior authorization lists: When and how should prior authorization requests be submitted? Related forms. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . These BCBS prefix may include alpha and numerical characters. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. Learn more about Ezoic here. New to Blue Access for Members? For accurate and quick claims processing, it is necessary to get complete patient insurance information. To viewrequirements summaries andprocedure code lists, refer to theSupport Materials (Commercial)andSupport Materials (Government Programs)pages. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. Now, with more than 15 years of experience as a medical biller and revenue cycle manager, I am on a mission to serve the medical billing industry with my vast knowledge and years of expertise. N9=*io1*sLxfLf9`El/Ou:!fUKc3'I"UIcL 0 d.|XbY!&e|&1'b[7N!B!axHgY&K8Ugxl ]j.,pj,$&GHox x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? XCE. The site may also contain non-Medicare related information. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. We are also the largest provider of health benefits in Illinois, serving more than 8.1 million members in all 102 counties across the state. 12 0 obj BAA. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. This includes strict observance of and compliance with the laws and regulations governing the business operations of HCSC, and in particular, the services that it performs or has delegated to others to perform pursuant to its Medicare and Medicaid contract(s). Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. Among these principles are a commitment to the highest standard of business ethics and integrity. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> Some of our partners may process your data as a part of their legitimate business interest without asking for consent. The Blue cross blue shield company mainly provides proper health insurance coverages. The prefixes identify the member's BCBS prefix list plan or national account and become essential when routing claims for processing. Save my name, email, and website in this browser for the next time I comment. Does United Healthcare cover the cost of dental implants? How Long Does the Judge Approval Process for Workers Comp Settlement Take? F1Xkt~ n_]}M,h>@iB;jVhX8M5%s9A}SHB+;zwOUR*7Y@"Z/j[xW[,5ygwxxe7cjgj;=d sXT >oTL{ $(5V7Ev-BNlJaZw7F^Uv >U$+o\!je mR[D-h?jkC: .cJ]QC,1p 9ArnWP) v5s]M*I'vv Commercial Communications External link You are leaving this website/app (site). BCBS Alpha Prefix List of "Z"-series. 107. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. <> BCBS prefix list EAA-EZZ. ZAA. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Provider Finder . Returning Shopper? Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. BCBS Alpha Numeric Prefix from F2A to F9Z (Updated 2023) January 7, 2023 by Kim Keck. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. M+. The prefix acts as a key element in confirming the members' eligibility and coverage information. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. Blue Access for MembersSM is a powerful tool for managing all your health plan benefits. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. Account Specific Prefix are assigned by BCBS to national accounts. endobj document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Independence Blue Cross(BC) of Philadelphia(Phi) and the Southeastern Pennsylvania(PA), Carefirst BCBS of Maryland the (MD), District of Columbia (DC) and the Northern Virginia (VA). In most ways, the policy numbers and their section move forward with a unique number to get respective orders and their identification to analyze the main purposes of billing the healthcare system. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. endobj Suppose assume claims filed with an incorrect member ID number or BCBS prefix by Provider or Billing companies, then BCBS insurance will deny the claim stating Incorrect member ID, please submit with an correct member ID number. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. PUJyf\P )} 9\7R8lSJ|y:mYY p!+uUxSACJQ;,#3X_xR External link You are leaving this website/app (site). Note: Most out-of-network services require utilization management review. For Example: ABC, A2B, 2AB, 2A2 etc. Always use the BCBS prefix on the members current ID card followed by the member id number. Language Assistance (opens in a new window) and Non-Discrimination Notice . BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. Below is a list of the old and new alpha prefix codes. Illinois. Normally, account specific prefix associates to the employer group name. The address and its verification of the members eligibility cover the areas of all the departments and claim the perfect status. within 365 days . Anthem BCBS of Connecticut. The first two alphabets of the prefix denote the plan and the third alphabet prefix denotes the type of product the insured choose for coverage. Earn Money by doing small online tasks and surveys, McKesson Corporation: Company Overview & History (2023), AAPC: What it is and why it matters in the Healthcare (2023). BCBS Alpha Numeric Prefix from T2A to T9Z. :C5*|}6_D20&Z+NvN0l+TyX ^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ Get the most from your BCBSIL pharmacy benefits. The information you're accessing may not be provided by Excellus BCBS. Manage Settings ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links.) We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Does blue cross blue shield cover shingles vaccine? 11 0 obj If possible, make copies of the member's ID card (front and . It also files on checking the incorrect address and submits the correct form of claiming the right details. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Here " A2A" is BCBS alpha numeric prefix. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. Final Remarks about BCBS Prefix Lookup Directory. An Independent Licensee of the Blue Cross Blue Shield Association 020469 (03-01-2023) Prefix BCBS Plan Prefix BCBS Plan Prefix BCBS Plan A2T Premera Blue Cross A9P Premera Blue Cross ACF Premera Blue Cross AGL Premera Blue Cross/Shared Admin GUJ AHC Premera Blue Cross AJX Premera Blue Cross GVY ALK Premera Blue Cross Provided on the website you will find the following documents: Medicare and Government Contracts Compliance Program, Blue Cross Medicare Advantage HMO Non-Delegated Model Manual, Blue Cross Medicare Advantage PPO ProviderManual, CMS Qualified Medicare Beneficiary Program, Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). We make sure to share latest data but in case you find some misinformation, please let us know so that we can help you to provide most accurate BCBS Alpha Numeric Prefix list. Join us as we build the next generation of health insurance. Here you can find the BCBS prefix finder along with BCBS home plan name and website for BCBS member IDs ranging from F2A to F9Z. 15 0 obj The health of your eyes and teeth can affect your overall health. What is Medical Billing and Medical Billing process steps in USA? CAA. In the USA, people prefer to use and apply for BCBS insurance as it is considered one of the trustworthy applications and has the maximum facilities to deal with. [ 15 0 R] Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. These blue shield companies negotiate with the doctors and the other hospitals. A Google Certified Publishing Partner. It also storms up the stability of ones financial condition. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania, Maryland/District of Columbia/Northern Virginia, Anthem Blue-Cross Blue-Shield of Virginia, Excellus Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Missouri, Blue-Cross Blue-Shield of Western New York, Empire Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Colorado, Anthem Blue-Cross Blue-Shield of Wisconsin, Highmark Blue-Cross Blue-Shield of Pennsylvania, Horizon Blue-Cross Blue-Shield of New Jersey, Anthem Blue-Cross Blue-Shield of Connecticut, Anthem Blue-Cross Blue-Shield of Kentucky. 4/1/2022. Most PDF readers are a free download. endstream BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Search with My Member ID Card: Go. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. Step 1 Confirm if Prior Authorization is Required. We and our partners use cookies to Store and/or access information on a device. Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . Search your plan's drug list, find a pharmacy, and more. In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS Prefix BCBS Plan Name E2A Blue Cross Blue Shield Texas E2B Blue Cross Blue Shield Texas E2C Anthem BCBS Indiana E2E Regence Blue Cross . 2/1/2023. T2A to T9Z. Admin 22A. . The manual is organized into the following sections for your convenience. Blue Cross Blue Shield companies provide a best-in-class, 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 . BCBS Alpha Prefix from BAA to BZZ. Note for Front Desk and Providers: When Blue Cross Blue Shield members comes to your facility or office, make sure to ask them for their active BCBS plan member ID card. The prefixes include filling up the claims of the insurance details.It also checks out the incorrect members of gaining the claim setting up the correct number about the IDs. Blue Cross Blue Shield insurance Companies - Statewise. By doing it may cause delay in processing or handling the claim. Blue Cross and Blue Shield of Illinois is proud to be the states only statewide, customer-owned health insurer. <> It means that BCBS members IDs prefixes will must have alphabets. 18 0 obj <> Business health insurance plans designed to fit any size small business and budget. endobj How To Identify Blue Cross Blue Shield Member? . Have a look at BCBS alpha prefix and alpha numeric prefix directory below. Any individuals who impact HCSC's Medicare or Medicaid contract(s) are expected to abide by the Medicare and Government Contracts Compliance Program, the Code of Business Ethics and Conduct and the Medicare Compliance Policies. The insurance company also provides facilities for the senior citizens and claims to give the best facilities for them and get them admitted to the nearest hospital. from the date of service. BCBS Alpha Prefix List from UAA to UZZ Updated 2023. endobj By using this directory, you can ensure that you have the most up-to-date information about BCBS home plans and make more informed decisions about choosing right insurance plan. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. BCBS Prefix List 2021 - Alpha. Skip to content. giV7Lxp^^YM(_{27e;//3_`|eC9EliUDD.3fJ0]6DT{,dMZRPRWN2C7?HL4fvy|\b%^SKwIOh)xo${A%t7A3_h}AL September 30, 2022 by Rebecca Williams. Health Equity and Social Determinants of Health (SDoH), Over the Counter Equivalent Exclusion Program, Prior Authorization and Step Therapy Programs, Consolidated Appropriations Act & Transparency in Coverage, Medical Policy/Pre-certification: Out-of-area Members, HMO Medical Service Agreement Highlight and Process Summary, 3rd Trimester Pregnancy IPA Transfer Policy, 3rd Trimester Pregnancy IPA Transfer Procedure, Ancillary Hospital Institution Care Transition Exceptions Policy, Ancillary Hospital Institution Care Transition Exceptions Procedure, Contract Management Firms Confidentiality Agreement Policy, Contract Management Firms Confidentiality Agreement Procedure, Corrective Action for Failed Utilization Management Audit of Participating IPAs Policy, Corrective Action for Failed Utilization Management Audit of Participating IPAs Procedure, Collaborative Improvement Coaching for HMO Quality Improvement Projects Policy, Collaborative Improvement Coaching for HMO Quality Improvement Projects Procedure, IPA Availability andAccessibility Requirements forImmediate Care Services Policy, IPA Availability andAccessibility Requirements forImmediate Care Services Procedure, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy, IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Procedure, IPA Process for Establishing Out of Area for Emergency Services Policy, IPA Process for Establishing Out of Area for Emergency Services Procedure, IPAs Request for Member Transfer Procedure, Member Access to Behavioral Health Services Policy, Member Access to Behavioral Health Services Procedure, Member Notification Process when a Provider Leaves the IPA Policy, Member Notification Process when a Provider Leaves the IPA Procedure, Oversight of Contracted Infertility Vendor Policy, Oversight of Contracted Infertility Vendor Procedure, Primary Care Physician (PCP) Affiliation with Multiple IPAs Policy, Primary Care Physician (PCP) Affiliation with Multiple IPAs Procedure, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Policy, Utilization Management and Case ManagementAdherence Audit of Participating IPAs Procedure, Accountable Care Organization (ACO) Dual Claimed Physician Policy and Procedure, BCBSIL Marketing Communications HLA Policy Procedure, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Policy, Blue Cross Blue Shield of Illinois Quality of Complaints & Occurrences Process Procedure, Provider Handling of Member Inquiries Complaints and Appeals, Provider Urgent/Expedited Clinical Appeal Process, Recovery of Provider Overpayments due BCBSIL, MA HMO Detailed Explanation ofNon-coverage, MA HMO Notice of Dismissal of Organization Determination Request, MA HMO UM Approval In Network ProviderLetter, MA HMO UM Approval Out of Network ProviderLetter, MA HMO Sample Provider Appeal Language for Explanation ofPayment, MA HMO Sample Waiver of LiabilityStatement, MA HMO Transition to Transplant ManagementForm, HMO Provider Credentialing Pre-application. BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. Assistance Available For Members Impacted by Severe Weather, Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). stream <> <> For example: ABC12345678. 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.

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