BCBS Prefix | BCBS Prefix Lookup & BCBS Prefix List 2024
As We Know BCBS is a leading Health Insurance Company in the US and have a lot of its plans. So identifying a correct plan of BCBS insurance is a challenging task. Thats why when a patient or a member with a BCBS Insurance comes to Hospital or Doctor Offices for the treatment the medical billers and office assistant became in trouble because verifying the bcbs insurance plan of a member is a bit tricky. BCBS Members Id contain a unique prefix followed up by numbers. This BCBS Prefix is used to indicate the member correct plan. BCBS Prefix Lookup also used to confirm the BCBS Plan name and its state and a BCBS company Name. In this guide, we have a talked in detailed about BCBS Prefix also we have listed a complete BCBS Alpha Prefix List and BCBS Alpha Numeric Prefix List.
BCBS Prefix
As we already mentioned above that BCBS Prefix is used to indicate the member correct Insurance plan. We have created a complete BCBS prefix list for providers and medical billers so they can easily identify correct BCBS plan of a member. Additionally, We update this BCBS prefix list time to time for updated information’s.
BCBS Prefix Lookup
Basically the BCBS Prefix Lookup is a free tool for bcbs prefix finder. Here under is a complete BCBS alpha prefix list and BCBS alpha numeric prefix list. In below tables you can find every bcbs prefix. Simply click on the prefix you are looking for & a new page will open with all the details of the prefix.
BCBS Alpha Prefix
Here under is a complete list of BCBS Alpha prefix. Click on bcbs prefix finder in the below table and open a prefix list you are looking for.
BCBS Alpha Numeric Prefix List
Check out the BCBS Alpha Numeric Prefix List.
Why Blue Cross Blue Shield Prefix Lookup Is Important ?
In order to file a BCBS Insurance Claim you need to submit it to the correct address if claim submitted to incorrect address claim may be denied with reason “Submit the claim to the correct address / Member ID not found”.
In order to get rid of this type of denial or delay in processing of the claim you need to submit the claim to correct address. To submit the claims to correct address you need to have look at BCBS Prefix list. Just check the members prefix from Members ID card and click on that prefix from the below tables to check the correct claim filling address.
For example, if the prefix of the member id is AKQ now you need to click on AAA to AZZ in the table below because this prefix lies in this list and all the prefix starting with A are in this list.
Check Out: ZGP BCBS Prefix List
What is Health Insurance Policy Number?
A unique ID number, provided to the Insured Person by their insurance plan for identification purposes and also for billing the healthcare claims.
What is the Blue Cross Blue Shield Prefix?
A Blue Cross Blue Shield Prefix is a three-character prefixes before the id number except for the BCBS FEP Plan Because It’s Started with letter R followed by the id number.
Types of Blue Cross Blue Shield Prefix are as follows:
- BCBS Alpha Prefix – It consist of a three-letter Alpha prefix followed followed by an identification number.
- For example: ABC12345678 | Here “ABC” is BCBS alpha prefix.
- BCBS Alpha Numeric Prefix – It consist of a three-letter Alpha numeric prefix followed by an identification number.
- For example: A2A12345678 | Here “A2A” is BCBS alpha numeric prefix.
- BCBS FEP Prefix –The BCBS Federal Employee Program can be recognized by the designation “R” followed by a numerical identifier.
- For example: R12345678 | Here Letter “R” indicates BCBS FEP prefix.
How To Identify Blue Cross Blue Shield Member?
In last few days we have received multiple queries from providers, medical billers and billing companies. The queries about how we know that patient is BCBS health insurance member & what plan have? Regarding this, we have mentioned below the important points to know about the member is BCBS health insurance member or not?
- In the BCBS member ID card you can see a suitcase logo at the bottom of card as shown in the image below this can help you to verify patient plan like HMO, PPO, POS etc.
- With the BCBS Member ID alpha prefix you can easily identify about BCBS member.
- Most of the BCBS Member IDs have 12 characters including prefix but some of the BCBS IDs have 17 characters.
Types of BCBS Prefixes
There are two types of BCBS prefixes which are mentioned below:
1. Plan Specific Blue Cross Blue Shield Prefix
The prefixes which are assigned by BCBS to each plan are Plan Specific Blue Cross Blue Shield Prefix. The initial two characters of Plan Specific BCBS Prefix indicates member plan and the last character is for identifying the product type where the member is enrolled.
Example for Plan Specific BCBS Prefix
Let Assume a Members Prefix is “ZGP” identifies Blue Cross Blue Shield of Texas – PPO Product
First & Second Character “Z” and “G” assigned to the BCBS Plan. Whereas third Character “P” is indicating to the member plan or product type which is BCBS PPO.
2. Account Specific BCBS Prefix
The Account Specific Prefix are assigned by Blue Cross Blue Shield to national accounts. Employer groups who have outlets/offices in more than one state and they offer limited coverage to their employees are considered as BCBS National Accounts. Normally, this prefix associates to the employer group name.
Account Specific Blue Cross Blue Shield Prefix Example
Such as Prefix UTS assigned to University of Texas.
What If Blue Cross Blue Shield Member ID doesn’t have Prefix mentioned on Card?
Sometimes, the Blue Cross Blue Shield members plans have not mentioned prefix on the Blue Cross Blue Shield Insurance card. These type of BCBS member IDs are different for such type of member IDs, you can directly contact BCBS prefix directory phone number i.e. 800-676-2583 or call at the number that is present on member id card.
Conclusion:
As we all know that BCBS is one of the top leading medical insurance company in united states by total members of more than 45 million to manage their big network, they divided BCBS into different departments. Moreover Blue Cross Blue Shield Alpha Prefix & Blue Cross Blue Shield Alpha Numeric Prefix are not only helpful to identify the correct payer ID but also for the correct address for claims submission. Additionally, these BCBS prefixes helps to providers and medical billers to reach out the correct claims department for claims and benefits inquiry.
Hi, I’m Emma Taylor! a seasoned expert in the field of medical billing & coding, bringing a wealth of knowledge and experience to the healthcare industry. With a background in healthcare administration and a passion for optimizing billing processes, I am dedicated to helping medical professionals navigate the complexities of billing and coding. Here I shares valuable insights, tips, and resources to empower healthcare practitioners with the information they need to streamline billing operations and enhance overall efficiency.
