BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify member’s eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim.
BCBS Prefix List Alpha & Alpha Numeric :
Health insurance policy number:
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.
BCBS prefix is a three character prefixes followed by the id number except for the following products and programs.
- BCBS FEP – It’s indicated with letter R followed by the id number.
- Stand-alone dental products, vision and pharmacy when delivered through an intermediary model.
BCBS Prefix should be included along with ID number, exactly as it appears on the member ID card when filing the claims to insurance company.
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”.
In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. In that case claim may be denied as “Submit the claim to the correct address / Member ID not found”. In order to get rid of this denial or sometimes delay in processing, Provider or Billing companies has to find out the correct address by BCBS prefix from the above list before filing the claim.
BCBS Prefix can be classified as follows:
BCBS Alpha Prefix – It’s a three letter alpha prefix followed by id number.
For example: ABC12345678
Here “ABC” is BCBS alpha prefix.
BCBS Alpha Numeric Prefix – It’s a three letter Alpha numeric prefix followed by id number.
For example: A2A12345678
Here “A2A” is BCBS alpha numeric prefix.
BCBS FEP Prefix – BCBS Federal Employee Program is identified by the letter “R” followed by the number.
For example: R12345678
Here Letter “R” indicates BCBS FEP prefix.
Tips to follow, when the claim is related to BCBS prefix :
- Do not create one or use the BCBS prefix from another member ID card. By doing it may cause delay in processing or handling the claim.
- Always use the BCBS prefix on the member’s current ID card followed by the member id number.
Frequently asked Questions:
Does policy number same as member ID number?
Yes, Policy number same as member ID number and also known as subscriber ID number.