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.
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 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 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.
Does policy number same as member ID number?
Yes, Policy number same as member ID number and also known as subscriber ID number.
Medicare Part A & B called as Original Medicare. Which covers Hospital, physician visits and…
Can an individual be Eligible for both Medicare and Medicaid insurance? Yes, individual are eligible…
Revenue Cycle Management also known as RCM is the process from patient scheduling an appointment…
MRI (Magnetic Resonance Imaging) is used in radiology to find out any abnormalities inside the…
Physicians place suture after major or minor surgery to help in holding body tissues together…
CPT 99213 is an evaluation and management code of an established patient. It is one…