BCBS Alpha Prefix from BAA to BZZ. The BCBS prefix lookup directory is regularly updated with the latest BCBS insurance plan information, so you can be sure that the information youre viewing is 100% accurate. ZAA. 2021 Commercial Outpatient Behavioral Health Prior Authorization Code List This list is a new addition on our website for 2021. Unassigned Prefix. BCBS Blue Care Network Michigan (MI) UAB. Member Services | Blue Cross Blue Shield Prior authorization requests for our Blue Cross Medicare Advantage (PPO) SM (MA PPO), Blue Cross Community Health Plans SM (BCCHP SM) and Blue Cross Community MMAI (Medicare-Medicaid Plan) SM members can be submitted to eviCore in two ways. The content shared in this website is for education and training purpose only. Renew Illinois Individual, Family & Medicaid Health Insurance, Blue Cross Community MMAI (Medicare-Medicaid Plan), Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, Learn About Colon Cancer Screening Options. 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. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. <>
-x0cjH4`f4`c:A 9K+)tnapM"f2:d+-%0|[FpPDRtZd)@@0,4|(a8`0XE3Fx"K@dd`vF[VgGs.OO'wAl~B~P%sr:|7Rz Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. In general, there arethreestepsprovidersshould follow. In addition, some sites may require you to agree to their terms of use and privacy policy. The first two characters of such BCBS prefix spots member plan and the third character is to identify the type of product in which the BCBS member is enrolled. BCBS Alpha Prefix List of "Z"-series. Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. Business health insurance plans designed to fit any size small business and budget. UAC. In addition, some sites may require you to agree to their terms of use and privacy policy. There are two types of BCBS prefixes which are mentioned below: Plan Specific prefix are assigned by BCBS to each plan. Account Specific Prefix are assigned by BCBS to national accounts. Here " A2A" is BCBS alpha numeric prefix. BCBS alpha prefixes list and claim submission address - Updated list For Example: XYZ123456789. endobj
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. Anthem Blue-Cross Blue-Shield of Ohio. To view this file, you may need to install a PDF reader program. ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. Health Care Providers | Blue Cross Blue Shield of Illinois - BCBSIL What is Medical Billing and Medical Billing process steps in USA? 12 0 obj
Example: Prefix ZGP (Blue Cross Blue Shield of Texas it is a PPO Product). What kind of cases do personal injury lawyers handle? Today you will find The BCBS Alpha Prefix List from SAA to SZZ. Livestock Protection. BCBS Alpha Numeric Prefix From T2A To T9Z 2023 Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. Most of the coverages are associated with baggage loss. Blue Shield has negotiated with the local hospitals and pays off the steep fees for encountering charges on the specific benefits. Calls will be returned the next . If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. 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. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. Health Exchange. 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. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. The prefix acts as a key element in confirming the members' eligibility and coverage information. Choose a state to see how Blue Cross Blue Shield is working in your community. The employees suggest to the customers select the packages and illustrate more about the service. Learn about the many ways we are contributing to the well-being of our local Illinois communities in the latest Corporate Social Responsibility Report. State Lookup. Save my name, email, and website in this browser for the next time I comment. BCBS Prefix will not only have numbers and the digits 0 and 1. Save my name, email, and website in this browser for the next time I comment. Illinois Health Insurance | Blue Cross and Blue Shield of Illinois - BCBSIL . Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. FA%[: :C5*|}6_D20&Z+NvN0l+TyX
^:"WJ*~'vW/;3eW0Jx] >Ou#_D4W_H5d"t~"AM)B#z_s*,f0Vy5X]KJ_ BCBS Prefix XAA - XZZ | List Of BCBS Prefixes | BC Prefix <>
2/1/2023. These blue shield companies negotiate with the doctors and the other hospitals. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. 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. <>
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V2A to V9Z. Most of the expenses get exposed through the treatments, and for that, the coverages are built up. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . Curious to know what are national Accounts? BCBS Insurance mainly focuses on medical treatments and providing maximum support for the financial condition. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. This can be especially helpful if youre in a rush or need to access your BCBS prefix home plan information quickly. Highmark BCBS of Pennsylvania (PA) ZAC. Below is a list of the old and new alpha prefix codes. And to manage such a big network, they divided it into different departments state wise or employer specific. Availity provides administrative services to BCBSIL. Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. <>
Prior authorization requests for our Blue Cross Medicare Advantage (PPO)SM(MA PPO), Blue Cross Community Health PlansSM(BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SMmembers can be submitted to eviCore in two ways. within 365 days . Empire BCBS Prefix List Archives | Medical Billing RCM T2A to T9Z. It helps to cover up the flights or any delays. The alpha prefix is very important to the identification number. The Blue cross blue shield company mainly provides proper health insurance coverages. State Lookup. We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. A prior authorization isnota guarantee of benefits or payment. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Xceed Billing Solutions is amedical billing company for outsourcing medical billing services. Make sure to make copies of the front and back of member ID card. BCBS Alpha Prefix List of "U"-series. For more than 85 years, we've provided our members with comprehensive, affordable health . BCBS prefix are easy to identify using our BCBS prefix lookup because they're part of every BCBS member ID and we included all of them here in the BCBS prefix list. This new site may be offered by a vendor or an independent third party. Here " ABC" is BCBS alpha prefix. PDF New Alpha Prefix Codes - Blue Cross and Blue Shield of Illinois These prefixes may include alpha and numerical characters. Tdb[+Np/1oz1_(:3^%:\tr'c!HfRY{P#~Kr>S: BCBS Alpha Numeric Prefix from T2A to T9Z. The health of your eyes and teeth can affect your overall health. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. Learn more about Ezoic here. For government programs prior authorization requests handled by eviCore healthcare (eviCore): Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. 10 0 obj
Provider Finder . Does blue cross blue shield cover shingles vaccine? XCE. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. These documents are located inhttp://www.hisccompliance.com. 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? Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Empire Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Kentucky, Maryland/District of Columbia/Northern Virginia, Highmark Blue-Cross Blue-Shield of Pennsylvania, Anthem Blue-Cross Blue-Shield of Connecticut, Anthem Blue-Cross Blue-Shield of Colorado, Anthem Blue-Cross Blue-Shield of New Hampshire, Anthem Blue-Cross Blue-Shield of Missouri, Blue-Cross Blue-Shield of Western New York, Independence Blue-Cross of Philadelphia and Southeastern Pennsylvania, Anthem Blue-Cross Blue-Shield of Virginia, Excellus Blue-Cross Blue-Shield of New York, Anthem Blue-Cross Blue-Shield of Wisconsin, Highmark Blue-Cross Blue-Shield of West Virginia, Horizon Blue-Cross Blue-Shield of New Jersey, Highmark Blue-Cross Blue-Shield of Delaware. 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 . So, to answer this query, we have mentioned below few important points to consider. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. The consent submitted will only be used for data processing originating from this website. 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. How Long Does the Judge Approval Process for Workers Comp Settlement Take? BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. Third, it can help you make more informed decisions to choose right insurance plan and benefits. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc. It covers the plans and analyses the services with the complete access of the employees. The organization is famous just for this particular service apart from the other policies. Ans. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? Member Prefix List Patient Roster Claims & Payments. Prior Authorization | Blue Cross and Blue Shield of Illinois - BCBSIL BSBS insurance involves unique prefixes and follows up a unique ID number. Search for doctors, dentists, hospitals and other health care providers. Usually, the provider is responsible for requesting prior authorization before performing a service if the member is seeing an in-network provider. Even BCBS Insurance provides COVID-19 protocols, which has become a big issue in todays generation. The coverage that the organization holds on travel, medical and other conditions. One option is Adobe Reader which has a built-in reader. 1 0 obj
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Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . W2A to W9Z. BCBS Alpha prefix lookup contains all the Blue Cross Blue Shield alpha prefix along with their home plan and website. Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. 14 0 obj
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The site may also contain non-Medicare related information. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. U2A to U9Z. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. Sample BCBS prefix list. It comes up with the facilities such as dental, vision and other body issues. Certain employer groups may require prior authorization or pre-notification through other vendors. BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. In this way, the BCBS holds on compensating the costs and indulges with the maximum support of the customers. UAA. 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. The following travel insurance helps to deal with all the medical costs and also covers the family expenses. For commercialprior authorization requests handled by AIM Specialty Health(AIM): Commercial non-HMO prior authorization requests can be submitted to AIM intwo ways. Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and the health care provider. Secondly, it ensures that you have the most up-to-date information about each and every BCBS prefix home plan because we update the BCBS prefix list on daily basis. 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 } !1AQa"q2#BR$3br The blue cross deals with the features to make it easier for the customers to deal with the situation. %PDF-1.5
Blue cross coverage goes through the idea of calling out the blue cross blue shield company, which helps to provide the programs benefits. Contact us to learn how we can improve your revenue cycle. Admin 83A. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. T2*uug)T%D._M/5WIdB;zg@W01>X_b(
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BB> BCBS Prefix will not only have numbers and the digits 0 and 1. Compliance, Fraud, Waste and Abuse Program and Reporting: HCSC and its subsidiaries are founded on the basic principles of good business behavior. 4/1/2022. Returning Shopper? Sometimes, a plan may require the member to request prior authorization for services. The presence of the members in the organization deals with decisions on certain critical conditions of the customers and getting steps to solve the issues. 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. Want to be part of our amazing team? 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. BCBS Alpha Prefix List from ZAA to ZZZ Updated 2023 Manual | Blue Cross and Blue Shield of Illinois - BCBSIL Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. What is 25 modifier and how to use it for insurance Payment, How to code for diagnosis and procedures related to Monkey pox, BCBS Alpha Prefix List from YAA to YZZ Updated 2023, Timely Filing Limits for all Insurances updated (2023), Blue Cross Blue Shield insurance Companies Statewise, BCBS of South Carolina (SC) / Southcarolinablues, Highmark Blue Shield (BS) of Pennsylvanaia (PA), Blue shield(BS) of Northeastern New York (NeNY). endobj
When does health insurance expire after leaving job? The terms of the members plan control the available benefits. Below in our BCBS prefix lookup directory, you can lookup all the BCBS prefix appropriate home plans and their contact information. 7aM- I|x,# Click on a section title to view the content. 9 0 obj
The prefix acts as a key element in confirming the members' eligibility and coverage information. Born in Texas, USA. 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. 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. It means that BCBS members IDs prefixes will must have alphabets. 18 0 obj
BCBS is one of the largest medical insurance company by total members of more than 45 million. 800-676-2583. BCBS Alpha Numeric Prefix from W2A to W9Z (Updated 2023) January 8, 2023 by Kim Keck. Blue-Cross Blue-Shield of Illinois. The perfect members of BCBS insurance get more flexibility and facilities in terms of health insurance. PUJyf\P )}
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p!+uUxSACJQ;,#3X_xR Here Letter R indicates BCBS FEP prefix. BCBS Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan. 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. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. '/&s0k?Nb~$;,KAz1J X#!&H&K8
'!q15O*e g'<2Aq$04g[ UmKU80xxR Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. Regence prefix list: Fill out & sign online | DocHub Information current and approximate as of December 31, 2018. Second Character G assigned to the BCBS Plan as well. BCBS Alpha Prefix are first three letters of BCBS Member ID to identify correct Blue Cross Blue Shield department responsible for managing the patient eligibility, benefits and claims etc. BCBS Alpha Prefix List from UAA to UZZ Updated 2023 You may also be interested to read about denial code 27 reason and solutions. Most PDF readers are a free download. The programs main benefit is that it allows one to receive and understand the health care benefits. The policies and regulations provided by the organization convey great statements and activities into the proper placement. endobj
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$TbYmVcI^ONr#H2.G uG!`;4%x$;L[| BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) endobj
107. BCBS FEP Its indicated with letter R followed by the id number. BCBS member ID card will have a suitcase logo at the bottom of card which will also help you to identify patient plan like HMO, PPO, POS etc. 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. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing. One option is Adobe Reader which has a built-in reader. 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 . 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). The information you're accessing may not be provided by Excellus BCBS. 13 0 obj
BCBS is one of the biggest insurance companies in USA and serving more than 106 million people. Anthem BCBS of Wisconsin (WI) [ 15 0 R]
Note: Most out-of-network services require utilization management review. BCBS Alpha Prefix From BAA To BZZ 2023 A Google Certified Publishing Partner. Search with My Member ID Card: Go. Learn more about timely filing limits and CO 29 Denial Code. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process.
!(!0*21/*.-4;K@48G9-.BYBGNPTUT3? Other providers are available in our network. 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. Request a new replacement member ID card, or download a temporary copy. 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. BCBS of Arkansas Blue Advantage Administrators. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz In recent years medical treatment and its cost has increased, which has become unbearable to manage. |d&`{ ^^I|Wp:K|~._s
They always offer packages within the amounts mentioned. An example of data being processed may be a unique identifier stored in a cookie. First Character Z assigned to the BCBS Plan. Normally, account specific prefix associates to the employer group name. Blue Cross Blue Shield Medicare Advantage Plans 2021 - Healthline BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. BCBS of Kansas City. from the date of service. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . Click on a section title to view the content. Always make sure to submit claims to insurance company on time to avoid timely filing denial.
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