Always use the BCBS prefix list on the member’s current ID card
Full Answer Alpha prefixes are the three characters that precede a subscriber identification number on BCBS identity cards, notes the BCBS Association. The prefixes identify the member's BCBS prefix list plan or national account and become essential when routing claims for processing. In plan-specific alpha prefixes, the first two characters denote a given plan, while the third character identifies the product type chosen by the member, explains the BCBS of Texas. For instance, the" Z" and "G" in the prefix "ZGP" are BCBS-assigned letters, and the" P" denotes a preferred provider organization, or PPO, product.
Conversely, the account-specific alpha prefixes assigned to national accounts have their characters associated with the group name of the employer. For instance, UTS is the national account prefix for the University of Texas. BCBS member identification numbers are six to 14 characters long, although some ID cards lack the prefix, says the BCBS of Texas. Whenever submitting a claim, members should not omit or randomly choose the alpha prefix. However, the filing instructions for the identification cards that lack alpha prefixes are different from instructions for cards that have prefixes. Learn more about Health Insurance Sources: bcbstx.com bcbs.com healthcare.qwertyuppy.com
In plan-specific alpha prefixes, the first two characters denote a given plan, while the third character identifies the product type chosen by the member, explains the BCBS of Texas. For instance, the" Z" and "G" in the prefix "ZGP" are BCBS-assigned letters, and the" P" denotes a preferred provider organization, or PPO, product. Conversely, the account-specific alpha prefixes assigned to national accounts have their characters associated with the group name of the employer. For instance, UTS is the national account prefix for the University of Texas.
Examples of the different BLUE CROSS BLUE SHIELD PREFIX LIST insurance plans include health maintenance organization, preferred provider organization, point of service and Medicare, according to Blue Cross Blue Shield. Blue Cross Blue Shield offers the different types of insurance plans all over the country through participating companies.
Under the Blue Advantage HMO plan, subscribers have access to primary care physicians who coordinate their care with standard medical care, prescriptions, and specialist referrals, according to BlueCross BlueShield of Illinois. Subscribers have the flexibility of choosing PCPs from a network of medical groups and independent practice associations.
I hope this helps you out for your list. I have to say your list has been very, very helpful and handy when trying to verify insurances thru blue card line , etc.
Some identification cards may not include BCBS alpha prefix list, which may indicate that the claim filing instructions for these type policies are different. We suggest that you verify claim filing instructions during the time eligibility information is obtained. If not, please follow the instructions on the back of the member's ID card or contact the plan directly. Member eligibility can be obtained at 1 676-BLUE . Once connected, you will then simply provide the alpha prefix and the operator will then route you to the member's plan.
Our Customers › Explore the programs, resourcesand tools that help you manageyour health. Our Healthcare Partners › Review the programs, resourcesand tools supporting healthcareprofessionals. Our Industry › Learn about our ongoing effortsto support and elevate thehealthcare system.
BCBS member identification numbers are six to 14 characters long, although some ID cards lack the prefix, says the BCBS of Texas. Whenever submitting a claim, members should not omit or randomly choose the alpha prefix. However, the filing instructions for the identification cards that lack alpha prefixes are different from instructions for cards that have prefixes.
Some ID cards may not include an alpha prefix, which may indicate that the claim filing instructions for these type policies are different. We suggest that you verify claim filing instructions during the time eligibility information is obtained. If not, please follow the instructions on the back of the member's ID card or contact the plan directly.
