Highmark alpha prefix and where to send the claims

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Save my name, email, and website in this browser for the next time I comment. Kim Keck. A2A to A9Z. B2A to B9Z. C2A to C9Z. D2A to D9Z. E2A to E9Z. F2A to F9Z. G2A to G9Z. H2A to H9Z. I2A to I9Z. K2A to K9Z. L2A to L9Z. M2A to M9Z. N2A to N9Z. O2A to O9Z. P2A to P9Z. Q2A to Q9Z. R2A to R9Z. S2A to S9Z. T2A to T9Z. U2A to U9Z. V2A to V9Z. W2A to W9Z. X2A to X9Z. Precertification remains the responsibility of the provider for all Empire HMO network members. Doing so may cause delays in the handling of your inquiries and claims.

If the card presented has no alpha prefix, follow the instructions on the back of the ID card for inquiries and claim handling. Note : We have added some more prefixes in the list.

Please use comment section to add or Modify further. We cant decide Blue cross Blue shield members state just by looking first alpha prefix. Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. Use search function and put your comment any alpha prefix not found here. Prefix Plan Name.

When members of Blue Plans arrive at your office or facility, be sure to ask them for their current Blue Plan membership identification card. The main identifier for out-of-area members is the alpha prefix. Examples of ID numbers:. Do not add or omit any characters from the member ID numbers. Alpha Prefix. The alpha prefix identifies the Blue Plan or National Account to which the member belongs. To ensure accurate claim processing, it is critical to capture all ID card data.

If the information is not captured correctly, you may experience a delay with the claim processing. Please make copies of the front and back of the ID card, and pass this key information to your billing staff. When members from Blue Plans arrive at your office or facility, be sure to ask them for their current Blue Plan membership identification card.

The ID cards may also have:. What do I do if a member has an identification card without an alpha prefix? The Identification cards will include:. Occasionally, you may see identification cards from members residing abroad or foreign Blue Plan members. These ID cards also will contain three-character alpha prefixes. Please treat these members the same as domestic Blue Plan members. Member identification prefixes were updated as part of that transition.

The member identification prefixes for individual Medicare Advantage plans are listed below. Eastern WA and Alaska providers submit to Premera.

As members renew or enroll their individual or group contracts for health care coverage in , they will be presented with a new Highmark branded ID card. Note: Some members will remain in Blue Cross of Northeastern Pennsylvania health plans until their coverage renews to Highmark health plans later this year. Claims filing information and provider service phone numbers are available in the December, January and February Provider Bulletins. Below is a list of the old and new alpha prefix codes.

I'm just looking for the alpha prefix reference list for OHIO but all I keep getting is other states. Any suggestions. Download the bcbs pdf document which has been at the bottom of the post and you could find prefix for OHIO too.

All the contents and articles are based on our search and taken from various resources and our knowledge in Medical billing. All the information are educational purpose only and we are not guarantee of accuracy of information. Before implement anything please do your own research. If you feel some of our contents are misused please mail us at medicalbilling4u at gmail dot com. We will response ASAP. BCBS alpha prefixes list and claim submission address — Updated list.

Healthcare Admistrators -Regence Blue. Blue Advantage Administrators of. HBJ Arkansas. Identifying Members and ID Cards 1. How do I identify members? Some members may carry outdated identification cards that may not have an alpha prefix.

Please request a current ID card from the member. Nikki on August 23, at am. Nice to know, this should be useful as a reference… Medicare Missouri.

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