BCBS Prefix List Lookup 2024 - Alpha & Alpha Numeric Prefix Directory (2024)

BCBS prefixes are very important in revenue cycle management to file medical claims to the correct Blue Cross Blue Shield home plan, check patient’s eligibility, benefits verification, and to reach out to correct BCBS Association department.

To find the right BCBS home plan, we have provided the complete BCBS prefix list. Find the latest and most authenticated BCBS prefix home plan information below.

Contents

  • BCBS Prefix List Lookup
  • BCBS Alpha Prefix List
  • What is BCBS?
  • What is BCBS Prefix?
  • Why Choose Our BCBS Prefix Lookup Finder?
  • How to Use BCBS Prefix Lookup?

BCBS Prefix List Lookup

BCBS Prefix List Lookup 2024 - Alpha & Alpha Numeric Prefix Directory (1)

BCBS Alpha Prefix List

AAA to AZZBAA to BZZCAA to CZZDAA to DZZEAA to EZZFAA to FZZ
GAA to GZZHAA to HZZIAA to IZZJAA to JZZKAA to KZZLAA to LZZ
MAA to MZZNAA to NZZOAA to OZZPAA to PZZQAA to QZZRAA to RZZ
SAA to SZZTAA to TZZUAA to UZZVAA to VZZWAA to WZZXAA to XZZ
YAA to YZZZAA to ZZZ

What is BCBS?

BCBS is an abbreviation of Blue Cross Blue Shield. Blue Cross Blue Shield is a federation of commercial health insurance organizations in the United States. It is one of the largest and most recognized healthcare insurance company in the US, offering insurance coverage to more than 115 million individuals in all 50 states. Also, more than 1.7 million healthcare providers and hospitals are contract with BCBS.

What is BCBS Prefix?

BCBS prefix refers to the initial three alphabets or alpha numeric characters found in the BCBS health insurance member’s plan identification number. BCBS is a federation of 36 separate and locally operated organizations that are affiliated with the Blue Cross Blue Shield Association in the United States, providing coverage to millions of individuals and families.

BCBS prefix serves as a unique identifier for a particular plan or region within the Blue Cross Blue Shield network. BCBS prefix helps to differentiate and categorize different types of BCBS insurance plans, such as BCBS individual plans, BCBS group plans, or BCBS Medicare plans. The BCBS prefix is typically followed by a series of numbers that further identify the specific policyholder or group.

By using the BCBS prefix lookup, healthcare providers and other entities involved in the claims process e.g. medical billers, accounts receivables, can quickly recognize the insurance plan associated with a particular individual. This helps in the submission of claims to the correct payer ID and processing of claims to ensures that services are billed to the correct BCBS insurance carrier.

For Example

BCBS FEP, also known as Blue Cross Blue Shield Federal Employee Program, is a specific health insurance program designed for federal employees, retirees, and their families. In the identification number of BCBS FEP plans, the prefix “R” is used, followed by a unique ID number represents BCBS Federal Employee Program members. Similarly, BCBS of Massachusetts assigns TXX BCBS prefix to the members enrolled in BCBS MA.

On time claim submission to the correct insurance plan also helps us to avoid co 29 denial.

Why Choose Our BCBS Prefix Lookup Finder?

To find a correct BCBS home plan information, there are multiple options available online to find the BCBS prefix information. However, keep in mind that BCBS periodically update their BCBS prefix directory so make sure to rely on up-to-date BCBS prefix list to ensure accurate results.

When it comes to the accuracy and latest BCBS prefix information, no one can do better than us because we update BCBS prefix list on daily basis to make sure to provide the most accurate BCBS prefix information.

How to Use BCBS Prefix Lookup?

To use the BCBS prefix list lookup, follow these steps:

1. Access the Revenue Cycle Mgmt BCBS Prefix Lookup Finder.

2. Use a search feature or a table to find the alpha prefix you’re looking for. e.g, AAA to AZZ, FAA to FZZ etc.

3. In case of using search feature, enter the BCBS prefix you want to look up in the provided search field.

4. Click on the “Lookup” button to initiate the search.

5. Wait for the system to process your request and retrieve the detailed BCBS prefix information associated with the provided BCBS prefix.

6. Review the search results, which will provide details about the corresponding BCBS plan and region related to the provider BCBS prefix.

BCBS Prefix List Lookup 2024 - Alpha & Alpha Numeric Prefix Directory (2)

Deborah Baker

Hi, I’m Deborah Baker from Houston, Texas. Back in 2009, I started my carrier in medical billing as an account receivable in a medical billing company. Now, with an experience of more than a decade, I am sharing my knowledge and experience to help you code and bill accurately.

BCBS Prefix List Lookup 2024 - Alpha & Alpha Numeric Prefix Directory (2024)

FAQs

What is the alpha prefix on the BCBS Blue Card? ›

The alpha prefix is critical for inquiries regarding the member, including eligibility and benefits, and is necessary for proper claim filing.  When filing a claim, always enter the ID number, including the alpha prefix, exactly as it appears on the member's card.

What does the alpha prefix mean? ›

The alpha prefix on the member's ID card is the key element used to identify the Plan to which the member belongs and to correctly route claims.

What is the alpha prefix for BCBS Texas? ›

The alpha prefix will identify the patient's BCBS Plan (for example: ZGP for Texas), the National Account to which the member belongs (for example: HBT for Halliburton) or the patient's international BCBS Plan (for example: ZZC for Italy).

What is the prefix for FEP BCBS? ›

If the card presented has no prefix, follow the instructions on the back of the card for claims handling. ID cards for FEP members do not display a three-character prefix. Rather, all FEP member ID numbers begin with the letter “R,” as highlighted on the sample ID card below.

What is the three character prefix? ›

The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. Some member's ID cards may not have an alpha prefix.

What is the abbreviation for Blue Cross Blue Shield? ›

As the association representing BCBS companies, the Blue Cross Blue Shield Association (BCBSA) provides a strong foundation of national leadership with industry colleagues, government officials, the media and the public.

What BCBS prefix is tea? ›

PrefixPlan Name
TDXBlue Shield of California
TDYIndependence Blue Cross
TDZAnthem BCBS of Georgia
TEABCBS of Illinois
242 more rows
Aug 27, 2020

What are the requirements of a BCBS participating provider PAR? ›

Providers must generally have a valid medical license, appropriate insurance, and commit to the standards and regulations set forth by BCBS. They must agree to accept the negotiated payment rates for services rendered to BCBS members.

What is the claims address for Blue Cross Blue Shield of Illinois? ›

If necessary, commercial paper claims may be submitted to this address: BCBSIL, P.O. Box 660603, Dallas, TX, 75266-0603.

Is BCBS the same as BCBS of Texas? ›

About Blue Cross and Blue Shield of Texas

BCBSTX is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Montana, Oklahoma and New Mexico), the country's largest customer-owned health insurer and fourth largest health insurer overall.

What is the alpha prefix for Anthem BCBS Virginia? ›

Insurance Identifier Lookup YAA – YZZ
PrefixPlan Name
YAEAnthem BCBS of Virginia
YAFAnthem BCBS of Colorado
YAGBCBS of Mississippi
YAHAnthem BCBS of Connecticut
242 more rows
Aug 12, 2020

What is the prefix for BCBS of Arizona? ›

PrefixPlan Name
Z4MBlue Cross Blue Shield of Arizona
Z4PBlue Cross Blue Shield of Arizona
Z6AEmpire Blue Cross Blue Shield
Z8AAnthem Blue Cross of California
242 more rows
Sep 24, 2020

What is an alpha prefix? ›

alpha prefix. The three characters preceding the subscriber identification number on BCBS member ID cards.

Is PPO the same as FEP? ›

We provide benefits to more than 100,000 federal and postal employees and their families in Massachusetts through the Federal Employee Program (FEP). Members have the choice of three preferred provider organization (PPO) medical plans—Standard Option, Basic Option, and FEP Blue Focus—and a dental supplement plan.

What state is the BCBS prefix MCO in? ›

Insurance Identifier Lookup MAA – MZZ
PrefixPlan Name
MCOAnthem BCBS of Virginia
MCPUnassigned Prefix
MCQBCBS of Illinois
MCRCarefirst BCBS of Maryland
243 more rows
Aug 6, 2020

What is the alpha prefix for Freedom Blue? ›

The alpha prefix for Highmark FreedomBlue members is HKS or FEM for enrollment source Plan Code 363 and HKR or FER for enrollment source Plan Code 378.

What is the prefix for Blue Cross Blue Shield of Illinois? ›

PrefixPlan Name
K2DBlue Cross Blue Shield of Illinois
K2FBlue Cross Blue Shield of Illinois
K2HBCBS of Western New York
K2NBlue Cross Blue Shield of Vermont
243 more rows
Sep 25, 2020

Is Blue Shield different from BCBS? ›

In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS).

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