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). Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Medical Billing and Coding Information Guide. If possible, make copies of the member's ID card (front and . 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.. Today you will find The BCBS Alpha Prefix List from UAA to UZZ. To view this file, you may need to install a PDF reader program. 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. Prefixes are also used to identify and correctly route claims to the appropriate Blue Cross Blue Shield [] Bcbs prefix list is showing the exact BCBS plan of the patient, so you can easily call to exact location plan and handle AR follow-up effectively. Learn more about Ezoic here. knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. We and our partners use cookies to Store and/or access information on a device. Our trusted community experts can give you the one-on-one help you need to shop for health insurance. T2A to T9Z. Also its not a sequential order hence its hard to find unless we check with first 3 alpha prefix. V!E5y"w Dx])Vq_j.xwuUgq>bmh`M.hjsw
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To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. This list of bcbs prefixes includes BC prefix IEO, INE, ILT, IOI, IQQ, IPB, IVV. Illinois. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. It allows you to quickly and easily identify your insurance home plan, saving you time and hassle. Commercial Communications X2A to X9Z. Search your plan's drug list, find a pharmacy, and more. 17 0 obj
BCBS Insurance mainly focuses on medical treatments and providing maximum support for the financial condition. Choose the best payment option for your Blue Cross and Blue Shield of Illinois (BCBSIL) monthly bill. LAA. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) 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. Y2A to Y9A. The prefix acts as a key element in confirming the members' eligibility and coverage information. BCBS Prefix List 2021 - Alpha. within 365 days . BCBS prefix are easy to identify using our BCBS prefix lookup because theyre part of every BCBS member ID and we included all of them here in the BCBS prefix list. BCBS prefix lookup directory is a valuable resource for anyone who is looking for right Blue Cross Blue Shield home plan. For example: A2A12345678. 15 0 obj
We always make sure to keep BCBS prefix list and BCBS provider phone numbers directory up to date. Compliance, Fraud, Waste and Abuse Program and Reporting: HCSC and its subsidiaries are founded on the basic principles of good business behavior. T2*uug)T%D._M/5WIdB;zg@W01>X_b(
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Does blue cross blue shield cover shingles vaccine? In addition, some sites may require you to agree to their terms of use and privacy policy. Independence Blue Cross (BC) of Philadelphia (Phi) and the Southeastern Pennsylvania (PA) ZAB. It is one of the giant sectors that provide more than 106 million health facilities. To identify correct department, they use 3 characters Prefix in the BCBS members plan ID. endobj
The following travel insurance helps to deal with all the medical costs and also covers the family expenses. Sometimes, a plan may require the member to request prior authorization for services. will be denied. Insurance Identifier Lookup; Plan Phone Numbers; Medicare Contractors; State Medicaid Plans; Home; Medicare Advantage List; . |d&`{ ^^I|Wp:K|~._s
]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ 0*" 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? Anthem Blue-Cross Blue-Shield of Ohio. Step-by-Step Guide for Provider Finder . Blue Cross Blue Shield of Illinois: Y2M: Blue Cross Blue Shield of Nebraska: YAA: Anthem BCBS of Connecticut: YAB: Regence Blue . Availity provides administrative services to BCBSIL. And to manage such a big network, they divided it into different departments state wise or employer specific. 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. 2/1/2023. For Example: XYZ123456789. Ans. 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. Save my name, email, and website in this browser for the next time I comment. Have a look at BCBS alpha prefix and alpha numeric prefix directory below. <>
We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. External link You are leaving this website/app (site). 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. Log In to the Shopping Cart, Need to Make a Payment? The organization is famous just for this particular service apart from the other policies. State Lookup. 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. Does policy number same as member ID number? 365days . Search for doctors, dentists, hospitals and other health care providers. Here we have listed down all the Blue Cross Shield Prefix along with BCBS home plan name and website for BCBS member IDs ranging from W2A to W9Z. Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet R follow by the insured ID number (For Example: R987654321). Request a new replacement member ID card, or download a temporary copy. New to Blue Access for Members? Medicare Advantage is an alternative to original Medicare where a private health insurance . The Home and Host plan is also working in the Blue Cross Blue Shield plan. Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. AIM Specialty Health (AIM) is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. In addition, some sites may require you to agree to their terms of use and privacy policy. Blue Cross and Blue Shield of Illinois (BCBSIL) members' ID cards in the BlueCare Direct and Blue Choice Preferred PPO plans have . Business health insurance plans designed to fit any size small business and budget. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. The policies and regulations provided by the organization convey great statements and activities into the proper placement. Contact us to learn how we can improve your revenue cycle. This new site may be offered by a vendor or an independent third party. . UAC. On the other hand, host plans indicate more services in the health care services and competition within the area. For example, baggage and other items will get lost if you fall sick before or during the trip. Other providers are available in our network. Blue Cross Blue Shield insurance Companies - Statewise. Manage Settings In recent years medical treatment and its cost has increased, which has become unbearable to manage. Therefore, the majority of the USA goes on featuring health insurance and has helped manage travel expenses. Information current and approximate as of December 31, 2018. There is a total of 732 alpha prefixes in the BCBS EAA-EZZ list and 39 are Not Assigned prefixes out of 732. *!uB9^AwjF(v,o What kind of cases do personal injury lawyers handle? Right after completing my degree in 2011, I started my job career as an Accounts Receivable in a medical billing company. Final Instructions about BCBS Prefix Lookup, United Healthcare Claims Address Information, BCBS Alpha Numeric Prefix from U2A to U9Z (Updated 2023), BCBS Alpha Prefix from TAA to TZZ (Updated 2023). One option is Adobe Reader which has a built-in reader. Denials with solutions in Medical Billing, Denials Management Causes of denials and solution in medical billing, CO 4 Denial Code The procedure code is inconsistent with the modifier used or a required modifier is missing, CO 5 Denial Code The Procedure code/Bill Type is inconsistent with the Place of Service, CO 6 Denial Code The Procedure/revenue code is inconsistent with the patients age, CO 7 Denial Code The Procedure/revenue code is inconsistent with the patients gender, CO 15 Denial Code The authorization number is missing, invalid, or does not apply to the billed services or provider, CO 17 Denial Code Requested information was not provided or was insufficient/incomplete, CO 19 Denial Code This is a work-related injury/illness and thus the liability of the Workers Compensation Carrier, CO 23 Denial Code The impact of prior payer(s) adjudication including payments and/or adjustments, CO 31 Denial Code- Patient cannot be identified as our insured, CO 119 Denial Code Benefit maximum for this time period or occurrence has been reached or exhausted, Molina Healthcare Phone Number claims address of Medicare and Medicaid, Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit, Kaiser Permanente Phone Number Claims address and Timely Filing Limit, Amerihealth Caritas Phone Number, Payer ID and Claim address, ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples, Anthem Blue Cross Blue Shield Timely filing limit BCBS TFL List, Workers Compensation Insurances List of United States, Workers Compensation time limit for filing Claim and reporting in United States. 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 . endobj
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V2A to V9Z. IPA Availability and Accessibility Requirements for Immediate Care Services Procedure. 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 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. The content shared in this website is for education and training purpose only. endobj
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Blue Cross and Blue Shield of Illinois is proud to be the state's only statewide, customer-owned health insurer. If youre a medical biller or a provider and going to submit BCBS plan member claim to the insurance, make sure to submit member ID including prefix. The employees suggest to the customers select the packages and illustrate more about the service. BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. BCBS Alpha Prefix List from CAA to CZZ Updated (2023) BCBS Alpha Prefix List of "C"-series. For . &UMDU}%h UX[_kRGyzte,.-pD?^]Yt%i7=$Foy*ja(5}31$9w}eLvdA
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The benefits that BCBS Insurance provides are. Does united healthcare community plan cover chiropractic treatments? Livestock Protection. 11 0 obj
However it has several policies for its customers. Search with My Member ID Card: Go. BCBS FEP Its indicated with letter R followed by the id number. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 107. stream
BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients. <>
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XCE. Ohio. BCBS Alpha Prefix Lookup. Carefirst BCBS of Maryland the (MD), District of Columbia (DC), and the Northern Virginia (VA) CAB. BCBS Alpha Prefix List from GAA to GZZ updated 2021-List of Blue Cross Blue Shield insurance Companies - Statewise with prefix. So, to answer this query, we have mentioned below few important points to consider. Today you will find The BCBS Alpha Prefix List from SAA to SZZ. <>
In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. The main benefits of BSBC are that it provides travel assistance and covers personal liability, accidents, and other pertaining baggage. Claims that are submitted after . To identify correct blue cross blue shield department, they use three characters BCBS prefix in the start of each BCBS member plan ID. <>
Customer services are indulged with great services. All claims must be submitted to Blue Cross Blue Shield. For government programs prior authorization requests handled by eviCore healthcare (eviCore): U2A to U9Z. x\moFn"pI \Mc7 t,\GizffwN(LP4Kuda)\rxD870x(c%BE6q\4i5 #orUcA"QLoHCfG*QRx(aI*uS(IFf,3D*RY3dyGB{Zt|g&Dq~? The manual is organized into the following sections for your convenience. 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. endobj
BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. These blue shield companies negotiate with the doctors and the other hospitals. Anthem BCBS of Connecticut. The following application indulges with the contraction of providing the best health care services and plans a specific role and coverages for the customers. BCBS prefix is a three character prefixes followed by the id number except for the following products and programs. It shows that these type of BCBS member IDs are different. Phone - Call eviCore toll-free at 855-252-1117 . Sign up for theLifeTimes newsletterto get health and benefits articles delivered to your inbox every month. One option is Adobe Reader which has a built-in reader. You may also be interested to read about denial code 27 reason and solutions. Access Your Payment Options. For more than 85 years, we've provided our members with comprehensive, affordable health . In the USA, the BCBS is a very well-known health insurance statement that conveys more association and deals with numerous activities. Find a BCBS Company by Prefix. It also goes on dealing with the student plan. To run such a large number of people, they divided Blue Cross Blue Shield Insurance Association into different departments which is employer specific or state wise. How Long Does the Judge Approval Process for Workers Comp Settlement Take? 8 0 obj
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Most of the expenses get exposed through the treatments, and for that, the coverages are built up. The cross also goes through the analysis of gaining health insurance and forms a series of packages. <>
Online - The eviCore Web Portal is available 24x7. In general, there arethreestepsprovidersshould follow. BCBS Prefix List EAA-EZZ (2023) November 3, 2020 by medicalbillingrcm. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. The consent submitted will only be used for data processing originating from this website. Yes, Policy number same as member ID number and also known as subscriber ID number. ZAA. Click on a section title to view the content. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc. By knowing the details of BCBS home plan, including BCBS insurance plan benefits, coverage options, and costs, you can make better decisions about your healthcare needs. from the date of service. The calculation begins from the date of service, discharge date or last date of treatment up to 365days, including weekends. You can also contact us for specialty medical billing services. The site may also contain non-Medicare related information. In case, you need any additional information related to BCBS prefix then feel free to reach out to us. It comes up with the facilities such as dental, vision and other body issues. 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. Always use the BCBS prefix on the members current ID card followed by the member id number. BCBS prefix list EAA-EZZ. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model. Blue Cross serves over 110 million members across the country, including Washington, DC and Puerto Rico. Z2A to Z9A. BSBS insurance involves unique prefixes and follows up a unique ID number. XCD. For prior authorization requests handled by BCBSIL: There are two ways to initiate your request. It covers the plans and analyses the services with the complete access of the employees. LAB. 10 0 obj
One of the biggest issues in todays generation is where medical treatments and conditions lie. Blue Cross Blue Shield insurance Companies - Statewise. w !1AQaq"2B #3Rbr J7Wr}pY+Gqpgx
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Unassigned Prefix. Provided on the website you will find the following documents: Medicare and Government Contracts Compliance Program, Blue Cross Medicare Advantage HMO Non-Delegated Model Manual, Blue Cross Medicare Advantage PPO ProviderManual, CMS Qualified Medicare Beneficiary Program, 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). 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. Sample BCBS prefix list. Ans. How To Identify Blue Cross Blue Shield Member? Related forms. It means that BCBS members IDs prefixes will must have alphabets. BCBS FEP Prefix BCBS Federal Employee Program is identified by the letter R followed by the number. Prior authorization (sometimes called preauthorization or pre-certification) is apre-service utilization management review. %
BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; PAA: Pennsylvania: Capital Blue-Cross of Pennsylvania: PAB: Tennessee: Blue-Cross Blue-Shield of Tennessee Account Specific Prefix are assigned by BCBS to national accounts. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. External link You are leaving this website/app (site). <>
In addition to verifying membership/coverage status and other important details,this step returns information on prior authorization requirements and utilization management vendors, if applicable. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards. [ 15 0 R]
Livestock Protection. We have a track record of providing quality medical billing services to multiple healthcare organizations and specialty providers across USA. BCBS of Arkansas Blue Advantage Administrators. 2021 Commercial Specialty Pharmacy Prior Authorization Drug List This list was updated with 14 new codes effective Jan. 1, 2021. BCBS Prefix will not only have numbers and the digits 0 and 1. Here " A2A" is BCBS alpha numeric prefix. 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. For more than 85 years, weve provided our members with comprehensive, affordable health plans, making Illinois a healthier place to live, work and play. Prior authorization isrequiredfor some members/services/drugsbefore services are rendered to confirm medical necessity as defined by the members health benefit plan. Certain employer groups may require prior authorization or pre-notification through other vendors. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly. For providers and medical billers who are performing medical billing services, BCBS alpha prefix are helpful to identify the correct payer ID and address for claims submission. Health Care DeliveryPolicy and Procedures, Blue Cross Community Health Plans ProviderManual, Medicaid Provider Orientation(Professional), Medicaid Prior Authorization RequestForm, Medicaid Provider Orientation (Professional), Blue Cross Community OptionsSMBehavioral Health Benefit Grid. Want to be part of our amazing team? To view this file, you may need to install a PDF reader program. It helps to cover up the flights or any delays. endobj
BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. BCBS Alpha prefix and BCBS Alpha numeric prefix are very important to submit claims to BCBS insurance. These prefixes may include alpha and numerical characters. Prefix ZGP identifies Blue Cross Blue Shield of Texas PPO Product. Here I have shared the list of BCBS alpha numeric prefix ranging from T2A to T9Z. Admin 83A. What is Medical Billing and Medical Billing process steps in USA? Assistance Available For Members Impacted by Severe Weather, 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). endobj
In addition, some sites may require you to agree to their terms of use and privacy policy. Blue-Cross Blue-Shield of Illinois. BCBS Alpha Prefix Its a three letter alpha prefix followed by id number. endobj
} !1AQa"q2#BR$3br The following prefix list comes with filling up the health care claims and analyses the correct address of the BSCs sections. Click on a section title to view the content. Five most Workers Compensation Mistakes to Avoid in Maryland. Anthem BCBS of Wisconsin (WI) Get all the coverage of Original Medicare plus prescription drugs and extra benefits, with plan premiums as low as $0/month. 855-854-1438. Do not create one or use the BCBS prefix from another member ID card. If you have questions on a request handled by BCBSIL, contact our Medical Management department. endobj
Once a prior authorization request is received and processed, the decision is communicated to the provider. Information for Blue Cross and Blue Shield of Illinois (BCBSIL) members is found onour member site. If you have questions on a request handled by AIM or eviCore, call the appropriate vendor, as noted above. 6 0 obj
Skip to content. Remember, member benefits and review requirements will vary based on service/drug being rendered and individual/group policy elections. Topics include everything from improving your well-being to explaining health coverage. BCBS FEP Prefix - BCBS Federal Employee Program is identified by the letter "R" followed by the number. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. Highmark BCBS of Pennsylvania (PA) ZAC. 16 0 obj
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They always offer packages within the amounts mentioned. This new site may be offered by a vendor or an independent third party. I Don't Have My Member ID Card. It means that BCBS members IDs prefix will must have alphabets and they may or may not have numbers. October 1, 2022 by Rebecca Williams. Normally, account specific prefix associates to the employer group name. BCBS Alpha Numeric Prefix Its a three letter Alpha numeric prefix followed by id number. Blue Cross Blue Shield of Illinois: IBU: Blue Cross Blue Shield of Alabama: IBV: Blue Cross Blue Shield of Massachusetts: IBW: Blue Cross . 14 0 obj
Admin 22. Make sure to make copies of the front and back of member ID card. For example: ABC12345678. Click on New Document and select the file importing option: upload Xxu blue cross prefix from your device, the cloud, . You may also want to know: United Healthcare Claims Address Information. In that case claim may be denied as Submit the claim to the correct address / Member ID not found. Below is a list of the old and new alpha prefix codes. Born in Texas, USA. So the next time you need to identify accurate BCBS prefix home plan, remember to use the BCBS prefix list lookup finder. I have completed my Bachelor of Business Administration in Healthcare Management from University of Texas. We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. One option is Adobe Reader which has a built-in reader. Provider Finder . It holds a huge role in the cancellation policy, hotel booking and loss of passports. Michigan. In most ways, the policy numbers and their section move forward with a unique number to get respective orders and their identification to analyze the main purposes of billing the healthcare system. BAA. Most PDF readers are a free download. Every Blue Cross and Blue Shield plan starts with an alpha prefix so they are called in medical terms BCBS Alpha Prefix. BCBS Prefix List 2021 - Alpha State Lookup BCBS Company; AAA: Alabama: Blue-Cross Blue-Shield of Alabama: AAB: Michigan: Blue-Cross Blue-Shield of Michigan: AAC: Illinois: Blue-Cross Blue-Shield of Illinois: AAD: South Carolina: Blue-Cross Blue-Shield of South Carolina: AAE: Nevada: Anthem Blue-Cross Blue-Shield of Nevada: AAF: IPA Guidelines for Member Complaints, Inquiries, Appeals and Grievances Policy. From April 1 to September 30, on weekends and holidays you may be required to leave a message. 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. Hi, Im Kim Keck! The main benefits of having insurance plans and coverages are not only getting monotonous services but also enjoying the perfect scheduling of other facilities, i.e., international travel and coverages. Here you can find the BCBS prefix finder along with BCBS home plan name and website for BCBS member IDs ranging from F2A to F9Z. BCBS Company. BCBS Alpha Prefix List of "U"-series. The alpha prefix is always three letters followed by the member's ID number which can be from 6 up to 14 characters total. As noted above, when you check eligibility and benefits, in addition to confirming if prior authorization is required, youll also be directed to the appropriate vendor, if applicable. 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 Prefix List. Learn more about timely filing limits and CO 29 Denial Code. For Example: ABC, TXX, TEA, A2B, 2AB, 2A2, PAS, XXU etc.