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 three characters preceding the subscriber identification number on BCBS member ID cards. It identifies the member's Blue Cross Blue Shield company or national account in order to properly route the claim.

What is the alpha prefix for BCBS TX? ›

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 alpha prefix BCBS XXP? ›

What BCBS plan starts with Xxp? By now, you should have received your new BCBS member ID card(s) your subscriber ID beginning with the 3-letter prefix 'XXP' indicating the PPO Deductible Plan.

What is the prefix starting with R for BCBS? ›

Member identification numbers beginning with “R” belong to Federal Employee Program (FEP) and will not have a three-character prefix when filing.

What is an insurance alpha prefix? ›

BCBS prefixes are unique alpha characters (usually three letters) assigned to each member of a BCBS plan. These prefixes are critical because they provide key information about the member's specific health plan.

What is the alpha prefix for Highmark Freedom Blue PPO? ›

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 abbreviation for Blue Cross Blue Shield? ›

Glossary | BCBS Terms | Blue Cross Blue Shield.

What does BCBS MI stand for? ›

Blue Cross Blue Shield of Michigan is a nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association.

Is BCBS of Texas the same as BCBS of Illinois? ›

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 prefix for BCBS of Michigan? ›

PrefixPlan Name
OBEBlue Cross Blue Shield of Michigan
OBFHighmark BCBS of Pennsylvania
OBGBCBS of Tennessee
OBHCareFirst BCBS
243 more rows
Aug 3, 2020

What is the BCBS prefix for UFCW? ›

The prefix on UFCW member ID cards will be MBL.

What is the prefix for BCBS of Western NY? ›

PrefixPlan Name
NAFBCBS of Alabama
NAGBCBS of Western New York
NAHAnthem BCBS of Virginia
NAIBCBS of Texas
243 more rows
Aug 29, 2020

What is the insurance prefix UWF? ›

The United Welfare Fund (UWF)

The UWF provides health insurance to USWU members through a self-insured program with United Healthcare. Today with the future of healthcare so uncertain, our members continue to enjoy exceptional benefits.

What is the alpha prefix for Healthy Blue NC Medicaid? ›

The identification number is the original Medicaid number and the member ID is the BCBS ID with an alpha prefix. We were told the alpha prefix for Healthy Blue is GJN. Using the BCBS ID, you should be able to pull up the patient and view the insurance card in Availity.

How to identify blue card members? ›

BlueCard members are easily identified by their ID cards. Ask to see the member's ID card at each visit and share this information with your billing staff. Review these ID cards for the telephone number of the member's "home" Plan, claim filing addresses or for other instructions.

What is the prefix for BCBS of Massachusetts? ›

Insurance Identifier Lookup MAA – MZZ
PrefixPlan Name
MBUBCBS of Massachusetts
MBVCarefirst BCBS of Maryland
MBWAnthem BCBS of Ohio
MBXUnassigned Prefix
243 more rows
Aug 6, 2020

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