Payer Id Number on Insurance Card Blue Cross

BCBS is one of the largest medical insurance company by total members of more than 45 million. And to manage such a big network, they divided it into different departments state wise or employer specific. To identify correct department, they use 3 characters Prefixes in the BCBS members plan ID. BCBS prefixes are easy to identify because they're part of every BCBS member ID.

These BCBS prefixes may include alpha and numerical characters. For Example: ABC, A2B, 2AB, 2A2 etc. BCBS Prefixes will not only have numbers and the digits 0 and 1. It means that BCBS members IDs prefixes will must have alphabets and they may or may not have numbers.

BCBS Prefixes List

BCBS Prefixes List - Featured Image

Xceed Billing Solutions motive is to create ease for providers, medical billers, patients and everyone who is involved in revenue cycle process. So, to accomplish our goal, we have listed down the complete BCBS alpha prefixes list so that you can easily identify correct BCBS plan. We always make sure to keep BCBS prefix list up to date.

BCBS Alpha Prefix List

AAA to AZZ BAA to BZZ CAA to CZZ DAA to DZZ
EAA to EZZ FAA to FZZ GAA to GZZ HAA to HZZ
IAA to IZZ JAA to JZZ KAA to KZZ LAA to LZZ
MAA to MZZ NAA to NZZ OAA to OZZ PAA to PZZ
QAA to QZZ RAA to RZZ SAA to SZZ TAA to TZZ
UAA to UZZ VAA to VZZ WAA to WZZ XAA to XZZ
YAA to YZZ ZAA to ZZZ
BCBS Alpha Prefix List

BCBS Alpha Numeric Prefix List

Due to the exceeding number of BCBS insurance members, Alpha-Only Prefix member IDs exhausted. So, all BCBS plans, including Anthem and Non-Anthem plans announced that member IDs will also be Alpha Numeric from 2018 onwards.

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 J2A to J9Z 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
Y2A to Y9Z Z2A to Z9Z
BCBS Alpha Numeric Prefix List

Note for Front Desk and Providers: When Blue Cross Blue Shield members comes to your facility or office, make sure to ask them for their active BCBS plan member ID card. For accurate and quick claims processing, it is necessary to get complete patient insurance information. Make sure to make copies of the front and back of member ID card.

How To Identify Blue Cross Blue Shield Member?

We recently received a query from a provider that how I can identify that patient is BCBS health insurance member. So, to answer this query, we have mentioned below few important points to consider.

  • 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.
  • The most important and easy way to identify BCBS member is his BCBS member ID alpha prefix.
  • BCBS member ID have maximum 17 characters but most of the member IDs have 12 characters.
BCBS Sample Member Plan Card

What Are BCBS Prefixes?

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. BCBS Alpha Prefix list is useful for both providers and BCBS enrolled members/patients.

These prefixes may include alpha and numerical characters. For Example: ABC, A2B, 2AB, 2A2 etc. BCBS Prefixes will not only have numbers and the digits 0 and 1. It means that BCBS members IDs prefixes will must have alphabets.

Note: BCBS FEP (Federal Employee Program) ID starts with the alphabet "R" follow by the insured ID number (For Example: R987654321).

Importance of BCBS Prefixes

BCBS Alpha Prefix are not only important to identify BCBS health insurance member but they are also very important for electronic submission of claims to the correct BCBS plan.

For providers and medical billers, BCBS alpha prefix are helpful to identify the correct payer ID and address for claims submission. Also, these BCBS prefixes helps providers and medical billers to reach the correct claims department for claims and benefits inquiry.

Types of BCBS Prefixes

There are two types of BCBS prefixes which are mentioned below:

1. Plan Specific BCBS Prefixes

Plan Specific prefixes are assigned by BCBS to each plan. 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.

For Example

Prefix "ZGP" identifies Blue Cross Blue Shield of TexasPPO Product

First Character Z assigned to the BCBS Plan.

Second Character G assigned to the BCBS Plan as well.

First Character P is symbolizing that member plan/product type is BCBS PPO.

2. Account Specific BCBS Prefixes

Account Specific Prefixes are assigned by BCBS to national accounts. Curious to know what are national Accounts? Let's dig into it!

BCBS National accounts are employer groups that have outlets/offices in multiple states but they offer limited coverage to their employees. Normally, account specific prefix associates to the employer group name.

For Example

Prefix UTS assigned to University of Texas.

What If BCBS Member ID doesn't have Prefix mentioned on Card?

Few times, BCBS plan members doesn't have prefix mentioned on their BCBS Insurance card. It shows that these type of BCBS member IDs are different. To get information about such member IDs, you can contact BCBS directory phone number i.e. 800-676-2583.

Final Instructions about BCBS Prefixes

If you're 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. For Example: XYZ123456789. Although we regularly update the BCBS Prefixes information but in case you're unable to get information about correct BCBS plan from our BCBS Prefixes List, feel free to contact us OR call BCBS directory phone number at 800-676-2583.

You may also want to know: United Healthcare Claims Address Information

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Source: https://xceedbillingsolutions.com/bcbs-prefixes-list/

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