![]() Yes, Policy number same as member ID number and also known as subscriber ID number. Always use the BCBS prefix on the member’s current ID card followed by the member id number.ĭoes policy number same as member ID number?.NDC Billing Guidelines NDC FAQs Submitting Electronic. By doing it may cause delay in processing or handling the claim. More claims filing information is published in the BCBSMT Provider Manual. Do not create one or use the BCBS prefix from another member ID card.Tips to follow, when the claim is related to BCBS prefix : Here Letter “ R” indicates BCBS FEP prefix. ![]() Here “ A2A” is BCBS alpha numeric prefix.īCBS FEP Prefix – BCBS Federal Employee Program is identified by the letter “R” followed by the number. BCBS Prefix can be classified as follows:īCBS Alpha Prefix – It’s a three letter alpha prefix followed by id number.īCBS Alpha Numeric Prefix – It’s a three letter Alpha numeric prefix followed by id number. In order to get rid of this denial or sometimes delay in processing, Provider or Billing companies has to find out the correct address by BCBS prefix from the above list before filing the claim. The Biden administration announced that it intends to end the COVID-19 national and public health emergency (PHE) declarations on May 11, 2023. In that case claim may be denied as “Submit the claim to the correct address / Member ID not found”. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. 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”. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model.īCBS Prefix should be included along with ID number, exactly as it appears on the member ID card when filing the claims to insurance company.Here you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual and support for delivering benefits to our members. BCBS FEP – It’s indicated with letter R followed by the id number. Policies, Guidelines & Manuals We’re committed to supporting you in providing quality care and services to the members in our network.BCBS Prefix:īCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. BCBS Prefix List Alpha & Alpha Numeric : AAA to AZZīlue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number More claims filing information is published in the BCBSMT Provider Manual.BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify member’s eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim. Learn how medical benefits management solutions from Carelon Insights, formerly AIM, ensure your health plan members receive affordable, quality specialty. If the services are provided in Montana submit claims to: Members can ask for an External Medical Review (EMR) and State fair Hearing from. ![]() If you print our online form, you must print it in color so that our optical character scanner can "read" the form.ĭental providers may use the Blue Cross and Blue Shield of Montana (BCBSMT) Dental Claim Form to receive compensation for services. Submit appeals within 120 calendar days from receipt of remittance advice (RA). Hospitals and facilities should complete the UB-04 claim form to receive compensation for medical services. If you print our online form, you must print it in color so that our optical character scanner can "read" the form. The CMS-1500 is available at most office supply stores. Professional Providers should use the CMS-1500 form to be compensated.
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