If Empire Blue Cross Blue Shield does not receive the requested information within 45 days, a determination will be made based on the information available.įor additional information about how to submit clinical information to Empire BlueCross BlueShield using the Clinical Data Submission Tools, please see the Forms and Quick Guides section at. The provider will be asked to send the requested documentation to:

They will review the records and determine how to process the claim. This means when EmblemHealth receives a claim for a service that requires precertification, but we haven't received a precertification, we will ask the rendering provider to send the member's medical records to Empire BlueCross BlueShield. Yes, Policy number same as member ID number and also known as subscriber ID number.Beginning on December 15, 2017, Empire BlueCross BlueShield (EBCBS) will perform post-service reviews for City of New York members enrolled in our GHI CBP plan.

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?.

By doing it may cause delay in processing or handling the claim.

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 : Review approved: policy template updated Review approved Review approved: timely filing limit updated Initial policy approval and effective. Here Letter “ R” indicates BCBS FEP prefix. Anthem reserves the right to waive timely filing requirements on a temporary basis following documented natural disasters or under. 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. Anthem Blue Cross Blue Shield TFL - Timely filing Limit. Resubmission: 365 Days from date of Explanation of Benefits. In that case claim may be denied as “Submit the claim to the correct address / Member ID not found”. Aetna Better Health TFL - Timely filing Limit. 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.

BCBS FEP – It’s indicated with letter R followed by the id number.

Medical Billing Home Anthem BlueCross BlueShield Kentucky. BCBS Prefix:īCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Anthem bcbs ky timely filing limit Timely Filing Limit List in Medica Billing (2020.

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 Contact Us NY Provider - Empire Blue Cross Bcbs Timely Filing WebApr 1, 2020. 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. WebMay 13th, 2018 - Empire BlueCross BlueShield HealthPlus Claims Timely Filing.

Empire bcbs timely filing 2020