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2018 Premera and Regence Prefixes for WA and AK Providers

2018 Premera and Regence Prefixes for WA and AK Providers-2025

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The document provides a comprehensive list of three-character prefixes used by Premera Blue Cross and The Regence Group to assist healthcare providers in Washington and Alaska with plan submissions based on the prefix and service location. It outlines guidelines for submitting claims, indicating which prefixes correspond to Premera or Regence plans, and specifies submission instructions for different regions.

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How to use or fill out 2018 Premera and Regence Prefixes for WA and AK Providers

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Click 'Get Form' to open the document in our editor.
Use CTRL + F to search for specific prefixes relevant to your claims. This will help you quickly locate the necessary information.
Identify if the prefix is highlighted in blue, indicating it belongs to Premera Blue Cross. If so, submit claims accordingly for both Western and Eastern WA and AK providers.
For prefixes not highlighted, determine if they belong to the Regence Group. Eastern WA and AK providers should submit claims to Premera, while Western WA providers should submit to Regence Blue Shield.
If a prefix is not listed, follow the guidelines for BlueCard Host prefixes, submitting claims as directed based on your location.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Are there rules for negative prefixes?

Words that take ir as a negative prefix always begin with the letter r. Words that take non as a negative prefix may begin with a vowel or a consonant. Words that take un as a negative prefix may begin with a vowel or consonant. Remember, not all words that appear to have a negative prefix are negative.

What do the prefixes mean for BCBS?

BlueCard ThreeCharacter Prefixes The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. Some members ID cards may not have an alpha prefix. Please look for claim filing instructions on the back of the ID card. BlueCard Program Alpha Prefixes | Blue Cross and Blue Shield of Texas Blue Cross Blue Shield claims claims-eligibility bl Blue Cross Blue Shield claims claims-eligibility bl

Can I use Blue Cross out of my state?

PROTECTION WHEN TRAVELING OR LIVING OUTSIDE YOUR HOME STATE The BlueCard also covers enrolled dependents, including students and family members, who temporarily reside outside your home state. To locate BlueCard providers, call BlueCard Access at 1 (800) 810-BLUE (2583).

What do BCBS prefixes mean?

The three-character prefix at the beginning of the members identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs.

Are Premera Blue Cross and Regence the same?

BCBS member ID prefixes are used to quickly route claims and electronic inquires. Prefixes may also indicate specific network and benefit plan information. Most prefixes are the first three characters of the member ID and may be a mix of letters and numbers (e.g., P9H, 99D, Y4M, Z9P). Eligibility and Benefits |Prefix-Lists | AZBlue Blue Cross Blue Shield of Arizona provider resources prefix-l Blue Cross Blue Shield of Arizona provider resources prefix-l

Are there rules for using blue prefixes?

Always use the three-character prefix from the patients current ID card. If there is no prefix on the card, never create one or use a three-character prefix from another patients ID card, even if its from the same Blue plan. Creating prefixes may cause delays in the handling of your inquiries and claims. BlueCard Program eligibility and benefits verification guide Blue Shield of California PRVBlueCardEBGuide Blue Shield of California PRVBlueCardEBGuide

What is the BCBS prefix identification tool?

BCBS Prefix Identification Tool: This tool identifies BCBS plans using the 3-character prefix as well as the home plan, group name, product type and phone numbers. The tool will also warn providers if there are concerns such as carve-outs, Medicare Supplement plans or other important information.

2018 Premera and Regence Prefixes for WA and AK Providers-2025

Here's how it works

How to use or fill out 2018 Premera and Regence Prefixes for WA and AK Providers

Complete this form in 5 minutes or less

Got questions?

Are there rules for negative prefixes?

What do the prefixes mean for BCBS?

Can I use Blue Cross out of my state?

What do BCBS prefixes mean?

Are Premera Blue Cross and Regence the same?

People also ask

Are there rules for using blue prefixes?

What is the BCBS prefix identification tool?

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2018 Premera and Regence Prefixes for WA and AK Providers-2025

Here's how it works

How to use or fill out 2018 Premera and Regence Prefixes for WA and AK Providers

Complete this form in 5 minutes or less

Got questions?

Are there rules for negative prefixes?

What do the prefixes mean for BCBS?

Can I use Blue Cross out of my state?

What do BCBS prefixes mean?

Are Premera Blue Cross and Regence the same?

Related Searches

People also ask

Are there rules for using blue prefixes?

What is the BCBS prefix identification tool?

Related links

Try more PDF tools