![]() 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.BCBS FEP – It’s indicated with letter R followed by the id number.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 By providing this information, Meritain Health is not exercising discretionary authority or assuming a plan fiduciary role, nor is Meritain Health providing legal advice.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. It is recommended that plans consult with their own experts or counsel to review all applicable federal and state legal requirements that may apply to their group health plan. It is believed to be accurate at the time of posting and is subject to change. This content is being provided as an informational tool. The form linked below should be completed by a member who needs to grant access to their PHI to another individual in connection with an appeal. ![]() The form linked below should used by a member who would like to grant permission to another individual to act on their behalf in connection with an appeal. Please note, the claims appeal procedure is explained at length within each group’s Summary Plan Description (SPD). Submission of these forms to the Meritain Health Appeals Department without a formal written appeal from the provider will not be reviewed. The formal written appeal and these forms would then be sent to the address of the Meritain Health Appeals Department (listed on form) by the provider. There are two forms listed below that a member must complete and give to the provider submitting the formal written appeal. Once we receive the request form, the request for external review will be handled in accordance with federal law and/or state law, depending upon the benefit plan. Meritain Health requires the member to complete an appeals form to indicate a request for external review.
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