Medicare Blog

what is bcbs group number for medicare adv

by Miss Cathy Dickinson Published 1 year ago Updated 1 year ago
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What is the phone number for BCBS in Georgia?

BCBS Provider Phone Number United States List BCBS Provider Phone Number DC 800-842-5975 877-225-7268 (National Serv ... Florida 800-7272-2227 800-676-2583 (Blue Card El ... Georgia 855-295-5840 (Professional) 800-284-2609 ... Hawaii 808-948-6330 (Oaho) 800-790-4672 (Neighb ... 32 more rows ...

What is the prefix for BCBS number?

Here “ ABC” is BCBS alpha prefix. BCBS Alpha Numeric Prefix – It’s a three letter Alpha numeric prefix followed by id number. Here “ A2A” is BCBS alpha numeric prefix. BCBS FEP Prefix – BCBS Federal Employee Program is identified by the letter “R” followed by the number.

How do I contact Blue Cross Medicare Advantage?

Blue Cross Medicare Advantage. SM. Contacts List . Contact Phone/Fax/Internet Member/Provider Customer Service (excluding Blue Cross Medicare Advantage Dual Care (HMO D SNP) (To obtain benefits, eligibility or claims status) 1-877-774-8592 ; Hours of operation: 8 a.m. - 8 p.m., MST, 7 days a week.

How to find BCBS plan member ID number?

To get information about such member IDs, you can contact BCBS directory phone number i.e. 800-676-2583. 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.

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Does Medicare have a group number?

Your red, white and blue card for Original Medicare (Part A and Part B) does not include a group number. Original Medicare is not a group policy, therefore there is no “group” in which to belong. Instead, you will see an 11-digit alphanumeric on your card which is used to identify you and file claims under your name.

What is my BCBS MA group number?

Your member number, also known as your identification number, is listed directly below your name. You'll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. If your group number is available, you'll find it directly below your member number.

What is a Medicare group?

Group Medicare Advantage plans are insurance plans offered by employers or unions to their retirees. EGWPs are provided by private insurance companies who manage your company's retiree Medicare benefits. Under EGWPs, Medicare pays the insurance company a fixed amount to provide benefits.

What group benefits Medicare?

Medicare is the federal health insurance program for: People who are 65 or older. Certain younger people with disabilities. People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

Is member ID the same as policy number?

Your health insurance policy number is typically your member ID number. This number is usually located on your health insurance card so it is easily accessible and your health care provider can use it to verify your coverage and eligibility.

What does Rxbin mean on insurance card?

Rx BIN stands for “prescription bank identification number.” ( SEE SAMPLE CARD 1 & 2) If you have multiple prescription drug plans, such as Medicare Part D and an employer-sponsored plan through work, it's important to know which Rx BIN to use when filling prescriptions.

What does a Medicare ID number look like?

On a Medicare card, an MBI will appear similar to this: 1EG4-TE5-MK73. The second, fifth, eighth, and ninth characters are always letters while the first, fourth, seventh, tenth, and eleventh characters are always numbers. You can visit cms.gov for more information on the format of an MBI.

Why do doctors not like Medicare Advantage plans?

If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.

What do the numbers mean on my Medicare card?

A Medicare Individual Reference Number (IRN) is a number that represents the position of a person on a Medicare card. For example, a person who is listed second on a Medicare Card has an IRN of 2. The IRN appears to the left of the patient's name on their Medicare card. This is not a unique identifier.

Are you covered under a group health plan?

GHP coverage is based on current employment. Employers with 20 or more employees are required by law to offer current workers and their spouses who are age 65 (or older) the same GHP health benefits that are provided to younger employees. Examples of health insurance policies that are GHPs based on current employment.

What are the 4 types of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.Part A provides inpatient/hospital coverage.Part B provides outpatient/medical coverage.Part C offers an alternate way to receive your Medicare benefits (see below for more information).Part D provides prescription drug coverage.

Do Medicare Advantage plans coordinate benefits?

Medicare Advantage plans can serve as your “one-stop” center for all your health and prescription drug coverage needs. Most Medicare Advantage plans combine medical and Part D prescription drug coverage. Many also coordinate the delivery of added benefits, such as vision, dental, and hearing care.

What Is a Medicare Group?

While Original Medicare is not group coverage, there are some group Medicare insurance plans available from private insurance companies.

What is a group number?

A group number is assigned to the employer or other group that sponsors an insurance plan for its employees or other individuals covered by the group plan. Each member of the group will share the same group number, but each person will have their own unique member number.

What is Medicare Supplement Insurance?

Medicare Supplement Insurance works alongside your Original Medicare coverage by picking up the cost of certain deductibles, copayments, coinsurance and other out-of-pocket costs associated with Medicare Part A and Part B.

Do you have a group number on your insurance card?

If you belong to an employer group waiver plan, you will likely have a group number visible on your insurance card .

Is Medicare a group policy?

Original Medicare is not a group policy, therefore there is no “group” in which to belong. Instead, you will see an 11-digit alphanumeric on your card which is used to identify you and file claims under your name. This is your Medicare number.

Do you need a group number for health insurance?

Individual plans purchased directly from an insurance carrier or through the health insurance marketplace typically do not have a group number because they are not tied to any employer or group.

Does Private Medicare Have Group Numbers?

Original Medicare is not group coverage and therefore has no corresponding group number. But private Medicare plans may have a group number associated with the plan.

What is the BCBS prefix?

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.

What is a health insurance policy number?

Health insurance policy number: 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.

Can you use BCBS prefix on another ID?

Do not create one or use the BCBS prefix from another member ID card. By doing it may cause delay in processing or handling the claim. Always use the BCBS prefix on the member’s current ID card followed by the member id number.

Is a policy number the same as a member ID number?

Yes, Policy number same as member ID number and also known as subscriber ID number.

Can BCBS deny a claim?

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”.

Where is the phone number on a BCBS card?

The phone numbers you need for everything from customer service to eligibility questions are usually found on the back of your card.

What is a BCBS card?

When it comes to healthcare services, that item is your Blue Cross Blue Shield (BC BS) ID card. While your BCBS ID card might not get as much use as those other items, it should be treated in the same way. Keep it in a safe, easily accessible place like your wallet. Your card contains key information about your health insurance coverage ...

How many Blue Cross Blue Shield companies are there?

The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.

BCBS Prefixes List

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.

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.

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.

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.

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.

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