Coverage Outside of New Jersey Coverage Outside of New Jersey.

Workers' Compensation & Personal Injury Workers' Compensation & Personal Injury.

Clinical Laboratory Services Clinical Laboratory Services.

Utilization Management Utilization Management.

Prior Authorization Prior Authorization.

Prescriptions by Mail Prescriptions by Mail.

Horizon Pharmacy & Prescriptions Horizon Pharmacy & Prescriptions.

Horizon POS (Point of Service) Horizon POS (Point of Service).

Horizon Level Select (51-99 eligible employees) Horizon Level Select (51-99 eligible employees).

Midsize Employers Medical Plans(51 to 499 employees).

Midsize Employers Medical Plans(51 to 499 employees) Midsize Employers Medical Plans(51 to 499 employees).

Horizon Level Select Horizon Level Select.

Horizon EPO (Exclusive Provider Organization) Horizon EPO (Exclusive Provider Organization).

Horizon Direct Access Horizon Direct Access.

Small Employer Medical Plans (2-50 employees).

Small Employer Medical Plans (2-50 employees) Small Employer Medical Plans (2-50 employees).

Group Medical Plans Group Medical Plans.

Employer Online Services Employer Online Services.Why Choose Horizon BCBSNJ Why Choose Horizon BCBSNJ.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?.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 : 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. 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 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.

Horizon bcbs prefix list 2016