If you are a USA largest private insurance member, you have seen a series of letters that updated on your backside of member’s ID card. These letters are Prefixes and it is essential for your health insurance plan. Alpha Prefix List help to identify the plan you are enrolled in and the geographic region where your plan is based on. In this article we discussed about Insurance Prefix 2025 list and it’s importance in healthcare and insurance segment.
Insurance Prefix Lookup
What is an Alpha Prefix in Insurance?
Every insurance plan starts with an Alpha Prefix so they are called in medical terms Alpha Prefix. Alpha Prefix means plan id starts with three alphabets like ABC, XYZ, etc.
“The first two alphabets of the prefix denote the plan and the third alphabet prefix denotes the type of product the insured choose for coverage.“
Example: Prefix “ZGP” (State of Texas Plan – it is a PPO Product)
- 1st Character “Z” Plan Specific
- 2nd Character “G” Plan Specific
- 3rd Character “P” PPO Product (letter assigned by the Insurance Plan to identify product type elected by the member)
Insurance has unique prefixes and follows up a unique ID number. It comes up with the facilities such as dental, vision and other health issues. The insurance prefixes include filling up the claims of the insurance details.
Alpha prefixes and Alpha numeric prefixes are very important to submit claims to insurance. If you are using electronic submission then prefix is important to submit claims successfully and received by insurance correctly.
Understanding your Insurance prefix directory can help you better understand your insurance plan and its benefits. It can also help you choose healthcare providers who participate in your plan’s network and offer you the best care at the lowest cost.
Also Read : Insurance Claim Address (A to Z)
Note- All information is collected from authorized sources of Blue Cross Blue Shield Insurance.
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The author and contributor of this blog "NSingh" is working in Medical Billing and Coding since 2010. He is MBA in marketing and Having vaste experience in different scopes of Medical Billing and Coding as AR-Follow-up, Payment Posting, Charge posting, Coding, etc.