What is the BCBS Alpha prefix?
Every blue cross and Blue Shield plan starts with an 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” (Blue Cross Blue Shield of Texas – it is a PPO Product)
- 1st Character “Z” Plan Specific
- 2nd Character “G” Plan Specific (letter assigned to the BCBS Plan)
- 3rd Character “P” PPO Product (letter assigned by the BCBS Plan to identify product type elected by the member)
knowledge of BCBS alpha prefix is compulsory if you are handling denials and AR follow up. BCBS is the biggest private insurance company in United States after federal insurance and there are hundreds of BCBS plans according to state and geographical areas. Home and host plan is also working in Blue cross blue shield plan. Bcbs prefix list is showing the exact BCBS plan of the patient, so you can easily call to exact location plan and handle AR followup effectively.