Medical Billing and Coding Information Guide
BCBS Alpha Prefix List help to identify the plan you are enrolled in and the geographic region where your plan is based on. A BCBS alpha prefix is the 3-character code at the beginning of a Blue Cross Blue Shield member ID. It shows which Blue plan issued the member’s coverage, and that plan should cover … Read more
Denials management is the most important work in medical billing because if any claim is not paid and denied from insurance companies due to any reason, it is medical billing company’s responsibility to handle the received medical billing denial codes appropriately and try their best to re-process the claim and receive respective payment. Claims that … Read more
Place of service codes list in medical billing are playing an important role in every claim. The place where you get performed services is called the place of service (POS) like doctors’ office, hospital, emergency care, etc. In USA healthcare it is predefined that for every place where services performed denoted by some numbers and it … Read more
CPT Codes stands for Current Procedure Terminology Codes and all these list of CPT codes are used to describe medical services and procedures, tests, surgeries, etc, performed by a health professional or doctor on a patient. The CPT codes list in medical billing is updated as per the guidance of the American Medical Association. CPT codes … Read more
Modifiers List in Medical Billing is a very important document and everyone who is working in the medical billing process should have the basic knowledge of these CPT Modifiers List. We also called it CPT modifiers here CPT stands for Current Procedural Terminology. Definition of Modifier in medical coding and billing, CPT Modifiers are codes … Read more
If you work in medical billing or revenue cycle management (RCM), you have probably come across a claim that gets stuck for no obvious clinical reason , it isn’t rejected because the treatment wasn’t covered, and it isn’t rejected because of a coding mistake. Instead, the payer is simply waiting for more documents. That is … Read more
Revenue cycle management for any business is a process that can be complex and time-consuming. And if not managed properly, it can lead to a number of billing challenges down the line. From inaccurate invoicing to payment delays, there are a number of factors that can impact your bottom line if you’re not careful. But … Read more
UB04 Occurrence Codes are located in boxes 31 to 34 providing specific information of patient like patient condition, healthcare issues, etc. Occurrence codes are play important role in billing and payment of claims. List of Occurrence Codes for UB04 (UB04 Field Locater- 31 – 34) Codes Description 01 Accident or Medical Payment Coverage – Date … Read more
Anthem Blue Cross Blue Shield Kentucky Prefixes List Product/Group Info Provider Inquiry Phone No. Pre-Certification Other Information YRL YRP YRN YRJ XTA YRG YRMYRT YRB YRY YRR VNG Anthem Blue Access (PPO) Anthem Blue Preferred (HMO) Anthem TraditionalAnthem Medicare Supplement / Select 888-650-4133 800-282-1016888-650-4133 800-282-1016888-650-4133 800-282-1016866-848-1057 877-814-4803 OON Referrals – 800-568-0075 XTH JRG JRI JWF … Read more
CDT codes (Current Dental Terminology codes) are used by dental professionals to document and report dental procedures and services. These dental procedure codes are published and maintained by the American Dental Association (ADA) and are used for billing, insurance claims, and ensuring standardized communication in the dental field. CDT Codes List 2026 Dental Diagnostic Codes … Read more
In medical imaging, abdominal ultrasound with Doppler is a important tool for diagnosing and evaluating various conditions. CPT Code 76700 refers explicitly to the procedure used to capture images of the abdominal organs and blood vessels using ultrasound technology. This non-invasive and painless test provides essential information for physicians to assess organ health, detect abnormalities, … Read more
2026 Medicaid Eligibility Income Chart updated in November 2025 and Income is not the only eligibility factor for Medicaid long-term care, there is also an asset limit and level of care requirement. Additionally, there are state-specific details. For Medicaid eligibility there are some regulations and criteria which is required to fulfill mentioned as below Income … Read more
The “TRICARE Claim Address and Phone Number” are essential pieces of information for beneficiaries of the TRICARE health insurance program or person who are working as health insurance and claim expert. Tricare insurance serves U.S. military members, retirees, and their dependents. This information is necessary for filing claims, seeking reimbursements, and resolving any issues related … Read more
Molina Healthcare is a managed care insurance company and its head office situated in Long Beach, California, USA. Molina Health Insurance company provides health insurance to individuals through government or federal programs such as Medicaid and Medicare. Molina healthcare phone number and claim address list is updated from trusted sources and the purpose of this … Read more
Medicare Insurance is a federal health insurance program that provides coverage to eligible individuals 65 or older or those with specific disabilities or end-stage renal disease. It’s important to understand the ins and outs of Medicare Insurance, as it can significantly impact your healthcare expenses and options. In this article, we’ll review everything you need … Read more