Prefix Plan Name R2A Highmark BCBS of Pennsylvania R2B Blue Cross Blue Shield of Illinois R2C Premera Blue Cross R2D Blue Cross Blue Shield of Illinois R2E Blue Cross Blue Shield of Illinois R2F Blue Cross Blue Shield of Illinois R2G Blue Cross Blue Shield of Texas R2H Anthem BCBS of Indiana R2I Blue Cross … Read more
Prefix Plan Name Q3V Independence Blue Cross Q9V Independence Blue Cross QAA Blue Cross Blue Shield of Tennessee QAB Anthem BCBS of Colorado QAC Anthem BCBS of Missouri QAD Regence Blue Cross Blue Shield of Oregon QAE Anthem BCBS of Georgia QAF Anthem BCBS of Colorado QAG Regence Blue Cross Blue Shield of Oregon QAH … Read more
Prefix Plan Name P3L Premera Blue Cross P3M Premera Blue Cross P3T Premera Blue Cross P4T Premera Blue Cross P6B Premera Blue Cross P8M Premera Blue Cross P9M Premera Blue Cross PAA Capital Blue Cross PAB Unassigned Prefix PAC Unassigned Prefix PAD Anthem Blue Cross of California PAE BCBS of Massachusetts PAF Anthem Blue Cross … Read more
O2A Blue Cross of California O2E Blue Cross of California O2N Highmark BCBS of Pennsylvania O2T Blue Cross Blue Shield of Minnesota O3T Regence Blue Cross Blue Shield of Oregon O3V Premera Blue Cross OAA Blue Cross Blue Shield of Massachusetts OAB Blue Cross Blue Shield of Massachusetts OAC Anthem BCBS of Ohio OAD BCBS … Read more
Prefix Plan Name N2D Premera Blue Cross N3T Premera Blue Cross N4S Premera Blue Cross N6P Premera Blue Cross N8P Premera Blue Cross NAA Wellmark BCBS NAB BCBS of Arkansas Blue Advantage NAC BCBS of Alabama NAD BCBS of Tennessee NAE Wellmark BCBS NAF BCBS of Alabama NAG BCBS of Western New York NAH Anthem … Read more
Insurance Identifier Lookup MAA – MZZ Prefix Plan Name M2C Blue Cross Blue Shield of Illinois M2D Blue Cross Blue Shield of Illinois M2E Blue Cross Blue Shield of Texas M2F Blue Cross Blue Shield of Texas M2G Blue Cross Blue Shield of Texas M2H Regence Blue Cross Blue Shield of Oregon M2I BCBS of … Read more
Definition The GW modifier is defined by Medicare as: “Service not related to the hospice patient’s terminal condition.” This modifier is used when a patient is under hospice care, but the service provided is unrelated to their terminal illness. It alerts Medicare or other payers that while the patient is enrolled in hospice, the billed … Read more
The Health Insurance Portability and Accountability Act (HIPAA) is a cornerstone of the U.S. healthcare system, ensuring the privacy, security, and efficiency of patient data. Enacted in 1996, HIPAA has far-reaching implications for healthcare providers, payers, and patients alike. This article delves into the importance of HIPAA, the key processes involved in medical billing, the … Read more
In medical billing, Modifier 59 is one of the most important tools for making sure claims are coded the right way and paid correctly. This modifier, called “Distinct Procedural Service,” is used when two procedures that are normally bundled together are actually separate and need to be billed individually. If you’re a medical biller or … Read more
24 Modifier In Medical Billing Medical billing relies on precise coding to ensure correct reimbursement for healthcare providers. One essential modifier used in post-operative care situations is Modifier 24. This modifier helps distinguish unrelated evaluation and management (E/M) services provided during a global period from those directly related to the original surgery. This article explores … Read more
