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
Modifier 59 is a vital billing tool used to indicate distinct procedural services performed on the same day by the same provider but in different anatomical sites or for separate purposes. This modifier ensures that procedures are billed separately when they are not normally reported together but were performed independently. What is Modifier 59? Modifier … 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
25 Modifier In Medical Billing Medical billing involves using specific modifiers to accurately reflect the services provided. Modifier 25 is one of the most commonly used modifiers in medical coding. It allows a provider to bill for an evaluation and management (E/M) service on the same day as a minor procedure when the E/M service … Read more
Insurance Identifier Lookup LAA – LZZ Alpha Prefix BCBS Home Plan Name LAA BCBS of Illinois LAB BCBS of Michigan LAC Anthem BCBS of Kentucky LAE Prefix Not in Use LAF Anthem BCBS of Virginia LAG BCBS of North Carolina LAH Anthem BCBS of Georgia LAI Blue Shield of California LAJ Unknown Assignment LAK BCBS … Read more
