Medicare AdvantageDecember 24, 2024
Prefix required on claim submissions
Starting December 13, 2024, the Blue Cross Blue Shield Association prefix shown on the member ID card will be required when filing claims to Anthem, whether by electronic or paper submission.
The member ID can be found on the front, left side of the card. You must include the three-character alphabetic or alphanumeric prefix; for example, XDJ or JRG.
If the prefix is missing on the claim, your claim will be rejected and will not be accepted for processing. The claim will need to be refiled with the complete member ID, with the prefix, as shown on the card.
The verbiage below is what will show when a claim is rejected due to a missing prefix:
- Professionals Claim 60126
- Institutional Claims 60447
A valid Blue Cross Blue Shield Association prefix is required for adjudication. Refile the claim with the member ID as displayed on the card.
This change is to support successful claims submission and ensure timely claims payments. Thank you for your cooperation.
Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
COBCBS-CR-074359-24-CPN73793
PUBLICATIONS: January 2025 Provider Newsletter
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