These prefixes have not been verified with a call to the Blue Card hotline, however many have been used for years without any billing errors.
(Alternately, View the list of verified prefixes.)
AAL Virginia
ABA Illinois
ABL Illinois
ABM Alabama
ACN Pennsylvania
ACQ Georgia
ADD Ohio
AEJ New Jersey
AEP Maryland
AHO Tennessee
AHU Maryland
AHX New Jersey
ANB Indiana
ANT Indiana
AON Illinois
APM Pennsylvania
ASZ New York
ATI Alabama
ATT New Jersey
AVB Maryland
AWE California
AWR Pennsylvania
AWT Ohio
AWY New York
AYM Pennsylvania
AYR Pennsylvania
AZO Illinois
AZP Maryland
BBH Georgia
BBX New Jersey
BCB Illinois
BCP Pennsylvania
BCZ Pennsylvania
BET Pennsylvania
BFA Kansas
BFC Ohio
BKA Georgia
BKD Georgia
BKI California
BNX Ohio
BOA So Carolina
BPT Connecticut
BQA Connecticut
BSE Texas
BSH Florida
BSO Alabama
BVS Pennsylvania
CAA So Carolina
CAN Pennsylvania
CCU Connecticut
CCX New York
CFM Massachusetts
CGO Illinois
CPE So Carolina
CPR California
CQM Pennsylvania
CRB Minnesota
CRT Nebraska
CTP Connecticut
CUE Ohio
CUZ Indiana
CVV California
CWG Ohio
CWS Vermont
CXB Maryland
CYC Illinois
DCI Alabama
DCM Pennsylvania
DFC Texas
DFH California
DIA Texas
DLX Illinois
DMA Illinois
DNB New Jersey
DNC New York
DSM Massachusetts
DTP Ohio
DUK North Carolina
DVN New York
DYC So Carolina
DZA Indiana
EAL Kentucky
EAT Texas
ECC Tennessee
EDC New York
EDS Michigan
EEL Virginia
ELP Minnesota
ELY Indiana
EMA Illinois
EMR Alabama
EON California
ERM Mass
EXR New York
FBO Minnesota
FCR Illinois
FMR Michigan
FNL Minnesota
FPC So Carolina
FSG Illinois
FSP Michigan
FXM Pennsylvania
GAC Illinois
GBH Illinois
GEE California
GGG New York
GHM Michigan
GIB Kansas
GIR Pennsylvania
GKN Massachusetts
GLP New York
GMI Minnesota
GMP Colorado
GPU Pennsylvania
GTP Alabama
GZF Alabama
HBF New Jersey
HBT Texas
HCN Maine
HDV New Jersey
HED New Jersey
HHI Illinois
HHR Virginia
HHY Minnesota
HJM New Jersey
HJN New Jersey
HKN Maryland
HLS Alabama
HRH Virginia
HTK Tennessee
HVE Alabama
HWE New Jersey
IBM New York
IBQ Pennsylvania
IBT Illinois
ICS Kansas
IDE California
IEM New York
IFI Georgia
IHP Maryland
ILT Illinois
IMY Georgia
INA New York
INB Georgia
INC California
IPB New York
ISF Illinois
ISU So Carolina
IUS So Carolina
IVO So Carolina
IWW Illinois
JET Texas
JFC Ilinois
JGH New Jersey
KBC Kansas
KCL Georgia
KCP Oregon
KCT Oregon
KDM Massachusetts
KHE New York
KLN Michigan
KMT Michigan
KSP Michigan
LBI New York
LCR California
LFG Virginia
LFS Kansas
LKE California
LPM Pennsylvania
LSA California
LTI Massachusetts
MAK California
MBA Delaware
MBW Georgia
MCA Pennsylvania
MCD Illinois
MCN New York
MDC Minnesota
MDL Illinois
MEJ Maryland
MEN Maine
MEP Maine
MFO Illinois
MGA Alabama
MII Alabama
MKA California
MKU Wash (Premera)
MKY New Jersey
MLC New York
MLM Pennsylvania
MLQ Minnesota
MMM Minnesota
MPZ New York
MRT Illinois
MSL Missouri
MSP New York
MSR Michigan
MTC Virginia
MVP Virginia
MWV Connecticut
NBF Connecticut
NBJ New Jersey (Horizon)
NBS Massachusetts
NCF California
NEI Illinois
NFA Georgia
NFP Kansas
NGK Kansas
NGM Michigan
NHL New Jersey
NHP New Hampshire
NJP New Jersey
NJT New Jersey
NLM Pennsylvania
NQS Illinois
NTP Massachusetts
NWN Minnesota
NYN New York
NYY New York
NZE Washington
OCE Illinois
OND Illinois
OUD Wisconsin
OWL California
PBC Wisconsin
PBG New York
PBM Pennsylvania
PBQ New York
PBT Kansas
PCK Washington
PDG Virginia
PDQ Virginia
PET California
PEW New Jersey
PGL New York
PHF Kansas
PHL New York
PNL Pennsylvania
PPX California
PTH Connecticut
PTR Arkansas
PTV Illinois
PVD Virginia
PXV Alabama
QBN Washington DC
QCA Pennsylvania
QCB PA (Independence)
QCT Pennsylvania
QCD Pennsylvania
QCM Pennsylvania
QEE Pennsylvania
RBE Alabama
RBM Pennsylvania
RBP Minnesota
REP Maryland
RHC Missouri
RIM Pennsylvania
RPP Oregon
RRR Pennsylvania
RTG Georgia
RTQ Georgia
RTR Georgia
RVE Alabama
RXC Texas
SBA Maryland
SBQ Illinois
SDX New York
SEP New York
SFL Florida
SFZ Illinois
SGH New Jersey
SIB California
SKG Ohio
SKJ Ohio
SKK Illinois
SMF Alabama
SNA California
SOO California
SOS Florida
SPC So Carolina
SPW Illinois
SRD New Jersey
SRF Pennsylvania
SRN Massachusetts
SSE Minnesota
SSI Minnesota
STM Pennsylvania
SUB New Jersey
SVH Minnesota
SXX Illinois
SYL Massachusetts
SYM Maryland
SZE Illinois
SZX Maryland
TCP Minnesota
TEN Illinois
TGC Massachusetts
TGT Minnesota
TGW North Carolina
TIM Arkansas
TJJ Massachusetts
TJS Massachusetts
TKS Maryland
TLH Connecticut
TLR Illinois
TPP Alabama
TSA Texas
TSF Kansas
TSJ Connecticut
TVH Illinois
TXX Massachusetts
UBJ Minnesota
UEM Massachusetts
UNC Virginia
UNM Ohio
UNR California
UPP Illinois
URM Indiana
USF Kansas
USG Georgia
UTI Kansas City
UWW Illinois
UXE Tennessee
VIA Vermont
VIE New Mexico
V V B Oregon
V W B Ohio
WKI Kansas
WMK Massachusetts
WMM Pennsylvania
WWK Wisconsin
WXL Minnesota
WXO New Jersey (Horizon)
WYE New Jersey
XAA Alabama
XCM Arkansas
XDD California
XDF California
XDL California
XDM California
XDO California
XDP California
XDU California
XDX California
XEA California
XEC California
XEE California
XEH California
XEP California
XGB Connecticut
XGJ Connecticut
XGM Connecticut
XGV Connecticut
XGY Connecticut
XHA Delaware
XHP Delaware
XIA Maryland
XIC Maryland
XJI Florida
XKH Georgia
XKM Georgia
XKU Georgia
XLP Hawaii
XMP Idaho
XNA Idaho
XOF Illinois
XON Illinois
XSC Kansas
XSM Kansas
XTX Virginia
XUA Louisiana
XUH Louisiana
XUP Louisiana
XVA Maine
XVB Maine
XVG Maine
XVH Maine
XVM Maine
XWF Maryland
XWG Maryland
XWI Maryland
XWL Maryland
XWQ Maryland
XYZ Michigan
XZM Minnesota
XZP Minnesota
YCA Missouri
YCI Missouri
YDA Montana
YGG New Hampshire
YHA New Jersey
YHI New Jersey
YHJ New Jersey
YHM New Jersey
YHP New Jersey
YHQ New Jersey
YHU New Jersey
YHV New Jersey
YHX New Jersey
YHZ New Jersey
YIE New Mexico
YMQ New Jersey
YMU Pennsylvania
YPD No Carolina
YPS No Carolina
YRC Ohio
YTA Virginia
YTD Virginia
YTM Virginia
YWB Pennsylvania
YWP Pennsylvania
YWU Pennsylvania
YXH Pennsylvania
YYH Pennsylvania
YYM Pennsylvania
YYN Pennsylvania
YYZ Pennsylvania
YZA Pennsylvania
ZAH Pennsylvania
ZBF Rhode Island
ZBH Rhode Island
ZCN So. Carolina
ZCY So Carolina
ZEA Tennessee
ZEC Tennessee
ZEX Tennessee
ZGA Texas
ZGB Texas
ZHW Utah
ZHZ Utah
ZIB Vermont
ZID Vermont
ZIE Vermont
ZKC Alaska (Premera)
ZPG Texas
ZPP W. Virginia
ZPW W Virginia
ZRM Wisconsin
ZSK Wyoming
ZVP Oregon
ZWP New York
ZWS New York
ZXN Tennessee
ZYH So Dakota
[...] (If you can’t find what you’re looking for, try the non-verified list of prefixes.) [...]
RUC = Anthem / http://www.anthem.com
Medicare Part D prefixes to help define these members.
MBG, BAA – Blue Advantage for Alabama
PDO, PDZ – Blue Rx for Alabama and Tennessee ZEG, ZEB, ZXD, ZXG, ZER – Blue Cross and Blue Shield of Tennessee contracts
This is from BCBS of Alabama Pharmacy Department
Ever heard of 3HN, folks? Yeah, neither have I. Hehe.
I have heard of 3HZN that is Horizon of NJ. It usually is a 3 letter prefix and the the 3HZN and then the numerical ID#. Example: YHI3HZN7205923.
Can anybody tell me prefix GFD belongs where? highmark blue shield or blue cross
Thank you
KCB = Rhode Island
How about TLQ?
If you still have questions- call 800-676-2583. It’s the national number to BCBS
I’ve been compiling these for over a year at the hospital where I work. We break it down a step further and indicate whether it’s a PPO policy or not (for contracting purposes). I’ll add the ones I have tomorrow )I have over 400).
hi dudes,
can anyone help in finding the phone numbers to reach the provider relations for all the prefixes that is being listed in here or is there any other website for it
I have created a spreadsheet with all of the prefixes we have compiled over the years, complete with billing addresses. However, it’s huge – current count is 4404 prefixes.
Email it to the address found on the About page, Kimberly!
Ok, I sent the spreadsheet to the email address. I hope it will be helpful. I haven’t had a chance to add some of the new prefixes I have seen on here. I try to keep it as up to date as I can but there are so many changes that it is hard to keep up. If anyone has information on expired prefixes, please let me know!
Thank you!
gxc = bcbs of il
WCV: BC ALABAMA
EGS = BCBS OF MN
YLS is bcbs of NY, specifically for the Empire Preferred plan.
IF THE ALPHA PREFIX IS YLS PHYSICIANS NEED TO BILL UHC KINGSTON. YLS IS FOR FACILITIES.
BLM = Empire, NYC
How can I get the list of the pre-fixes and the telephone numbers that Kimberly has compiled????
Hi
Can any one help me in prefixes “SFM”
Thanks
Bryan….
Hi
Kimberly Amico could you send me the spread sheet containing prefixes list of BCBS
bryanmattew@gmail.com
Thanks
Bryan…
MBM = Highmark BCBS
which state does ZVP belong to??
ZVP – The Regence Group Oregon
hi guys,
im kind of new to this whole bcbs world and im a very hard time reaching these payors across all the state so can anyone send a mail with either the prefix and the phone number listings of all the bcbs prefixes to my mail. My mail id is mycoplasma8@yahoo.co.in.
I too would love to receive the BCBS spreadsheet with the prefixes and corresponding phone numbers. It would make my job so much easier. Can you please send it to me too?
susan.albaitis@davita.com
IGHH=Which state belongs to this Prefix. Could someone please let me know?
WVE=IL BCBS
WVE= is this prefix for IL Blue cross
Can someone please email me that spreadsheet as well..
danielle.dipopolo@jeffersonhospital.org
Thank You so much !!
thanks christa for the help
I too would love the BCBS spreadsheet with the numbers as well. It would make my job much easier as well.
martens.deann@parknicollet.com
Hi
Could anyone help me finding the below given prefixes, if not you can send me as a excel sheet to the below given email id
Thanks
Bryan…
bryanmattew@gmail.com
AJF ODF GHK RJI
AYF RZF GMO RNY
BVB SAE HNE RPZ
BZF SJE HXZ RVH
CFF SJF IBR SGU
DKF SLB IBV SID
FHE TYF IVC SLS
FIF WAF IVX SUD
GAB WJF IXB TNA
GBF WZF KFR TNN
GHF YYE LSM TPX
HJE YYF MMH TPZ
HJF AIV NEQ TUE
HKF AJE NEY WOM
HSN AJV NEZ WXP
HZF AJZ NRS WXZ
IEE AYD NWY LRE
IEF ANI PWA MEE
IWF BJI PXH GMN
LPE BYE PXJ FLI
LPF CXE REV FLR
LRB DYD REW FXK
RFS RHJ RJA
anthem odd prefix line @ 800-676-2583 option 5 then enter your 3 letter pre-fix and it will transfer you where you need to go
Can I please also get a copy of the spreadsheet sent to me at jamieleighr@yahoo.com. Thank you so much !
MXD: TEXAS
Can you please e-mail the spreadsheet? Thanks!
dana_lynch2003@yahoo.com
Can I please have an e-mail of the spreadsheet?
cruppel@emsbillingsolutions.com
Could someone please send me an e-mail of the spreadsheet. There seems to be so many sites, but nothing that has really helped except this one. Thanks!
Cindy, I need your email address!
Can you please send me the spreadsheet as well?
j_dotolo@hotmail.com
THANKS.
Anyone have the state for SOI?
Nevermind it is Alabama..thanks.
TDL anyone?
And could i get a copy of the spreadsheet as well, i work for a Gi-Normous facilty and that would be an awesome tool to have.
thanks.
ttpaysse@utmb.edu
LWE = Alabama
XDX is California
anyone know what GYM is?
Can anyone tell me where the prefix TLG, is from???