Blue Cross and Blue Shield Association: Prefix Changes

Blue Cross and Blue Shield Association: Prefix Changes

6/22/2017

The three character prefix is a foundational component of the BlueCard® Program. The information the prefix contains defines the service relationships and arrangements between the Blue Plan, and its subscribers.
 
Based on the current growth rate of BlueCross and its affiliates, the number of available alpha prefix combinations will be exhausted in 2018. To accommodate this growth, we will increase the prefix pool by incorporating numbers into the prefix for new groups. Effective April 15, 2018, all Blue Plans and providers must be able to accept a prefix that includes a combination of alpha and numeric characters.
 
When BlueCross members arrive at your office or facility, continue to ask to see their current member identification cards (ID cards) at each visit. Doing so will help you: 
  • Identify the member’s product. 
  • Obtain health plan contact information. 
  • Speed claims processing.
Remember: ID cards are for identification purposes only; they do not guarantee eligibility or payment of the claim. Verify eligibility for BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina members by using My Insurance ManagerSM, our secure online tool. Verify eligibility for out-of-state members by calling 800-676-BLUE (2583).
 
For additional information, review the frequently asked questions here.
 
More information will be shared as it becomes available. If you have any questions about the upcoming prefix changes, please contact Provider Education at 803-264-4730 or submit your question using the Provider Education Contact Form.