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BCBS Alpha Prefix HAA to HZZ

The BCBS alpha prefix range from HAA to HZZ represents a segment of the Blue Cross Blue Shield (BCBS) insurance identification system. The HAA to HZZ prefixes are the first three characters on member ID cards and identify the BCBS home plan associated with a member. The HAA to HZZ range covers multiple states and BCBS companies, including prefixes like HMK for Highmark BCBS and HAA for Horizon BCBS of New Jersey. Medical billers and providers use the HAA to HZZ prefixes to route claims, verify insurance eligibility, and process reimbursements.

The HAA to HZZ prefix range maps each prefix to a BCBS company and state, enabling precise claims filing. HAA corresponds to Horizon BCBS of New Jersey, while HEB is linked to BCBS of Texas. The HAA to HZZ prefix mapping determines the correct claims submission address or phone number, preventing delays in processing. The HAA to HZZ range is part of the complete BCBS prefix directory, which spans from AAA through ZZZ and covers all assigned prefixes.

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BCBS Prefix HAA to HEZ Assignment Table

The BCBS Prefix HAA to HEZ Assignment Table lists the Blue Cross Blue Shield prefixes from HAA to HEZ. The HAA to HEZ table identifies the BCBS home plans, states, and plan types associated with each prefix. The HAA to HEZ table includes claims phone numbers for accurate claims filing and verification.

Prefix BCBS Home Plan Name State Plan Type Claims Phone Number
HAA Horizon BCBS of New Jersey New Jersey PPO, HMO, HDHP (800) 682-9090
HAC Horizon BCBS of New Jersey New Jersey PPO, HMO (800) 682-9090
HAF Horizon BCBS of New Jersey New Jersey PPO, HMO, HDHP (800) 682-9090
HAG Anthem BCBS Georgia PPO, POS, EPO (800) 772-1139
HAH Anthem BCBS Ohio HDHP (800) 331-1475
HAP Anthem BCBS Pennsylvania HDHP (800) 331-1475
HCT Highmark BCBS Pennsylvania PPO, HMO, EPO (800) 541-1524
HCY Anthem BCBS Ohio PPO, HMO, POS (800) 331-1475
HEB BCBS of Texas Texas PPO, HMO, EPO (800) 521-9628

The prefixes listed in the HAA to HEZ table are verified for routing claims within the BCBS network. For prefixes not detailed in the HAA to HEZ table, consult the BCBS Plan Finder for current information.

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BCBS Prefix HMK Highmark BCBS

The BCBS prefix HMK is assigned to Highmark Blue Cross Blue Shield of Pennsylvania. The HMK prefix serves as a primary identifier for members enrolled in Highmark BCBS plans. Highmark BCBS plans under the HMK prefix include Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), and Exclusive Provider Organization (EPO). The HMK prefix appears on member insurance cards, directing healthcare providers to route claims to the Pennsylvania-based Highmark BCBS entity.

When processing claims for members with the HMK prefix, medical billers must verify the plan type indicated on the insurance card. Plan type verification directs claims to the Highmark BCBS processing center, reducing the risk of claim rejections and expediting reimbursement timelines. Highmark BCBS may offer Medicare Advantage and Medicaid managed care services under related prefixes, providing coverage options for residents of Pennsylvania.

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BCBS Prefix HFA to HKZ Assignment Table

The BCBS Prefix HFA to HKZ Assignment Table lists the Blue Cross Blue Shield alpha prefixes between HFA and HKZ. The HFA to HKZ table includes each prefix, the corresponding BCBS home plan, associated states, plan types, and claims contact numbers.

Prefix BCBS Home Plan Name State Plan Type Claims Phone Number
HFA BCBS of Illinois Illinois HDHP, PPO, POS (800) 233-1474
HFB Anthem BCBS of Missouri Missouri EPO, PPO, Traditional Indemnity (800) 331-1475
HFC BCBS of Massachusetts Massachusetts HMO, POS, HDHP (800) 262-0820
HFD BCBS of Nebraska Nebraska HMO, POS, PPO (800) 432-3990
HFE Anthem BCBS of New Hampshire New Hampshire EPO, Traditional Indemnity, HDHP (800) 331-1475
HFF Anthem BCBS of Georgia Georgia PPO, HDHP, HMO (800) 772-1139
HFG BCBS of Michigan Michigan PPO, HMO (800) 482-3276
HFH Highmark BCBS Pennsylvania Traditional Indemnity, POS, PPO (800) 541-1524
HFI BCBS of South Carolina South Carolina EPO, HDHP, PPO (800) 288-2227
HFJ Anthem BCBS of Wisconsin Wisconsin HMO, PPO, Traditional Indemnity (800) 331-1475
HFK CareFirst BCBS Maryland/DC/N. Virginia HDHP, EPO, POS (800) 692-7459
HFL Regence BCBS Oregon/Idaho/Utah/Washington PPO, Traditional Indemnity, EPO (888) 248-2595
HFM Horizon BCBS of New Jersey New Jersey PPO, HMO, EPO, POS (800) 682-9090
HFN BCBS of Minnesota Minnesota EPO, PPO, HMO (800) 292-9371
HFO BCBS of Tennessee Tennessee PPO, HMO (800) 467-2954
HFP HMSA Blue Cross Blue Shield Hawaii PPO, HMO, POS (808) 948-6079
HFQ BCBS of Georgia Georgia HMO, POS, Traditional Indemnity (800) 772-1139
HFR Horizon BCBS of New Jersey New Jersey PPO, EPO (800) 682-9090
HFS Anthem BCBS of Georgia Georgia Traditional Indemnity, PPO, HMO (800) 772-1139
HFT Regence BCBS Oregon/Idaho/Utah/Washington POS, HDHP, EPO (888) 248-2595
HFU BCBS of Georgia Georgia PPO, HMO, Traditional Indemnity (800) 772-1139
HFV BCBS of Georgia Georgia HDHP, EPO, PPO (800) 772-1139
HFW Horizon BCBS of New Jersey New Jersey PPO, POS (800) 682-9090
HFX BCBS of Minnesota Minnesota POS, PPO, HDHP (800) 292-9371
HFY Anthem BCBS of Indiana Indiana PPO, HMO, HDHP (800) 533-2583
HFZ Anthem BCBS of Ohio Ohio PPO, EPO, HMO (800) 331-1475
HGA BCBS of Massachusetts Massachusetts PPO, Traditional Indemnity (800) 262-0820
HGB CareFirst BCBS Maryland/DC/N. Virginia HDHP, PPO, EPO (800) 692-7459

The HFA to HKZ table includes assigned prefixes with their plan details and contact numbers for accurate claims routing.

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BCBS Prefix HLA to HPZ Assignment Table

The BCBS Alpha Prefix HLA to HPZ Assignment Table provides information for medical billing and claims processing. The HLA to HPZ table includes details about each prefix, the corresponding Blue Cross Blue Shield home plan, associated states, plan types, and claims contact numbers.

Prefix BCBS Home Plan Name State Plan Type Claims Phone Number
HLA Anthem BCBS Virginia PPO, HMO, EPO, POS (800) 331-1475
HLB Anthem BCBS Ohio PPO, HMO, HDHP (800) 331-1475
HLC Highmark BCBS Pennsylvania PPO, HMO, EPO (800) 541-1524
HLD Horizon BCBS New Jersey PPO, HMO, HDHP (800) 682-9090
HLE BCBS of Illinois Illinois PPO, POS, HDHP, Traditional Indemnity (800) 233-1474
HLF BCBS of Massachusetts Massachusetts PPO, POS, HDHP, Traditional Indemnity (800) 262-0820
HLG Anthem BCBS Georgia PPO, POS, EPO (800) 772-1139
HLH Anthem BCBS Ohio PPO, HDHP (800) 331-1475
HLI Highmark BCBS Pennsylvania PPO, HMO, EPO (800) 541-1524
HLJ Horizon BCBS New Jersey PPO, HMO, Traditional Indemnity, HDHP (800) 682-9090

The HLA to HPZ table is part of the BCBS prefix directory for proper claim submission and processing.

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BCBS Prefix HRA to HZZ Assignment Table

The BCBS prefix range from HRA to HZZ covers Blue Cross Blue Shield plans across multiple states. The HRA to HZZ table provides detailed information about each prefix, including the associated home plan, state, plan type, and claims phone number.

Prefix BCBS Home Plan Name State Plan Type Claims Phone Number
HRA Highmark BCBS Pennsylvania PPO, HMO, EPO (800) 541-1524
HRB Anthem BCBS Virginia PPO, HMO (800) 331-1475
HRC Horizon BCBS of New Jersey New Jersey PPO, HMO, HDHP (800) 682-9090
HRD BCBS of Illinois Illinois PPO, HMO (800) 233-1474
HRE Anthem BCBS Ohio PPO, HMO, EPO (800) 331-1475
HRF CareFirst BCBS Maryland/DC/N. Virginia PPO, HMO, EPO (800) 692-7459
HRG BCBS of Texas Texas PPO, HMO (800) 521-9628
HRH BCBS of Michigan Michigan PPO, HMO (800) 482-3276
HRI BCBS of Minnesota Minnesota PPO, HMO (800) 292-9371
HRJ Anthem BCBS of Indiana Indiana PPO, HMO (800) 533-2583
HRK BCBS of Tennessee Tennessee PPO, HMO (800) 467-2954
HRL BCBS of North Carolina North Carolina PPO, HMO (800) 672-7897
HRM BCBS of Massachusetts Massachusetts PPO, HMO (800) 262-0820
HRN Regence BCBS Oregon/Idaho/Utah/Washington PPO, HMO (888) 248-2595
HRO HMSA Blue Cross Blue Shield Hawaii PPO, HMO, POS (808) 948-6079
HRP BCBS of South Carolina South Carolina PPO, HMO (800) 288-2227
HRQ Anthem BCBS of Georgia Georgia PPO, HMO (800) 772-1139
HRR Wellmark BCBS Iowa/South Dakota PPO, HMO (800) 524-9242
HRS Anthem BCBS of Wisconsin Wisconsin PPO, HMO (800) 331-1475
HRT BCBS of Nebraska Nebraska PPO, HMO (800) 432-3990

The HRA to HZZ table identifies and categorizes the insurance plans under the Blue Cross Blue Shield umbrella with plan details for accurate claims processing.

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What Are the BCBS Alpha Prefixes from HAA to HZZ?

The BCBS alpha prefixes from HAA to HZZ are three-character codes assigned to Blue Cross Blue Shield insurance plans. Each prefix in the HAA to HZZ range identifies the BCBS home plan, the state of origin, and the plan type (such as PPO, HMO, EPO, or POS). The HAA to HZZ prefixes appear as the first three characters on a member's insurance ID card and are used by medical billers and healthcare providers to route claims, verify eligibility, and identify the correct BCBS entity for reimbursement.

The HAA to HZZ prefix range is part of the larger BCBS alpha prefix system, which spans from AAA through ZZZ. The Blue Cross Blue Shield Association assigns prefixes to its independent licensees across the United States. Each prefix maps to a specific BCBS company and state, such as HMK for Highmark BCBS or HAA for Horizon BCBS of New Jersey. The prefix system standardizes the identification of BCBS plans for claims processing and provider services.

Not all prefixes in the HAA to HZZ range are assigned to active BCBS plans. Some prefixes remain unallocated and are reserved for future use or are not currently in circulation. Medical billers should verify unallocated prefixes against the latest BCBS directories or contact the BCBS Association to confirm prefix assignments before submitting claims.

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Which BCBS Companies Use Prefixes in the HAA to HZZ Range?

Multiple Blue Cross Blue Shield companies use prefixes in the HAA to HZZ range. The following BCBS companies are among those with assigned prefixes in this range:

  • health_and_safety Horizon Blue Cross Blue Shield of New Jersey — Prefixes include HAA, HAC, HAF, HFM, HFR, HFW, HLD, and HLJ, covering PPO, HMO, HDHP, EPO, and POS plans in New Jersey.
  • health_and_safety Anthem Blue Cross Blue Shield — Anthem operates across multiple states with prefixes such as HAG (Georgia), HAH (Ohio), HAP (Pennsylvania), HCY (Ohio), HLA (Virginia), HLB (Ohio), and HLG (Georgia).
  • health_and_safety Highmark Blue Cross Blue Shield — Prefixes include HCT, HFH, HLC, HLI, and HRA, covering PPO, HMO, EPO, POS, and Traditional Indemnity plans in Pennsylvania.
  • health_and_safety BCBS of Illinois — Prefixes include HFA and HLE, covering PPO, POS, HDHP, and Traditional Indemnity plans in Illinois.
  • health_and_safety HMSA Blue Cross Blue Shield of Hawaii — Prefixes include HFP and HRO, covering PPO, HMO, and POS plans in Hawaii.

These companies represent a portion of the independent BCBS licensees with prefixes in the HAA to HZZ range. Each company operates within specific states and offers a variety of plan types. Medical billers should consult the full BCBS prefix directory for a complete list of assignments within this range.

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How to Read the BCBS HAA to HZZ Prefix Table?

Reading the BCBS HAA to HZZ prefix table follows a systematic approach for accurate claims processing. The HAA to HZZ prefix table identifies the correct Blue Cross Blue Shield plan based on the prefix found on a patient's insurance card.

1 Locate the Prefix
Identify the three-character prefix on the patient's insurance card. The Blue Cross Blue Shield prefix is the first set of letters in the member ID.
2 Match the Prefix
Scan the 'Prefix' column in the HAA to HZZ table to find the exact three-letter code. The table is organized alphabetically for navigation.
3 Identify Plan Details
After locating the prefix, read across the row to gather details about the BCBS Home Plan Name, the State of origin, and the Plan Type (such as PPO, HMO, EPO, or POS). The plan details determine the coverage rules and network.
4 Verify Claims Information
Note the Claims Phone Number provided in the table. The claims phone number verifies details and confirms that claims are submitted to the correct payer following the appropriate billing protocols.
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How to Look Up a Specific BCBS Prefix in the HAA to HZZ Range?

Looking up a BCBS prefix in the HAA to HZZ range supports accurate claims processing. The following steps guide proper identification and submission.

1 Locate the Prefix on the Insurance Card
The BCBS prefix identifier is a three-character code found on the front of the patient's BCBS insurance card. The prefix code identifies the home plan and state.
2 Match the Prefix to the Reference Table
Use a BCBS prefix lookup directory to find the exact prefix. The directory provides details such as the BCBS home plan name, state, and plan type (e.g., PPO, HMO).
3 Identify the Home Plan and State
After matching the prefix, note the BCBS company and the state the plan serves. The home plan and state information directs claims routing.
4 Verify with the BCBS Contact Number
Before submitting claims, contact the claims phone number listed in the prefix table. Contacting the claims department confirms the patient's eligibility and coverage details.
5 Submit the Claim to the Correct Address
Use the verified information to route the claim to the appropriate BCBS company's processing address or electronic payer ID. All claim forms should reference the correct prefix and member ID to avoid denials.
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How to Verify the BCBS Home Plan Using the Three-Character Prefix?

Verifying the BCBS home plan using the three-character prefix requires locating the prefix on the member's insurance ID card and matching it against the BCBS prefix directory. The prefix is the first three alphabetic characters on the card and maps directly to a BCBS company and state. To verify, billers should access the BCBS prefix lookup table, find the matching three-character code, and confirm the home plan name, state, and plan type. The claims phone number listed for that prefix can be used to contact the BCBS plan directly for additional verification, such as confirming member eligibility, benefits, and claims submission requirements. Accurate prefix verification prevents claims from being submitted to the wrong BCBS entity and reduces processing delays.

1 Locate the prefix on the member's insurance ID card
The prefix is the first three alphabetic characters on the BCBS member ID card. Copy the prefix exactly as printed to avoid errors during lookup.
2 Match the prefix against the BCBS prefix directory
Use the HAA to HZZ prefix lookup table or the BCBS Plan Finder to match the prefix to the corresponding home plan, state, and plan type.
3 Confirm the home plan name, state, and plan type
Verify the details displayed in the table match the information on the member's insurance card. Discrepancies may indicate an outdated card or a recently reassigned prefix.
4 Contact the claims phone number for additional verification
Call the claims phone number listed for the prefix to confirm member eligibility, benefits, and claims submission requirements directly with the BCBS home plan.
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What to Do When the HAA to HZZ Prefix Is Not in the Table?

When a BCBS prefix in the HAA to HZZ range is not listed in the assignment table, the prefix may be unallocated, recently reassigned, or not yet added to the reference directory. Medical billers should first verify the prefix by checking the BCBS Plan Finder tool on the Blue Cross Blue Shield Association website. The Plan Finder provides the most current prefix assignments and associated plan details. If the prefix is still not found, billers should contact the BCBS Association's provider support line or the local BCBS plan for assistance.

Submitting claims with an unverified or missing prefix can result in claim rejections, payment delays, or misdirected claims. Billers should document the verification steps taken and note any discrepancies between the prefix on the member's card and the available directories. If the prefix is confirmed as unallocated, the biller should request updated insurance information from the patient and verify the correct BCBS home plan before resubmitting the claim.

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BCBS HAA to HZZ Prefix Phone Numbers and Claims Filing Contacts

Each BCBS prefix in the HAA to HZZ range is associated with a claims phone number that connects providers and medical billers to the appropriate BCBS plan's claims department. The claims phone number is used to verify member eligibility, confirm plan details, obtain prior authorizations, and resolve claims issues. The phone numbers listed in the prefix tables are specific to the BCBS home plan identified by the prefix.

For example, the HAA prefix for Horizon BCBS of New Jersey lists (800) 682-9090, while the HEB prefix for BCBS of Texas lists (800) 521-9628. Billers should use the claims phone number associated with the specific prefix rather than a general BCBS number, as each independent BCBS licensee maintains its own claims processing operations and provider support lines.

Some prefixes in the HAA to HZZ range may not have a listed phone number. For these prefixes, billers should use the BCBS Plan Finder or contact the BCBS Association to obtain the correct claims filing contact. Keeping an updated record of claims phone numbers for frequently encountered prefixes improves billing efficiency and reduces the time spent on claim follow-up.

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Claims Filing Addresses for HAA to HZZ BCBS Prefixes

Claims filing addresses for the HAA to HZZ BCBS prefixes vary by the BCBS home plan associated with each prefix. Each independent BCBS licensee maintains its own claims processing address for paper claims and an electronic payer ID for electronic claims submissions. Medical billers must match the prefix on the member's insurance card to the correct BCBS home plan and use the corresponding claims filing address to submit claims. Using the wrong filing address results in claim rejections or significant processing delays.

Electronic claims submission is the preferred method for most BCBS plans, using the payer ID associated with the home plan. Billers should verify the payer ID through the BCBS prefix directory or by contacting the claims phone number listed for the prefix. For paper claims, the mailing address is specific to the BCBS company and may differ based on the claim type (professional vs. institutional). Providers should consult the BCBS home plan's provider manual or website for the most current claims filing addresses and submission requirements.

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BCBS Plan Types Identified by HAA to HZZ Prefixes

The HAA to HZZ BCBS prefix range includes multiple plan types offered by Blue Cross Blue Shield companies. Each prefix identifies not only the home plan and state but also the type of insurance plan, which determines the network rules, coverage guidelines, and claims processing requirements.

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PPO, HMO, and EPO Plans

PPO plans allow members to visit both in-network and out-of-network providers at different cost levels. HMO plans require members to use in-network providers and obtain referrals from a primary care physician for specialist care. EPO plans restrict coverage to in-network providers but do not require referrals. The HAA to HZZ prefixes identify which of these plan types applies to each member, directing billers to apply the correct coverage rules and reimbursement rates.

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POS and HDHP Plans

POS (Point of Service) plans combine features of HMO and PPO plans, allowing members to choose between in-network and out-of-network care with a primary care physician referral. HDHP (High Deductible Health Plans) feature higher deductibles and lower premiums, often paired with Health Savings Accounts (HSAs). Several prefixes in the HAA to HZZ range are associated with POS and HDHP plans, requiring billers to verify deductible status and referral requirements.

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Traditional Indemnity, Medicaid, and Medicare Advantage

Traditional Indemnity plans allow members to visit any provider without network restrictions, with the plan reimbursing a percentage of covered services. Some BCBS companies in the HAA to HZZ range also administer Medicaid managed care and Medicare Advantage plans under specific prefixes. Billers processing claims under these plan types must verify the specific benefits, cost-sharing requirements, and submission guidelines associated with each prefix.

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How the Third Character in the Prefix Identifies the Plan Type?

The third character in a BCBS alpha prefix can provide additional information about the plan type or the specific product line within a BCBS company. While the BCBS prefix system primarily identifies the home plan and state, the third character may indicate whether the plan is a PPO, HMO, EPO, or a specialized product such as Medicare Advantage or a Federal Employee Program (FEP) plan. However, the third character's meaning is not standardized across all BCBS licensees, and its interpretation varies by company. Medical billers should not rely solely on the third character to determine the plan type. Instead, billers should verify the plan type by consulting the prefix directory, checking the member's insurance card, and confirming with the BCBS home plan's claims department.

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States and BCBS Companies Covered in the HAA to HZZ Prefix Range

The HAA to HZZ BCBS prefix range covers BCBS plans from multiple states across the United States. States represented in this range include Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, Washington D.C., and Wisconsin. Each state has one or more independent BCBS licensees that operate within its borders.

BCBS companies covered in the HAA to HZZ range include Horizon Blue Cross Blue Shield of New Jersey, Anthem Blue Cross Blue Shield (operating in multiple states including Ohio, Virginia, Georgia, Indiana, Wisconsin, Missouri, and New Hampshire), Highmark BCBS of Pennsylvania, BCBS of Illinois, BCBS of Texas, CareFirst BCBS, BCBS of Massachusetts, BCBS of Michigan, BCBS of Minnesota, Regence BCBS, HMSA Blue Cross Blue Shield of Hawaii, BCBS of Tennessee, BCBS of South Carolina, BCBS of Nebraska, Wellmark BCBS, and BCBS of North Carolina. Each company holds an independent license from the Blue Cross Blue Shield Association to operate in its designated service area.

The distribution of prefixes across states and companies reflects the decentralized structure of the BCBS system. No single BCBS entity controls the entire prefix range. Instead, each licensee is assigned specific prefixes to identify its members and plans. Medical billers should use the prefix on the member's ID card as the primary identifier for determining which BCBS company and state to contact for claims processing and eligibility verification.

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Horizon Blue Cross Blue Shield New Jersey

Horizon BCBS of New Jersey holds multiple prefixes within the HAA to HZZ range, including HAA, HAC, HAF, HFM, HFR, HFW, HLD, HLJ, and HRC. Each prefix identifies a specific product line or plan category within Horizon BCBS. Plans include PPO, HMO, EPO, POS, and HDHP options. Horizon BCBS of New Jersey's claims department can be reached at (800) 682-9090 for most New Jersey prefixes in the H range.

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Anthem Blue Cross Blue Shield

Anthem BCBS operates across multiple states with prefixes in the HAA to HZZ range, including HAG (Georgia), HAH (Ohio), HAP (Pennsylvania), HCY (Ohio), HFB (Missouri), HFE (New Hampshire), HFJ (Wisconsin), HLA (Virginia), HLB (Ohio), HLG (Georgia), and HRB (Virginia). Anthem's multi-state claims department can be reached at (800) 331-1475 for most Anthem prefixes in the H range.

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Highmark Blue Cross Blue Shield Pennsylvania

Highmark BCBS of Pennsylvania holds multiple prefixes within the HAA to HZZ range, including HCT, HFH, HLC, HLI, and HRA. Plans under Highmark include PPO, HMO, EPO, POS, and Traditional Indemnity options. Highmark BCBS of Pennsylvania's claims department can be reached at (800) 541-1524 for Pennsylvania prefixes in the H range.

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BCBS of Illinois and BCBS of Texas

BCBS of Illinois holds prefixes HFA and HLE in the HAA to HZZ range, covering PPO, POS, HDHP, and Traditional Indemnity plans with claims processed at (800) 233-1474. BCBS of Texas holds the HEB prefix, covering PPO, HMO, and EPO plans with claims processed at (800) 521-9628. Both companies are major BCBS licensees serving large populations in their respective states.

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Highmark Blue Cross Blue Shield Pennsylvania Prefixes in the H Range

Highmark Blue Cross Blue Shield of Pennsylvania holds multiple prefixes within the HAA to HZZ range, including HCT, HFH, HLC, HLI, and HRA. Each prefix identifies a specific product line or plan category within Highmark BCBS. The HCT prefix covers PPO, HMO, and EPO plans, while HFH covers Traditional Indemnity, POS, and PPO plans. Additional prefixes such as HLC and HLI provide further granularity for plan identification and claims routing.

Medical billers working with Pennsylvania-based Highmark BCBS prefixes should use the specific claims phone number associated with each prefix. While the numbers may route to the same Highmark claims department, using the correct prefix-specific number ensures that the call is directed to the appropriate team. Highmark BCBS of Pennsylvania's claims department can be reached at (800) 541-1524 for most Highmark prefixes in the H range. Verifying the prefix before calling reduces hold times and improves claim resolution efficiency.

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Horizon Blue Cross Blue Shield New Jersey Prefixes in the H Range

Horizon Blue Cross Blue Shield of New Jersey holds a significant number of prefixes within the HAA to HZZ range, including HAA, HAC, HAF, HFM, HFR, HFW, HLD, HLJ, and HRC. Horizon BCBS is one of the largest BCBS licensees in the Northeast, serving millions of members across New Jersey. The H-range prefixes cover PPO, HMO, EPO, POS, and HDHP plans, reflecting the diverse product portfolio offered by Horizon BCBS.

When processing claims for members with Horizon BCBS prefixes, medical billers should contact Horizon's claims department at (800) 682-9090. Billers should reference the specific three-character prefix when calling to ensure accurate routing and faster resolution. Horizon BCBS processes both electronic and paper claims, with electronic submission preferred for faster reimbursement. The payer ID for Horizon BCBS should be verified through the prefix directory or by contacting Horizon directly.

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HMSA Blue Cross Blue Shield Hawaii Prefixes in the H Range

HMSA Blue Cross Blue Shield of Hawaii holds prefixes in the HAA to HZZ range, including HFP and HRO. HMSA is the only BCBS licensee in Hawaii, serving the majority of the state's insured population. The HFP prefix covers PPO, HMO, and POS plans, providing comprehensive coverage options for Hawaii residents. HMSA's claims department can be reached at (808) 948-6079.

Medical billers processing claims for HMSA BCBS members should be aware that Hawaii's healthcare market has unique characteristics, including the Hawaii Prepaid Health Care Act, which requires employers to provide health insurance to employees working more than 20 hours per week. HMSA's plans under the H-range prefixes comply with both state and federal requirements. Billers should verify plan details and coverage rules specific to Hawaii when processing claims for members with HFP or HRO prefixes.

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How to Use HAA to HZZ Prefixes for Insurance Eligibility Verification?

Using BCBS alpha prefixes in the HAA to HZZ range for insurance eligibility verification follows a structured process. The HAA to HZZ prefix verification confirms patient coverage before healthcare services are rendered.

1 Obtain the Patient's Insurance Card
Request the patient's BCBS insurance card at check-in. The card displays the member ID, which begins with the three-character alpha prefix. Copy the prefix and full member ID accurately for verification purposes.
2 Identify the BCBS Home Plan Using the Prefix
Use the HAA to HZZ prefix lookup table to match the prefix to the corresponding BCBS home plan and state. The home plan identification determines which BCBS entity to contact for eligibility verification.
3 Contact the Claims Phone Number
Call the claims phone number listed in the prefix table for the identified home plan. Provide the member ID and prefix to the representative to verify the patient's eligibility, coverage status, and benefits.
4 Confirm Plan Type and Network Status
During the verification call, confirm the plan type (PPO, HMO, EPO, POS, HDHP, Traditional Indemnity, Medicare Advantage, or Medicaid) and whether the provider is in-network for the patient's plan. Network status affects coverage levels and reimbursement rates.
5 Document the Verification Results
Record the verification reference number, the representative's name, and the confirmed coverage details. Documentation supports claim submission and provides evidence of eligibility verification in case of disputes or audits.
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How to Route Claims Using the HAA to HZZ BCBS Prefix?

Routing claims using the HAA to HZZ BCBS prefix follows a systematic approach for accurate processing.

1 Read the Prefix from the Member ID Card
Identify the three-character alpha prefix at the beginning of the member's ID number on their BCBS insurance card. The prefix is the key routing identifier for all BCBS claims.
2 Look Up the Prefix in the HAA to HZZ Table
Find the prefix in the assignment table to identify the BCBS home plan, state, plan type, and claims phone number. This information determines where the claim should be routed.
3 Determine the Correct Payer ID or Filing Address
Based on the home plan identified, obtain the correct electronic payer ID for electronic claims or the mailing address for paper claims. The payer ID and filing address are specific to the BCBS home plan associated with the prefix.
4 Submit the Claim with the Correct Prefix and Member ID
Submit the claim using the full member ID (including the three-character prefix) to the identified payer. Ensure the claim form references the correct prefix, as an incorrect or missing prefix will result in claim rejection or misdirection to the wrong BCBS plan.
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Common Questions

What Are BCBS Prefixes?
BCBS prefixes are three-character alphabetic codes that appear at the beginning of a Blue Cross Blue Shield member's insurance ID number. Each prefix identifies the BCBS home plan (the specific BCBS company that issued the insurance), the state where the plan is based, and the general plan type. The prefix system enables medical billers and healthcare providers to quickly identify which BCBS entity is responsible for processing claims and verifying member eligibility. The BCBS Association assigns prefixes to its independent licensees, and the complete prefix directory spans from AAA through ZZZ.
How Do You Identify a Blue Prefix?
The Blue prefix on an insurance card is the first three alphabetic characters of the member ID number, located on the front of the BCBS insurance card. The prefix is always composed of three letters (no numbers) and is followed by additional alphanumeric characters that form the complete member ID. To identify the prefix, look at the member ID field and isolate the first three letters. These three letters are the BCBS alpha prefix that maps to a specific home plan, state, and claims routing destination.
Does HAA to HZZ Include Alphanumeric?
The HAA to HZZ prefix range consists exclusively of three-letter alphabetic codes. BCBS alpha prefixes are composed of letters only and do not include numbers. However, the broader BCBS identification system may include alphanumeric characters in the full member ID that follows the three-letter prefix. The prefix itself, within the HAA to HZZ range, is strictly alphabetic. If a member's ID card appears to have numbers in the first three characters, it may indicate a non-standard card format or a different insurance system.
Are There Rules for Assigning?
The Blue Cross Blue Shield Association assigns alpha prefixes to its independent licensees according to internal assignment rules. The first character of the prefix often corresponds to a geographic region or a specific BCBS company, but this pattern is not universally consistent. Some BCBS companies hold multiple prefixes to distinguish between different plan types, product lines, or geographic sub-regions. Prefixes may be reassigned or retired as BCBS companies merge, restructure, or expand their product offerings. The assignment rules are managed by the BCBS Association, and the complete prefix directory is the authoritative source for current assignments.
Can a Prefix Belong to Multiple States?
A BCBS prefix in the HAA to HZZ range can be associated with a BCBS company that operates across multiple states. For example, the HFL prefix is assigned to Regence BCBS, which operates in Oregon, Idaho, Utah, and Washington. In such cases, the prefix identifies the parent BCBS company rather than a single state. However, each prefix is assigned to one BCBS licensee, even if that licensee serves multiple states. Medical billers should verify the specific state and plan details by consulting the prefix directory or contacting the BCBS company associated with the prefix to determine the correct claims routing and eligibility information.
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Disclaimer

The information provided on this page is for educational and reference purposes only. This content is not affiliated with, endorsed by, or officially connected to the Blue Cross Blue Shield Association or any of its independent licensees. BCBS prefix assignments, plan details, claims phone numbers, and filing addresses are subject to change without notice. Medical billers and healthcare providers should verify all BCBS prefix list information against the official BCBS Plan Finder and contact the appropriate BCBS plan directly before submitting claims. This resource should not be used as the sole basis for claims submission or eligibility verification. Always cross-reference with current, authoritative sources.