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BCBS Alpha Prefix RAA to RZZ

The BCBS alpha prefix range from RAA to RZZ represents a critical segment of the Blue Cross Blue Shield (BCBS) insurance identification system. The RAA to RZZ prefixes are the first three characters on member ID cards and identify the BCBS home plan associated with a member. The RAA to RZZ range is notable because the "R" prefix letter is also used by the Federal Employee Program (FEP), which uses an R followed by numeric characters. Medical billers and providers must distinguish between standard RAA to RZZ alphabetic prefixes and FEP R-prefix formats when routing claims and verifying eligibility.

The RAA to RZZ prefix range maps each prefix to a BCBS company and state, enabling precise claims filing. Prefixes such as RLA correspond to Independence Blue Cross in Pennsylvania, while RMA is linked to Wellmark BCBS in Iowa/South Dakota. The RAA to RZZ prefix mapping determines the correct claims submission address or phone number, preventing delays in processing. The RAA to RZZ 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 RAA to REZ Assignment Table

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

Prefix BCBS Home Plan Name State Plan Type Claims Phone Number
RAA Anthem BCBS of Ohio Ohio PPO, HMO, EPO (800) 331-1475
RAB BCBS of South Carolina South Carolina PPO, HMO (800) 288-2227
RAC Anthem BCBS of Wisconsin Wisconsin PPO, HMO (800) 331-1475
RAD Wellmark BCBS Iowa/South Dakota PPO, HMO (800) 524-9242
RAE BCBS of Alabama Alabama PPO, HMO, POS (800) 292-6662
RAF Anthem BCBS of Kentucky Kentucky PPO, HMO (800) 331-1475
RAG Blue Shield of California California PPO, HMO (800) 676-2583
RAH Anthem Blue Cross CA California PPO, HMO, EPO (800) 288-9294
RAI Anthem BCBS of Virginia Virginia PPO, HMO (800) 331-1475
RAJ CareFirst BCBS Maryland/DC/N. Virginia PPO, HMO (800) 692-7459
RAK Anthem BCBS of Georgia Georgia PPO, HMO (800) 772-1139
RAL BCBS of Minnesota Minnesota PPO, HMO (800) 292-9371
RAM BCBS of Western New York New York PPO, HMO (800) 854-1790
RAN BCBS of Kansas City Kansas City PPO, HMO (816) 395-2222
RAO Empire BCBS NY New York PPO, HMO, EPO (800) 553-9603
RAP Florida Blue Florida PPO, HMO (800) 352-2583
RAQ BCBS of North Carolina North Carolina PPO, HMO (800) 672-7897
RAR Regence BCBS Oregon/Washington PPO, HMO (888) 248-2595
RAS BCBS of Illinois Illinois PPO, HMO (800) 233-1474
RAT Excellus BCBS NY New York PPO, EPO (800) 499-1275
RAU Highmark BCBS PA Pennsylvania PPO, HMO (800) 541-1524
RAV BCBS of Nebraska Nebraska PPO, HMO (800) 432-3990
RAW Arkansas BCBS Arkansas PPO, HMO (800) 643-5690
RAX BCBS of Massachusetts Massachusetts PPO, HMO (800) 262-0820
RAY Anthem BCBS of Nevada Nevada PPO, HMO (800) 331-1475
RAZ BCBS of Michigan Michigan PPO, HMO (800) 482-3276
RBA Independence Blue Cross Pennsylvania PPO, HMO (800) 275-2583
RBB BCBS of Texas Texas PPO, HMO (800) 521-9628
RBC Premera BCBS Washington/Alaska PPO, HMO (800) 508-4722
RBD Anthem BCBS of Colorado Colorado PPO, HMO (800) 424-5725
RBE Capital Blue Cross PA Pennsylvania PPO, HMO (800) 962-2242
RBF BCBS of Rhode Island Rhode Island PPO, HMO (800) 639-2227
RBG Horizon BCBS NJ New Jersey PPO, HMO (800) 682-9090
REZ BCBS of Illinois Illinois PPO, HMO (800) 233-1474

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

Federal Employee Program

BCBS Prefix R-prefix Federal Employee Program Identifier

The BCBS prefix system reserves the "R" character as the first letter for the Federal Employee Program (FEP) identification format. FEP member ID cards display an "R" followed by numeric characters (for example, R12345678), which is distinct from the standard three-letter alphabetic prefixes in the RAA to RZZ range. The FEP R-prefix format identifies federal employees, retirees, and their dependents enrolled in the Blue Cross Blue Shield Federal Employee Program, the largest employer-sponsored health insurance program in the United States.

Medical billers must distinguish between a standard RAA to RZZ alphabetic prefix (such as RLA or RMA) and the FEP R-prefix format. If the member ID card shows "R" followed by numbers, the claim must be routed to the FEP claims processing center rather than a state-based BCBS home plan. The FEP claims phone number is (800) 411-2583. All FEP claims are processed centrally by the BCBS Association, regardless of the member's state of residence.

The FEP program covers over 5 million federal employees and family members. FEP plans include both Blue Cross and Blue Shield coverage, providing access to the full BCBS provider network nationwide. Providers should verify FEP membership by confirming the R-prefix format on the member's ID card and contacting the FEP claims department for eligibility and benefits verification.

R + Numbers = FEP
FEP Claims: (800) 411-2583
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BCBS Prefix RFA to RKZ Assignment Table

The BCBS Prefix RFA to RKZ Assignment Table lists the Blue Cross Blue Shield alpha prefixes between RFA and RKZ. The RFA to RKZ 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
RFA Anthem BCBS of Ohio Ohio PPO, HMO (800) 331-1475
RFB BCBS of South Carolina South Carolina PPO, HMO (800) 288-2227
RFC BCBS of Illinois Illinois PPO, HMO (800) 233-1474
RFD Wellmark BCBS Iowa/South Dakota PPO, HMO (800) 524-9242
RFE BCBS of Michigan Michigan PPO, HMO (800) 482-3276
RFF Florida Blue Florida PPO, HMO (800) 352-2583
RFG BCBS of North Carolina North Carolina PPO, HMO (800) 672-7897
RFH Anthem BCBS of Virginia Virginia PPO, HMO (800) 331-1475
RGA Anthem BCBS of Georgia Georgia PPO, HMO (800) 772-1139
RGB BCBS of Minnesota Minnesota PPO, HMO (800) 292-9371
RGC Empire BCBS NY New York PPO, HMO (800) 553-9603
RKA BCBS of Texas Texas PPO, HMO (800) 521-9628
RKB Highmark BCBS PA Pennsylvania PPO, HMO (800) 541-1524
RKZ Regence BCBS Oregon/Washington PPO, HMO (888) 248-2595

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

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BCBS Prefix RLA to RPZ Assignment Table

The BCBS Alpha Prefix RLA to RPZ Assignment Table provides information for medical billing and claims processing. The RLA to RPZ 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
RLA Independence Blue Cross Pennsylvania PPO, HMO (800) 275-2583
RLB Capital Blue Cross Pennsylvania PPO, HMO (800) 962-2242
RLC BCBS of Illinois Illinois PPO, HMO, EPO (800) 233-1474
RLD BCBS of Illinois Illinois PPO, HMO (800) 233-1474
RLE BCBS of Nebraska Nebraska PPO, HMO (800) 432-3990
RLF Arkansas BCBS Arkansas PPO, HMO (800) 643-5690
RLG BCBS of Massachusetts Massachusetts PPO, HMO (800) 262-0820
RLH Anthem BCBS of Ohio Ohio PPO, HMO (800) 331-1475
RLI Independence Blue Cross Pennsylvania PPO, HMO (800) 275-2583
RLJ Anthem BCBS of Virginia Virginia PPO, HMO (800) 331-1475
RLK BCBS of Illinois Illinois PPO, HMO (800) 233-1474
RLL Anthem BCBS of Nevada Nevada PPO, HMO (800) 331-1475
RLM BCBS of Michigan Michigan PPO, HMO (800) 482-3276
RLN BCBS of Illinois Illinois PPO, HMO (800) 233-1474
RLO BCBS of South Carolina South Carolina PPO, HMO (800) 288-2227
RLP BCBS of Michigan Michigan PPO, HMO (800) 482-3276
RLQ Capital Blue Cross Pennsylvania PPO, HMO (800) 962-2242
RLR BCBS of Illinois Illinois PPO, HMO (800) 233-1474
RLS BCBS of Kansas City Kansas City PPO, HMO (816) 395-2222
RLT BCBS of Rhode Island Rhode Island PPO, HMO (800) 639-2227
RLU BCBS of Western New York New York PPO, HMO (800) 854-1790
RLV Anthem BCBS of Wisconsin Wisconsin PPO, HMO (800) 331-1475
RLW Empire BCBS New York PPO, HMO (800) 553-9603
RLX Horizon BCBS of New Jersey New Jersey PPO, HMO (800) 682-9090
RLY Blue Shield of California California PPO, HMO (800) 676-2583
RLZ BCBS of Illinois Illinois PPO, HMO (800) 233-1474
RMA Wellmark BCBS Iowa/South Dakota PPO, HMO, POS (800) 524-9242
RMB Horizon BCBS of New Jersey New Jersey PPO, HMO (800) 682-9090
RMC Excellus BCBS New York PPO, EPO (800) 499-1275
RMD Anthem BCBS of Kentucky Kentucky PPO, HMO (800) 331-1475

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

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BCBS Prefix RRA to RZZ Assignment Table

The BCBS prefix range from RRA to RZZ covers Blue Cross Blue Shield plans across multiple states. The RRA to RZZ 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
RRA Anthem BCBS of Virginia Virginia PPO, HMO (800) 331-1475
RRB BCBS of Illinois Illinois PPO, HMO (800) 233-1474
RRC BCBS of Michigan Michigan PPO, HMO (800) 482-3276
RRD BCBS of Texas Texas PPO, HMO (800) 521-9628
RRE Florida Blue Florida PPO, HMO (800) 352-2583
RRF CareFirst BCBS Maryland/DC/N. Virginia PPO, HMO (800) 692-7459
RRG BCBS of North Carolina North Carolina PPO, HMO (800) 672-7897
RRH BCBS of South Carolina South Carolina PPO, HMO (800) 288-2227
RSA BCBS of Massachusetts Massachusetts PPO, HMO (800) 262-0820
RSB Wellmark BCBS Iowa/South Dakota PPO, HMO (800) 524-9242
RSC BCBS of Alabama Alabama PPO, HMO, POS (800) 292-6662
RSD Anthem BCBS of Georgia Georgia PPO, HMO (800) 772-1139
RSE Regence BCBS Oregon/Washington PPO, HMO (888) 248-2595
RSF Empire BCBS NY New York PPO, HMO (800) 553-9603
RZA Anthem BCBS of Ohio Ohio PPO, HMO (800) 331-1475
RZB BCBS of Minnesota Minnesota PPO, HMO (800) 292-9371
RZZ Highmark BCBS PA Pennsylvania PPO, HMO (800) 541-1524

The RRA to RZZ 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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How FEP R-Prefix Members Differ from Standard RAA to RZZ Prefixes?

FEP R-prefix members and standard RAA to RZZ prefix members differ in claims routing, plan administration, and eligibility verification. FEP R-prefix members carry an ID card that begins with "R" followed by numeric characters (e.g., R12345678), whereas standard RAA to RZZ prefix members carry an ID card with three alphabetic characters (e.g., RLA, RMA, RRD). This distinction is critical because FEP claims are processed centrally by the BCBS Association's FEP Operations Center, while standard RAA to RZZ claims are processed by the individual state-based BCBS home plan identified by the prefix.

FEP members have access to the nationwide BCBS provider network regardless of their state of residence, and their benefits are standardized across all states. Standard RAA to RZZ prefix members are enrolled in plans specific to a BCBS company and state, with benefits, network rules, and claims processing procedures that vary by plan. Medical billers must verify the format of the member ID to determine whether the claim should be routed to the FEP Operations Center at (800) 411-2583 or to the state-based BCBS home plan listed in the prefix directory.

Submitting a claim to the wrong destination — routing an FEP claim to a state plan or a standard claim to the FEP center — results in claim rejections and processing delays. Billers should always check the member ID format before routing: if the ID starts with "R" followed by numbers, it is FEP; if it starts with three letters in the RAA to RZZ range, it is a standard BCBS plan.

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How to Distinguish FEP R-Prefix from Regular R-Range Prefixes?

Distinguishing FEP R-prefix from regular R-range prefixes follows a systematic approach for accurate claims processing.

1 Check the Character Pattern
Look at the first three characters of the member ID. If all three characters are letters (e.g., RLA, RMA), it is a standard BCBS prefix. If the first character is "R" followed by numbers (e.g., R12345678), it is an FEP member ID.
2 Look for FEP Indicators on the Card
FEP insurance cards typically display "Government-Wide Service Benefit Plan" or "Federal Employee Program" text. Standard BCBS cards display the name of the specific BCBS company (e.g., "Blue Cross Blue Shield of Illinois").
3 Verify the Enrollment Code
FEP members have an enrollment code (such as 104, 105, or 111) that identifies their specific FEP plan option. Standard BCBS members do not have FEP enrollment codes. The enrollment code is listed on the FEP insurance card.
4 Route to the Correct Destination
Route FEP claims to the FEP Operations Center at (800) 411-2583. Route standard RAA to RZZ claims to the state-based BCBS home plan identified in the prefix directory. Incorrect routing results in claim rejections and processing delays.
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What Are the BCBS Alpha Prefixes from RAA to RZZ?

The BCBS alpha prefixes from RAA to RZZ are three-character codes assigned to Blue Cross Blue Shield insurance plans. Each prefix in the RAA to RZZ range identifies the BCBS home plan, the state of origin, and the plan type (such as PPO, HMO, EPO, or POS). The RAA to RZZ 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 RAA to RZZ 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 RLA for Independence Blue Cross in Pennsylvania or RMA for Wellmark BCBS in Iowa/South Dakota. The prefix system standardizes the identification of BCBS plans for claims processing and provider services.

Not all prefixes in the RAA to RZZ range are assigned to active BCBS plans. Some prefixes remain unallocated and are reserved for future use or are not currently in circulation. The R range is also notable for the FEP (Federal Employee Program) R-prefix format, which uses "R" followed by numbers rather than three letters. 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 RAA to RZZ Range?

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

  • health_and_safety Independence Blue Cross — Prefixes include RLA and RLI, covering PPO and HMO plans in Pennsylvania.
  • health_and_safety BCBS of Illinois — Prefixes include RAS, RLC, RLD, RLK, RLN, RLR, RLZ, and RRB, covering PPO, HMO, and EPO plans in Illinois.
  • health_and_safety Anthem Blue Cross Blue Shield — Anthem operates across multiple states with prefixes such as RAA (Ohio), RAC (Wisconsin), RAF (Kentucky), RAI (Virginia), RAK (Georgia), RAY (Nevada), and RBD (Colorado).
  • health_and_safety Wellmark BCBS — Prefixes include RAD, RFD, RMA, and RSB, covering PPO, HMO, and POS plans in Iowa and South Dakota.
  • health_and_safety BCBS of Michigan — Prefixes include RAZ, RFE, RLM, RLP, and RRC, covering PPO and HMO plans in Michigan.

These companies represent a portion of the independent BCBS licensees with prefixes in the RAA to RZZ 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 RAA to RZZ Prefix Table?

Reading the BCBS RAA to RZZ prefix table follows a systematic approach for accurate claims processing. The RAA to RZZ 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 prefix is the first set of letters in the member ID. Confirm that all three characters are letters — if the ID starts with "R" followed by numbers, it is an FEP member, not a standard RAA to RZZ prefix.
2 Match the Prefix
Scan the 'Prefix' column in the RAA to RZZ 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 RAA to RZZ Range?

Looking up a BCBS prefix in the RAA to RZZ 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. Verify that the first three characters are all letters — if the ID starts with "R" followed by numbers, it is an FEP member.
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?

1 Locate the Prefix on the Member ID Card
The prefix is the first three alphabetic characters on the member's BCBS insurance card. Isolate these three letters to begin the verification process.
2 Match Against the BCBS Prefix Directory
Access the BCBS prefix lookup table and find the matching three-character code. Confirm the home plan name, state, and plan type listed for that prefix.
3 Contact the BCBS Plan Directly
Call the claims phone number listed for that prefix to confirm member eligibility, benefits, and claims submission requirements. The claims department can verify all plan details associated with the prefix.
4 Document Verification Results
Record the verification reference number, the representative's name, and the confirmed coverage details. Accurate prefix verification prevents claims from being submitted to the wrong BCBS entity and reduces processing delays.
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What to Do When the RAA to RZZ Prefix Is Not in the Table?

When a BCBS prefix in the RAA to RZZ 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.

Before assuming the prefix is unallocated, billers should also check whether the member ID follows the FEP R-prefix format (R followed by numbers). If the ID matches the FEP format, the member is enrolled in the Federal Employee Program and the claim should be routed to the FEP Operations Center at (800) 411-2583, not to a state-based BCBS plan.

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 RAA to RZZ Prefix Phone Numbers and Claims Filing Contacts

Each BCBS prefix in the RAA to RZZ 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 RLA prefix for Independence Blue Cross lists (800) 275-2583, while the RMA prefix for Wellmark BCBS lists (800) 524-9242. 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. For FEP R-prefix members, the claims phone number is (800) 411-2583.

Some prefixes in the RAA to RZZ 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 RAA to RZZ BCBS Prefixes

Claims filing addresses for the RAA to RZZ 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 RAA to RZZ Prefixes

The RAA to RZZ 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 (Preferred Provider Organization)

PPO plans identified by RAA to RZZ prefixes allow members to visit both in-network and out-of-network providers. In-network providers offer lower out-of-pocket costs, while out-of-network providers are covered at a reduced rate. PPO plans do not require referrals for specialist visits. Medical billers processing claims for PPO plans should verify whether the provider is in-network or out-of-network to apply the correct benefits and reimbursement rates.

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HMO (Health Maintenance Organization)

HMO plans in the RAA to RZZ prefix range require members to use in-network providers and obtain referrals from a primary care physician (PCP) for specialist care. HMO plans typically have lower premiums and out-of-pocket costs compared to PPO plans. Claims for HMO plans must be submitted to in-network providers, and services rendered by out-of-network providers are generally not covered except in emergencies. Billers must confirm that the referring PCP and the specialist are both in-network for the HMO plan.

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EPO (Exclusive Provider Organization)

EPO plans identified by RAA to RZZ prefixes require members to use in-network providers but do not require referrals for specialist visits. EPO plans combine elements of PPO and HMO plans by restricting coverage to in-network providers while eliminating the referral requirement. Out-of-network services are not covered except in emergencies. Billers must verify that the provider is in-network for the specific EPO plan before submitting claims.

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POS (Point of Service)

POS plans in the RAA to RZZ prefix range combine features of HMO and PPO plans. Members choose a primary care physician and can receive referrals to see specialists either in-network or out-of-network. In-network care is covered at a higher rate, while out-of-network care requires higher out-of-pocket costs. POS plans offer flexibility in provider choice while maintaining the structure of a managed care plan. Billers should verify referral requirements and network status when processing POS plan claims.

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Examples of BCBS Plan Types by Prefix

  • chevron_right RLA (Independence Blue Cross) — PPO and HMO plans serving Pennsylvania residents with claims processed through Independence Blue Cross at (800) 275-2583.
  • chevron_right RMA (Wellmark BCBS) — PPO, HMO, and POS plans serving Iowa and South Dakota residents with claims processed through Wellmark BCBS at (800) 524-9242.
  • chevron_right RAA (Anthem BCBS of Ohio) — PPO, HMO, and EPO plans serving Ohio residents with claims processed through Anthem BCBS at (800) 331-1475.
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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 RAA to RZZ Prefix Range

The RAA to RZZ BCBS prefix range covers BCBS plans from multiple states across the United States. States represented in this range include Alabama, Alaska, Arkansas, California, Colorado, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Texas, 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 RAA to RZZ range include Independence Blue Cross, BCBS of Illinois, Anthem Blue Cross Blue Shield (operating in multiple states including Ohio, Wisconsin, Kentucky, Virginia, Georgia, Nevada, and Colorado), Wellmark BCBS, BCBS of Michigan, Blue Shield of California, Anthem Blue Cross of California, BCBS of Texas, CareFirst BCBS, Florida Blue, BCBS of North Carolina, Regence BCBS, Empire BCBS, Excellus BCBS, Highmark BCBS, Capital Blue Cross, BCBS of Nebraska, Arkansas BCBS, BCBS of Massachusetts, BCBS of Rhode Island, Horizon BCBS of New Jersey, BCBS of South Carolina, BCBS of Alabama, BCBS of Minnesota, BCBS of Western New York, BCBS of Kansas City, and Premera BCBS. 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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BCBS Federal Employee Program FEP Prefixes in the R Range

The BCBS Federal Employee Program (FEP) uses the R range in a distinct format: "R" followed by numeric characters rather than three alphabetic characters. FEP is the largest employer-sponsored health insurance program in the United States, covering over 5 million federal employees, retirees, and their dependents. FEP plans are administered centrally by the BCBS Association, unlike standard BCBS plans that are managed by individual state-based licensees.

Medical billers working with R-range member IDs must first determine whether the ID follows the FEP format (R + numbers) or the standard three-letter prefix format (e.g., RLA, RMA, RRD). FEP claims are routed to the FEP Operations Center at (800) 411-2583, while standard R-range claims are routed to the state-based BCBS home plan identified in the prefix directory. Confusing FEP and standard R-range prefixes is a common billing error that results in claim rejections and processing delays. Billers should verify the ID format before routing any R-range claim.

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How to Use RAA to RZZ Prefixes for Insurance Eligibility Verification?

Using BCBS alpha prefixes in the RAA to RZZ range for insurance eligibility verification follows a structured process. The RAA to RZZ 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 RAA to RZZ 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. If the ID starts with "R" followed by numbers, route to the FEP Operations Center instead.
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, 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 RAA to RZZ BCBS Prefix?

Routing claims using the RAA to RZZ 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. Verify the format — three letters means standard prefix; "R" followed by numbers means FEP.
2 Look Up the Prefix in the RAA to RZZ 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. In the R range, be aware of the FEP format where "R" is followed by numbers instead of letters.
Does RAA to RZZ Include Alphanumeric?
The RAA to RZZ 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 RAA to RZZ range, is strictly alphabetic. The FEP R-prefix format (R followed by numbers) is a separate identification system and is not part of the RAA to RZZ alphabetic prefix range.
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 RAA to RZZ range can be associated with a BCBS company that operates across multiple states. For example, the RAD prefix is assigned to Wellmark BCBS, which operates in Iowa and South Dakota. 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.