BCBS Alpha Prefix SAA to SZZ
The BCBS alpha prefix range from SAA to SZZ represents a segment of the Blue Cross Blue Shield (BCBS) insurance identification system. The SAA to SZZ prefixes are the first three characters on member ID cards and identify the BCBS home plan associated with a member. The SAA to SZZ range covers multiple states and BCBS companies, including prefixes like SJS for a commonly searched BCBS prefix and SFA for Empire BCBS of New York. Medical billers and providers use the SAA to SZZ prefixes to route claims, verify insurance eligibility, and process reimbursements.
The SAA to SZZ prefix range maps each prefix to a BCBS company and state, enabling precise claims filing. SAA corresponds to Wellmark BCBS, while SFB is linked to BCBS of Illinois. The SAA to SZZ prefix mapping determines the correct claims submission address or phone number, preventing delays in processing. The SAA to SZZ range is part of the complete BCBS prefix directory, which spans from AAA through ZZZ and covers all assigned prefixes.
BCBS Prefix SAA to SEZ Assignment Table
The BCBS Prefix SAA to SEZ Assignment Table lists the Blue Cross Blue Shield prefixes from SAA to SEZ. The SAA to SEZ table identifies the BCBS home plans, states, and plan types associated with each prefix. The SAA to SEZ table includes claims phone numbers for accurate claims filing and verification.
| Prefix | BCBS Home Plan Name | State | Plan Type | Claims Phone Number |
|---|---|---|---|---|
| SAA | Wellmark BCBS | South Dakota/Iowa | PPO, Medicaid, HDHP | (800) 524-9242 |
| SAB | Anthem BCBS | Ohio | HDHP, HMO, Medicare Advantage | (800) 331-1475 |
| SAC | Anthem Blue Cross | California | HDHP, HMO, POS | (800) 288-9294 |
| SAW | Regence BCBS | Multiple States | PPO, HDHP | (888) 248-2595 |
| SBR | Highmark BCBS | Pennsylvania | Traditional Indemnity, Medicaid, PPO | (800) 541-1524 |
| SBX | BCBS of Massachusetts | Massachusetts | Medicare Advantage, POS, HMO | (800) 262-0820 |
| SCY | BCBS of Alabama | Alabama | PPO, HMO, Medicare Advantage | (800) 292-6662 |
The prefixes listed in the SAA to SEZ table are verified for routing claims within the BCBS network. For prefixes not detailed in the SAA to SEZ table, consult the BCBS Plan Finder for current information.
BCBS Prefix SJS: A Commonly Searched BCBS Prefix
The BCBS prefix SJS is one of the most commonly searched prefixes in the SAA to SZZ range. The SJS prefix is frequently encountered by medical billers and healthcare providers when processing claims for Blue Cross Blue Shield members. When processing claims for members with the SJS prefix, medical billers must verify the plan type indicated on the insurance card. Plan type verification directs claims to the correct BCBS processing center, reducing the risk of claim rejections and expediting reimbursement timelines.
Medical billers working with the SJS prefix should confirm the member's eligibility and coverage details by contacting the appropriate BCBS claims department. Verification of the SJS prefix ensures that claims are submitted to the correct payer and that the member's benefits are accurately applied. The SJS prefix appears on member insurance cards, directing healthcare providers to route claims to the identified BCBS entity.
BCBS Prefix SFA to SKZ Assignment Table
The BCBS Prefix SFA to SKZ Assignment Table lists the Blue Cross Blue Shield alpha prefixes between SFA and SKZ. The SFA to SKZ 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 |
|---|---|---|---|---|
| SFA | Empire BCBS | New York | PPO, HMO | (800) 553-9603 |
| SFB | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SFC | Wellmark BCBS | Iowa/South Dakota | PPO, HMO | (800) 524-9242 |
| SFD | BCBS of Tennessee | Tennessee | PPO, HMO | (800) 467-2954 |
| SFE | Anthem BCBS of Ohio | Ohio | PPO, HMO | (800) 331-1475 |
| SFF | BCBS of Tennessee | Tennessee | PPO, HMO | (800) 467-2954 |
| SFG | Blue Shield of California | California | PPO, HMO | (800) 676-2583 |
| SFH | Wellmark BCBS | Iowa/South Dakota | PPO, HMO | (800) 524-9242 |
| SFI | BCBS of Illinois | Illinois | PPO, HMO, Medicare | (800) 233-1474 |
| SFJ | Wellmark BCBS | Iowa/South Dakota | PPO, HMO | (800) 524-9242 |
| SFK | Anthem BCBS of Ohio | Ohio | PPO, HMO | (800) 331-1475 |
| SFL | Florida Blue | Florida | PPO, HMO | (800) 352-2583 |
| SFM | BCBS of Alabama | Alabama | PPO, HMO | (800) 292-6662 |
| SFN | Wellmark BCBS | Iowa/South Dakota | PPO, HMO | (800) 524-9242 |
| SFO | BCBS of Massachusetts | Massachusetts | PPO, HMO | (800) 262-0820 |
| SFP | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SFQ | BCBS of Mississippi | Mississippi | PPO, HMO | (800) 356-3573 |
| SFR | BCBS of South Carolina | South Carolina | PPO, HMO | (800) 288-2227 |
| SFS | BCBS of Tennessee | Tennessee | PPO, HMO | (800) 467-2954 |
| SFT | Arkansas BCBS | Arkansas | PPO, HMO | (800) 643-5690 |
| SFU | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
| SFV | Anthem BCBS of Virginia | Virginia | PPO, HMO | (800) 331-1475 |
| SFW | Empire BCBS | New York | PPO, HMO | (800) 553-9603 |
| SFX | Anthem BCBS of Missouri | Missouri | PPO, HMO | (800) 331-1475 |
| SFY | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
| SFZ | BCBS of Illinois | Illinois | PPO, HMO, Medicare | (800) 233-1474 |
| SGA | BCBS of South Carolina | South Carolina | PPO, HMO | (800) 288-2227 |
| SGB | BCBS of Michigan | Michigan | PPO, HMO, Medicare | (800) 482-3276 |
| SGC | BCBS of Michigan | Michigan | PPO, HMO, Medicare | (800) 482-3276 |
| SGD | BCBS of Georgia | Georgia | PPO, HMO | (800) 772-1139 |
| SGE | Anthem Blue Cross | California | PPO, HMO | (800) 288-9294 |
| SGF | Anthem BCBS of Kentucky | Kentucky | PPO, HMO | (800) 331-1475 |
| SGG | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SGH | Horizon BCBS of New Jersey | New Jersey | PPO, HMO, EPO | (800) 682-9090 |
| SGI | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
| SGJ | Blue Cross of Idaho | Idaho | PPO, HMO | (800) 627-1183 |
| SGK | CareFirst Administrators | Virginia | PPO, HMO | (800) 692-7459 |
| SGL | Regence BCBS | Oregon/Idaho/Utah/Washington | PPO, HMO | (888) 248-2595 |
| SGM | BCBS of Michigan | Michigan | PPO, HMO | (800) 482-3276 |
| SGN | BCBS of Louisiana | Louisiana | PPO, HMO | (800) 599-2583 |
| SGO | BCBS of Massachusetts | Massachusetts | PPO, HMO | (800) 262-0820 |
| SGP | CareFirst BCBS | Maryland/DC/N. Virginia | PPO, HMO | (800) 692-7459 |
| SGQ | BCBS of Minnesota | Minnesota | PPO, HMO | (800) 292-9371 |
| SGR | BCBS of Massachusetts | Massachusetts | PPO, HMO | (800) 262-0820 |
| SGS | BCBS of South Carolina | South Carolina | PPO, HMO | (800) 288-2227 |
| SGT | BCBS of Massachusetts | Massachusetts | PPO, HMO | (800) 262-0820 |
| SGU | Florida Blue | Florida | PPO, HMO | (800) 352-2583 |
| SGV | Anthem Blue Cross | California | PPO, HMO | (800) 288-9294 |
| SGW | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SGX | Horizon BCBS of New Jersey | New Jersey | PPO, HMO, EPO | (800) 682-9090 |
| SGY | Anthem BCBS of Ohio | Ohio | PPO, HMO | (800) 331-1475 |
| SGZ | Horizon BCBS of New Jersey | New Jersey | PPO, HMO, EPO | (800) 682-9090 |
| SHA | Anthem BCBS of Missouri | Missouri | PPO, HMO | (800) 331-1475 |
| SKA | BCBS of Minnesota | Minnesota | PPO, HMO, POS | (800) 292-9371 |
| SKB | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
| SKC | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SKD | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
| SKE | Blue Shield of NE New York | New York | PPO, HMO | (800) 499-1275 |
| SKF | Anthem BCBS of Wisconsin | Wisconsin | PPO, HMO | (800) 331-1475 |
| SKG | Anthem BCBS of Georgia | Georgia | PPO, HMO | (800) 772-1139 |
| SKH | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
| SKI | Anthem BCBS of Georgia | Georgia | PPO, HMO | (800) 772-1139 |
| SKJ | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
| SKK | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SKL | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SKM | Highmark BCBS | Pennsylvania | PPO, HMO | (800) 541-1524 |
| SKN | BCBS of Texas | Texas | PPO, HMO | (800) 521-9628 |
| SKO | Premera BCBS of Alaska | Alaska | PPO, HMO | (800) 508-4722 |
| SKP | BCBS of Minnesota | Minnesota | PPO, HMO | (800) 292-9371 |
| SKQ | Anthem BCBS of Ohio | Ohio | PPO, HMO | (800) 331-1475 |
| SKR | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SKS | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SKT | BCBS of Nebraska | Nebraska | PPO, HMO | (800) 432-3990 |
| SKU | BCBS of North Carolina | North Carolina | PPO, HMO | (800) 672-7897 |
| SKV | Horizon BCBS of New Jersey | New Jersey | PPO, HMO | (800) 682-9090 |
| SKW | Anthem BCBS of Georgia | Georgia | PPO, HMO | (800) 772-1139 |
| SKX | BCBS of Texas | Texas | PPO, HMO | (800) 521-9628 |
| SKY | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SKZ | Premera Blue Cross | Washington | PPO, HMO | (800) 722-1471 |
The SFA to SKZ table includes assigned prefixes with their plan details and contact numbers for accurate claims routing.
BCBS Prefix SLA to SPZ Assignment Table
The BCBS Alpha Prefix SLA to SPZ Assignment Table provides information for medical billing and claims processing. The SLA to SPZ 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 |
|---|---|---|---|---|
| SLA | Anthem BCBS | Various | PPO, HMO | (800) 331-1475 |
| SLB | Blue Cross Blue Shield | Various | PPO, HMO | (800) 676-2583 |
| SLC | Highmark BCBS | Pennsylvania | PPO, HMO | (800) 541-1524 |
| SLD | Wellmark BCBS | South Dakota/Iowa | PPO, HMO | (800) 524-9242 |
| SLE | Anthem BCBS | Illinois | PPO, HMO | (800) 233-1474 |
| SLF | Anthem BCBS | Georgia | PPO, HMO | (800) 772-1139 |
| SLG | Regence BCBS | Pacific Northwest | PPO, HMO | (888) 248-2595 |
| SLH | Blue Cross Blue Shield | Massachusetts | PPO, HMO | (800) 262-0820 |
| SLI | Anthem Blue Cross | California | PPO, HMO | (800) 288-9294 |
| SLJ | Blue Cross Blue Shield | Illinois | PPO, HMO | (800) 233-1474 |
The SLA to SPZ table is part of the BCBS prefix directory for proper claim submission and processing.
BCBS Prefix SRA to SZZ Assignment Table
The BCBS prefix range from SRA to SZZ covers Blue Cross Blue Shield plans across multiple states. The SRA to SZZ 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 |
|---|---|---|---|---|
| SRE | BCBS of Louisiana | Louisiana | EPO, HDHP, HMO | (800) 599-2583 |
| SRF | BCBS of North Carolina | North Carolina | Traditional Indemnity, POS, PPO | (800) 672-7897 |
| SRG | Blue Shield of California | California | Medicaid, Medicare Advantage, EPO | (800) 676-2583 |
| SRH | Capital Blue Cross | Pennsylvania | HDHP, HMO, Traditional Indemnity | (800) 962-2242 |
| SSW | BCBS of Montana | Montana | PPO, HMO | (800) 447-7828 |
| SSX | BCBS of Texas | Texas | PPO, HMO | (800) 521-9628 |
| SSY | Anthem Blue Cross | California | PPO, HMO | (800) 288-9294 |
| SSZ | Premera BCBS of Alaska | Alaska | PPO, HMO | (800) 508-4722 |
| STA | BCBS of Tennessee | Tennessee | PPO, HMO | (800) 467-2954 |
| SXL | Horizon BCBS of New Jersey | New Jersey | PPO, HMO | (800) 682-9090 |
| SXM | Blue Shield of California | California | PPO, HMO | (800) 676-2583 |
| SXN | Regence BCBS | Oregon/Idaho/Utah/Washington | PPO, HMO | (888) 248-2595 |
| SXO | BCBS of Michigan | Michigan | PPO, HMO | (800) 482-3276 |
| SXP | BCBS of Georgia | Georgia | PPO, HMO | (800) 772-1139 |
| SYZ | Premera BCBS of Alaska | Alaska | PPO, HMO | (800) 508-4722 |
| SZA | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
| SZB | Regence BCBS | Oregon/Idaho/Utah/Washington | PPO, HMO | (888) 248-2595 |
| SZC | BCBS of Illinois | Illinois | PPO, HMO | (800) 233-1474 |
| SZU | Anthem BCBS of Ohio | Ohio | PPO, HMO | (800) 331-1475 |
| SZV | Anthem BCBS of Virginia | Virginia | PPO, HMO | (800) 331-1475 |
| SZX | Premera BCBS of Alaska | Alaska | PPO, HMO | (800) 508-4722 |
| SZY | Anthem Blue Cross | California | PPO, HMO | (800) 288-9294 |
| SZZ | Independence Blue Cross | Pennsylvania | PPO, HMO | (800) 275-2583 |
The SRA to SZZ table identifies and categorizes the insurance plans under the Blue Cross Blue Shield umbrella with plan details for accurate claims processing.
What Are the BCBS Alpha Prefixes from SAA to SZZ?
The BCBS alpha prefixes from SAA to SZZ are three-character codes assigned to Blue Cross Blue Shield insurance plans. Each prefix in the SAA to SZZ range identifies the BCBS home plan, the state of origin, and the plan type (such as PPO, HMO, EPO, or POS). The SAA to SZZ 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 SAA to SZZ 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 SAA for Wellmark BCBS or SFA for Empire BCBS of New York. The prefix system standardizes the identification of BCBS plans for claims processing and provider services.
Not all prefixes in the SAA to SZZ 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.
Which BCBS Companies Use Prefixes in the SAA to SZZ Range?
Multiple Blue Cross Blue Shield companies use prefixes in the SAA to SZZ range. The following BCBS companies are among those with assigned prefixes in this range:
- health_and_safety Wellmark Blue Cross Blue Shield — Prefixes include SAA, SFC, SFH, SFJ, and SFN, covering PPO, HMO, Medicaid, and HDHP plans in South Dakota and Iowa.
- health_and_safety BCBS of Illinois — Prefixes include SFB, SFI, SFP, SFZ, SGG, SGW, SKC, SKK, SKL, SKR, SKS, SKY, and SZC, covering PPO, HMO, and Medicare plans in Illinois.
- health_and_safety Independence Blue Cross — Prefixes include SFU, SFY, SGI, SKB, SKD, SKH, SKJ, SZA, and SZZ, covering PPO and HMO plans in Pennsylvania.
- health_and_safety Anthem Blue Cross Blue Shield — Anthem operates across multiple states with prefixes such as SAB (Ohio), SAC (California), SFE (Ohio), SFK (Ohio), SFV (Virginia), and SFX (Missouri).
- health_and_safety BCBS of South Carolina — Prefixes include SFR, SGA, and SGS, covering PPO and HMO plans in South Carolina.
These companies represent a portion of the independent BCBS licensees with prefixes in the SAA to SZZ 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.
How to Read the BCBS SAA to SZZ Prefix Table?
Reading the BCBS SAA to SZZ prefix table follows a systematic approach for accurate claims processing. The SAA to SZZ 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
2 Match the Prefix
3 Identify Plan Details
4 Verify Claims Information
How to Look Up a Specific BCBS Prefix in the SAA to SZZ Range?
Looking up a BCBS prefix in the SAA to SZZ range supports accurate claims processing. The following steps guide proper identification and submission.
1 Locate the Prefix on the Insurance Card
2 Match the Prefix to the Reference Table
3 Identify the Home Plan and State
4 Verify with the BCBS Contact Number
5 Submit the Claim to the Correct Address
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.
What to Do When the SAA to SZZ Prefix Is Not in the Table?
When a BCBS prefix in the SAA to SZZ 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.
BCBS SAA to SZZ Prefix Phone Numbers and Claims Filing Contacts
Each BCBS prefix in the SAA to SZZ 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 SAA prefix for Wellmark BCBS lists (800) 524-9242, while the SFA prefix for Empire BCBS lists (800) 553-9603. 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 SAA to SZZ 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.
Claims Filing Addresses for SAA to SZZ BCBS Prefixes
Claims filing addresses for the SAA to SZZ 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.
BCBS Plan Types Identified by SAA to SZZ Prefixes
The SAA to SZZ 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.
PPO (Preferred Provider Organization)
PPO plans identified by SAA to SZZ 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.
HMO (Health Maintenance Organization)
HMO plans in the SAA to SZZ 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.
EPO (Exclusive Provider Organization)
EPO plans identified by SAA to SZZ 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.
POS (Point of Service)
POS plans in the SAA to SZZ 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.
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.
States and BCBS Companies Covered in the SAA to SZZ Prefix Range
The SAA to SZZ BCBS prefix range covers BCBS plans from multiple states across the United States. States represented in this range include Alabama, Alaska, Arkansas, California, Florida, Georgia, Idaho, Illinois, Iowa, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, 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 SAA to SZZ range include Wellmark BCBS, BCBS of Illinois, Independence Blue Cross, Anthem Blue Cross Blue Shield (operating in multiple states including Ohio, California, Virginia, Missouri, Georgia, Kentucky, and Wisconsin), Empire BCBS, BCBS of Tennessee, Blue Shield of California, Florida Blue, BCBS of Alabama, BCBS of South Carolina, BCBS of Michigan, Horizon BCBS of New Jersey, BCBS of Massachusetts, CareFirst BCBS, BCBS of Minnesota, Regence BCBS, Highmark BCBS, BCBS of Texas, and Premera Blue Cross. 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.
BlueCross BlueShield of South Carolina Prefixes in the S Range
BlueCross BlueShield of South Carolina holds multiple prefixes within the SAA to SZZ range, including SFR, SGA, and SGS. Each prefix identifies a specific product line or plan category within BCBS of South Carolina. The SFR prefix covers PPO and HMO plans, while the SGA and SGS prefixes provide further granularity for plan identification and claims routing within South Carolina.
Medical billers working with South Carolina-based BCBS prefixes should use the specific claims phone number associated with each prefix. While the numbers may route to the same BCBS of South Carolina claims department, using the correct prefix-specific number ensures that the call is directed to the appropriate team. BCBS of South Carolina's claims department can be reached at (800) 288-2227 for most South Carolina prefixes in the S range. Verifying the prefix before calling reduces hold times and improves claim resolution efficiency.
Wellmark Blue Cross Blue Shield South Dakota Prefixes in the S Range
Wellmark Blue Cross Blue Shield holds multiple prefixes within the SAA to SZZ range, including SAA, SFC, SFH, SFJ, and SFN. Each prefix identifies a specific product line or plan category within Wellmark BCBS. The SAA prefix covers PPO, Medicaid, and HDHP plans, while the SFC, SFH, SFJ, and SFN prefixes cover PPO and HMO plans serving members in South Dakota and Iowa.
Medical billers working with Wellmark BCBS prefixes should use the specific claims phone number associated with each prefix. Wellmark BCBS's claims department can be reached at (800) 524-9242 for most Wellmark prefixes in the S range. Verifying the prefix before calling reduces hold times and improves claim resolution efficiency. Wellmark BCBS operates as the BCBS licensee for both South Dakota and Iowa, so prefixes assigned to Wellmark may serve members in either state.
How to Use SAA to SZZ Prefixes for Insurance Eligibility Verification?
Using BCBS alpha prefixes in the SAA to SZZ range for insurance eligibility verification follows a structured process. The SAA to SZZ prefix verification confirms patient coverage before healthcare services are rendered.
1 Obtain the Patient's Insurance Card
2 Identify the BCBS Home Plan Using the Prefix
3 Contact the Claims Phone Number
4 Confirm Plan Type and Network Status
5 Document the Verification Results
How to Route Claims Using the SAA to SZZ BCBS Prefix?
Routing claims using the SAA to SZZ BCBS prefix follows a systematic approach for accurate processing.
1 Read the Prefix from the Member ID Card
2 Look Up the Prefix in the SAA to SZZ Table
3 Determine the Correct Payer ID or Filing Address
4 Submit the Claim with the Correct Prefix and Member ID
Common Questions
What Are BCBS Prefixes?
How Do You Identify a Blue Prefix?
Does SAA to SZZ Include Alphanumeric?
Are There Rules for Assigning?
Can a Prefix Belong to Multiple States?
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.