BCBS Alpha Prefix YAA to YZZ
The BCBS alpha prefix range from YAA to YZZ is a segment of Blue Cross Blue Shield (BCBS) identification codes. These three-character prefixes appear at the start of BCBS member identification numbers. Each prefix links a policyholder to a designated BCBS home plan, supports accurate claims processing, and directs reimbursement routing. The tables below cover the complete set of assigned prefixes within the YAA to YZZ range, with each prefix mapped to its BCBS company and state.
Medical billers and healthcare providers can identify prefixes within the YAA to YZZ range by locating the first three letters on an insurance card. The BCBS alpha prefix YAA to YZZ range maps to BCBS companies and states such as Anthem BCBS in Kentucky, Virginia, and Ohio, Blue Shield of California, and Horizon BCBS of New Jersey. The prefix tables below show how to match each prefix to the correct home plan, verify plan type, and route claims or eligibility checks. The YAA to YZZ prefix range is part of the complete BCBS prefix directory, which organizes all such identifiers for nationwide BCBS plans.
BCBS Prefix YAA to YEZ Assignment Table
The BCBS Prefix YAA to YEZ Assignment Table lists the Blue Cross Blue Shield prefixes from YAA to YEZ. The YAA to YEZ table identifies the BCBS home plans, states, and plan types associated with each prefix. The YAA to YEZ table includes claims phone numbers for accurate claims filing and verification.
| Prefix | BCBS Home Plan Name | State | Plan Type | Claims Phone Number |
|---|---|---|---|---|
| YAA | Anthem BCBS | Connecticut | EPO, Traditional Indemnity, Medicaid | (800) 424-8730 |
| YAB | Anthem BCBS | Connecticut | PPO | (800) 424-8730 |
| YAC | Anthem BCBS | Connecticut | HMO | (800) 424-8730 |
| YAD | Anthem BCBS | Connecticut | POS | (800) 424-8730 |
| YAE | Anthem BCBS | Connecticut | HDHP | (800) 424-8730 |
| YAF | Anthem BCBS | Connecticut | Medicare Advantage | (800) 424-8730 |
| YBA | Regence BCBS | Oregon/Idaho/Utah/Washington | EPO | (888) 248-2595 |
| YBB | Regence BCBS | Oregon/Idaho/Utah/Washington | PPO | (888) 248-2595 |
| YBC | Regence BCBS | Oregon/Idaho/Utah/Washington | HMO | (888) 248-2595 |
| YBD | Regence BCBS | Oregon/Idaho/Utah/Washington | POS | (888) 248-2595 |
| YCA | BCBS of Rhode Island | Rhode Island | EPO | (800) 639-2227 |
| YCB | BCBS of Rhode Island | Rhode Island | PPO | (800) 639-2227 |
| YCC | BCBS of Rhode Island | Rhode Island | HMO | (800) 639-2227 |
| YDA | Anthem BCBS (Healthkeepers) | Virginia | EPO | (800) 331-1475 |
| YDB | Anthem BCBS (Healthkeepers) | Virginia | PPO | (800) 331-1475 |
| YDC | Anthem BCBS (Healthkeepers) | Virginia | HMO | (800) 331-1475 |
| YDD | Anthem BCBS (Lumenos) | Virginia | HDHP | (800) 331-1475 |
| YEA | Anthem BCBS | Kentucky/Virginia | Various plan types | (800) 331-1475 |
| YEB | BCBS of Mississippi | Mississippi | PPO | (800) 356-3573 |
| YEC | BCBS of Alabama | Alabama | EPO, PPO, HMO | (800) 292-6662 |
| YED | Blue Cross of California | California | Various plan types | (800) 288-9294 |
The prefixes listed in the YAA to YEZ table are verified for routing claims within the BCBS network. For prefixes not detailed in the YAA to YEZ table, consult the BCBS Plan Finder for current information.
BCBS Prefix YFA to YKZ Assignment Table
The BCBS Prefix YFA to YKZ Assignment Table lists the Blue Cross Blue Shield alpha prefixes between YFA and YKZ. The YFA to YKZ 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 |
|---|---|---|---|---|
| YFR | Anthem BCBS of Nevada | Nevada | PPO, HMO | (800) 331-1475 |
| YFS | Anthem BCBS of Ohio | Ohio | PPO, HMO | (800) 331-1475 |
| YFT | Anthem BCBS of Nevada | Nevada | PPO, HMO | (800) 331-1475 |
| YGX | Anthem BCBS of New Hampshire | New Hampshire | PPO, HMO | (800) 331-1475 |
| YGY | Blue Shield of California | California | PPO, HMO | (800) 676-2583 |
| YGZ | Anthem BCBS of Georgia | Georgia | PPO, HMO | (800) 772-1139 |
| YHA | Horizon BCBS of New Jersey | New Jersey | PPO, HMO | (800) 682-9090 |
| YHB | Horizon BCBS of New Jersey | New Jersey | PPO, HMO | (800) 682-9090 |
The YFA to YKZ table includes assigned prefixes with their plan details and contact numbers for accurate claims routing.
BCBS Prefix YLA to YPZ Assignment Table
The BCBS Alpha Prefix YLA to YPZ Assignment Table provides information for medical billing and claims processing. The YLA to YPZ 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 |
|---|---|---|---|---|
| YLA | Anthem BCBS | Connecticut | EPO, Traditional Indemnity, Medicaid | (800) 424-8730 |
| YLB | Anthem BCBS | Virginia | PPO, HMO, EPO | (800) 331-1475 |
| YLC | BCBS of Illinois | Illinois | EPO, Traditional Indemnity, HDHP | (800) 233-1474 |
| YLD | Regence BCBS | Oregon/Idaho/Utah/Washington | PPO, EPO | (888) 248-2595 |
| YLE | Anthem BCBS | Kentucky | PPO, HMO | (800) 331-1475 |
| YLF | Anthem BCBS | Ohio | PPO, HMO, EPO | (800) 331-1475 |
| YLG | Empire BCBS | New York | PPO, HMO, EPO | (800) 553-9603 |
| YLH | Horizon BCBS | New Jersey | PPO, HMO, POS | (800) 682-9090 |
| YLI | BCBS of Tennessee | Tennessee | PPO, HMO | (800) 467-2954 |
| YLJ | BCBS of Minnesota | Minnesota | PPO, HMO | (800) 292-9371 |
| YLK | Wellmark BCBS | South Dakota/Iowa | PPO, HDHP | (800) 524-9242 |
| YLL | BCBS of Kansas City | Kansas City | PPO, HMO | (816) 395-2222 |
| YLM | Anthem BCBS | Missouri | PPO, HMO, EPO | (800) 331-1475 |
| YLN | Anthem BCBS | Wisconsin | PPO, HMO | (800) 331-1475 |
| YLO | BCBS of North Dakota | North Dakota | PPO | (800) 342-4718 |
| YLP | Anthem BCBS | Colorado | PPO, HMO, EPO | (800) 424-5725 |
| YLQ | Anthem BCBS | Nevada | PPO, HMO | (800) 331-1475 |
| YLR | BCBS of Mississippi | Mississippi | PPO, HMO | (800) 356-3573 |
| YLS | BCBS of Alabama | Alabama | PPO, HMO | (800) 292-6662 |
| YLT | Blue Cross of California | California | PPO, HMO, EPO | (800) 288-9294 |
| YLU | CareFirst BCBS | Maryland/DC/N. Virginia | PPO, HMO, POS | (800) 692-7459 |
| YLV | BCBS of Massachusetts | Massachusetts | PPO, HMO, HDHP | (800) 262-0820 |
| YLW | Highmark BCBS | Pennsylvania | PPO, HMO | (800) 541-1524 |
| YLX | BCBS of Texas | Texas | PPO, HMO, EPO | (800) 521-9628 |
| YLY | Premera BCBS | Alaska | PPO, EPO | (800) 508-4722 |
| YLZ | BCBS of Georgia | Georgia | PPO, HMO, HDHP | (800) 772-1139 |
| YMA | Anthem BCBS of NH | New Hampshire | PPO, HMO | (800) 331-1475 |
| YMB | BCBS of New Mexico | New Mexico | PPO, HMO | (800) 835-8699 |
| YMC | BCBS of North Carolina | North Carolina | PPO, HMO, EPO | (800) 672-7897 |
| YMD | Anthem BCBS | Indiana | PPO, HMO, EPO | (800) 533-2583 |
| YME | BCBS of Rhode Island | Rhode Island | PPO, HMO | (800) 639-2227 |
| YMF | Regence BCBS | Washington | PPO, EPO | (888) 248-2595 |
| YMG | Anthem BCBS (Healthkeepers) | Virginia | PPO, HMO | (800) 331-1475 |
| YMH | Anthem BCBS (Lumenos) | Virginia | HDHP | (800) 331-1475 |
The YLA to YPZ table covers BCBS prefixes assigned to Anthem BCBS plans in Connecticut, Virginia, Kentucky, Ohio, and other states, along with Empire BCBS, Horizon BCBS, BCBS of Illinois, Regence BCBS, and additional BCBS licensees for proper claim submission and processing.
BCBS Prefix YRA to YZZ Assignment Table
The BCBS prefix range from YRA to YZZ covers Blue Cross Blue Shield plans across multiple states. The YRA to YZZ 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 |
|---|---|---|---|---|
| YRA | Anthem BCBS of Ohio | Ohio | PPO, HMO, EPO, POS | (800) 331-1475 |
| YRB | Anthem BCBS of Ohio | Ohio | PPO, HMO, EPO, POS | (800) 331-1475 |
| YRC | Anthem BCBS of Virginia | Virginia | PPO, HMO, EPO, POS | (800) 331-1475 |
| YRZ | Anthem BCBS of Virginia | Virginia | PPO, HMO, EPO, POS | (800) 331-1475 |
| YSA | Blue Cross of Idaho | Idaho | PPO, HMO, EPO, POS | (800) 627-1183 |
| YSB | BCBS of Massachusetts | Massachusetts | PPO, HMO, EPO, POS | (800) 262-0820 |
| YSC | BCBS of Minnesota | Minnesota | PPO, HMO, EPO, POS | (800) 292-9371 |
| YSD | Anthem BCBS of Wisconsin | Wisconsin | PPO, HMO, EPO, POS | (800) 331-1475 |
| YSE | BCBS of Georgia | Georgia | PPO, HMO, EPO, POS | (800) 772-1139 |
| YSY | Anthem BCBS of Ohio | Ohio | PPO, HMO, EPO, POS | (800) 331-1475 |
| YSZ | Anthem BCBS of Wisconsin | Wisconsin | PPO, HMO, EPO, POS | (800) 331-1475 |
| YTA | Anthem BCBS of Virginia | Virginia | PPO, HMO, EPO, POS | (800) 331-1475 |
| YTB | Anthem BCBS of Virginia | Virginia | PPO, HMO, EPO, POS | (800) 331-1475 |
| YTZ | Anthem BCBS of Virginia | Virginia | PPO, HMO, EPO, POS | (800) 331-1475 |
| YUA | BCBS of Oklahoma | Oklahoma | PPO, HMO, EPO, POS | (800) 942-5837 |
| YUB | BCBS of Oklahoma | Oklahoma | PPO, HMO, EPO, POS | (800) 942-5837 |
| YYZ | Highmark BCBS | Pennsylvania | PPO, HMO, EPO, POS | (800) 541-1524 |
| YZA | Anthem BCBS of Kentucky | Kentucky | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZB | Anthem BCBS of Colorado | Colorado | PPO, HMO, EPO, POS | (800) 424-5725 |
| YZC | Blue Cross of California | California | PPO, HMO, EPO, POS | (800) 288-9294 |
| YZD | Anthem BCBS of Indiana | Indiana | PPO, HMO, EPO, POS | (800) 533-2583 |
| YZE | Anthem BCBS of Kentucky | Kentucky | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZF | Anthem BCBS of Kentucky | Kentucky | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZG | Anthem BCBS of Kentucky | Kentucky | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZH | Blue Cross of NE Pennsylvania | Pennsylvania | PPO, HMO, EPO, POS | (800) 541-1524 |
| YZI | Anthem BCBS of Ohio | Ohio | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZJ | Anthem BCBS of Kentucky | Kentucky | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZK | Anthem BCBS of Connecticut | Connecticut | PPO, HMO, EPO, POS | (800) 424-8730 |
| YZL | BCBS of Nebraska | Nebraska | PPO, HMO, EPO, POS | (800) 432-3990 |
| YZM | Blue Cross of NE Pennsylvania | Pennsylvania | PPO, HMO, EPO, POS | (800) 541-1524 |
| YZN | Anthem BCBS of Nevada | Nevada | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZO | Anthem BCBS of Ohio | Ohio | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZU | Blue Cross of California | California | PPO, HMO, EPO, POS | (800) 288-9294 |
| YZV | Anthem BCBS of Nevada | Nevada | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZW | BCBS of Western New York | New York | PPO, HMO, EPO, POS | (800) 854-1790 |
| YZX | BCBS of Western New York | New York | PPO, HMO, EPO, POS | (800) 854-1790 |
| YZY | Anthem BCBS of Ohio | Ohio | PPO, HMO, EPO, POS | (800) 331-1475 |
| YZZ | Anthem BCBS of Kentucky | Kentucky | PPO, HMO, EPO, POS | (800) 331-1475 |
The YRA to YZZ 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 YAA to YZZ?
The BCBS alpha prefixes from YAA to YZZ are three-character codes assigned to Blue Cross Blue Shield insurance plans. Each prefix in the YAA to YZZ range identifies the BCBS home plan, the state of origin, and the plan type (such as PPO, HMO, EPO, or POS). The YAA to YZZ 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. Prominent BCBS companies in this range include Anthem BCBS in Connecticut, Kentucky, Ohio, and Virginia, Blue Shield of California, and Regence BCBS in Oregon, Idaho, Utah, and Washington.
The YAA to YZZ 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 YAA for Anthem BCBS of Connecticut or YZA for Anthem BCBS of Kentucky. The prefix system standardizes the identification of BCBS plans for claims processing and provider services.
Not all prefixes in the YAA to YZZ 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 YAA to YZZ Range?
Multiple Blue Cross Blue Shield companies use prefixes in the YAA to YZZ range. The following BCBS companies are among those with assigned prefixes in this range:
- health_and_safety Anthem BCBS of Connecticut — Prefixes include YAA through YAF, YLA, and YZK, covering EPO, PPO, HMO, POS, HDHP, Medicare Advantage, Traditional Indemnity, and Medicaid plans in Connecticut.
- health_and_safety Anthem BCBS of Kentucky — Prefixes include YEA, YLE, YZA, YZE, YZF, YZG, YZJ, and YZZ, covering PPO, HMO, EPO, and POS plans in Kentucky.
- health_and_safety Anthem BCBS of Ohio — Prefixes include YFS, YLF, YRA, YRB, YSY, YZI, YZO, and YZY, covering PPO, HMO, EPO, and POS plans in Ohio.
- health_and_safety Anthem BCBS of Virginia — Prefixes include YDA through YDD, YLB, YMG, YMH, YRC, YRZ, YTA, YTB, and YTZ, covering EPO, PPO, HMO, HDHP, and POS plans in Virginia.
- health_and_safety Anthem BCBS of Wisconsin — Prefixes include YLN, YSD, and YSZ, covering PPO, HMO, EPO, and POS plans in Wisconsin.
- health_and_safety Blue Shield of California — Prefix YGY covers PPO and HMO plans in California.
- health_and_safety Blue Cross of California — Prefixes include YED, YLT, YZC, and YZU, covering PPO, HMO, EPO, and POS plans in California.
- health_and_safety Horizon BCBS of New Jersey — Prefixes include YHA, YHB, and YLH, covering PPO, HMO, and POS plans in New Jersey.
- health_and_safety Highmark BCBS — Prefixes include YLW, YYZ, YZH, and YZM, covering PPO, HMO, EPO, and POS plans in Pennsylvania.
- health_and_safety Regence BCBS — Prefixes include YBA through YBD, YLD, and YMF, covering EPO, PPO, HMO, and POS plans in Oregon, Idaho, Utah, and Washington.
- health_and_safety Empire BCBS — Prefix YLG covers PPO, HMO, and EPO plans in New York.
- health_and_safety BCBS of Rhode Island — Prefixes include YCA through YCC and YME, covering EPO, PPO, and HMO plans in Rhode Island.
- health_and_safety BCBS of Massachusetts — Prefixes include YLV and YSB, covering PPO, HMO, HDHP, EPO, and POS plans in Massachusetts.
- health_and_safety BCBS of Georgia — Prefixes include YLZ and YSE, covering PPO, HMO, HDHP, EPO, and POS plans in Georgia.
These companies represent a portion of the independent BCBS licensees with prefixes in the YAA to YZZ 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 YAA to YZZ Prefix Table?
Reading the BCBS YAA to YZZ prefix table follows a systematic approach for accurate claims processing. The YAA to YZZ 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 YAA to YZZ Range?
Looking up a BCBS prefix in the YAA to YZZ 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?
1 Locate the Prefix on the Member's ID Card
2 Match Against the BCBS Prefix Directory
3 Contact the BCBS Plan for Verification
4 Document and Proceed
What to Do When the YAA to YZZ Prefix Is Not in the Table?
When a BCBS prefix in the YAA to YZZ 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 YAA to YZZ Prefix Phone Numbers and Claims Filing Contacts
Each BCBS prefix in the YAA to YZZ 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 YAA prefix for Anthem BCBS of Connecticut lists (800) 424-8730, while the YZA prefix for Anthem BCBS of Kentucky lists (800) 331-1475. 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 YAA to YZZ 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 YAA to YZZ BCBS Prefixes
Claims filing addresses for the YAA to YZZ BCBS prefixes vary by the BCBS home plan associated with each prefix. Key claims addresses in this range include Anthem BCBS of Kentucky, Blue Shield of California, Empire BCBS of New York, Horizon BCBS of New Jersey, and Regence BCBS. 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 YAA to YZZ Prefixes
The YAA to YZZ 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.
HMO (Health Maintenance Organization)
HMO plans in the YAA to YZZ 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.
PPO (Preferred Provider Organization)
PPO plans identified by YAA to YZZ 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.
EPO (Exclusive Provider Organization)
EPO plans identified by YAA to YZZ 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 YAA to YZZ 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.
HDHP (High Deductible Health Plan)
HDHP plans in the YAA to YZZ prefix range feature higher deductibles and lower monthly premiums. Members often pair HDHP plans with Health Savings Accounts (HSAs) to cover out-of-pocket costs. HDHP plans require members to pay more upfront before insurance coverage begins. Billers should verify the deductible status and confirm whether the patient has met the annual deductible threshold before processing claims.
Traditional Indemnity
Traditional Indemnity plans in the YAA to YZZ prefix range allow members to visit any healthcare provider without network restrictions. Members pay for services and submit claims for reimbursement at a set percentage. Indemnity plans offer maximum flexibility in provider choice but typically require higher out-of-pocket costs and more paperwork compared to managed care plans. Billers should follow the specific reimbursement guidelines for each indemnity plan.
Medicare Advantage and Medicaid Managed Care
Some prefixes in the YAA to YZZ range identify Medicare Advantage or Medicaid managed care plans administered by BCBS companies. Medicare Advantage plans provide Part A and Part B benefits through a private BCBS insurer, often with additional benefits such as dental or vision coverage. Medicaid managed care plans offer state Medicaid benefits through a BCBS-administered network. Billers must verify whether the member's plan is a Medicare Advantage or Medicaid product, as billing requirements, prior authorization rules, and reimbursement rates differ from commercial plans.
Example Plan Types by Prefix
- chevron_right YAA (Anthem BCBS of Connecticut) — EPO, Traditional Indemnity, and Medicaid plans serving Connecticut residents with claims processed through Anthem BCBS at (800) 424-8730.
- chevron_right YZA (Anthem BCBS of Kentucky) — PPO, HMO, EPO, and POS plans serving Kentucky residents with claims processed through Anthem BCBS at (800) 331-1475.
- chevron_right YHA (Horizon BCBS of New Jersey) — PPO and HMO plans serving New Jersey residents with claims processed through Horizon BCBS at (800) 682-9090.
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 YAA to YZZ Prefix Range
The YAA to YZZ BCBS prefix range covers BCBS plans from multiple states across the United States. The following states are represented in the YAA to YZZ prefix range:
- location_on California — Blue Shield of California (YGY), Blue Cross of California (YED, YLT, YZC, YZU)
- location_on Connecticut — Anthem BCBS (YAA-YAF, YLA, YZK)
- location_on Georgia — Anthem BCBS of Georgia (YGZ), BCBS of Georgia (YLZ, YSE)
- location_on Kentucky — Anthem BCBS of Kentucky (YEA, YLE, YZA, YZE-YZG, YZJ, YZZ)
- location_on Massachusetts — BCBS of Massachusetts (YLV, YSB)
- location_on Nebraska — BCBS of Nebraska (YZL)
- location_on New Jersey — Horizon BCBS of New Jersey (YHA, YHB, YLH)
- location_on New York — Empire BCBS (YLG), BCBS of Western New York (YZW, YZX)
- location_on North Carolina — BCBS of North Carolina (YMC)
- location_on Ohio — Anthem BCBS of Ohio (YFS, YLF, YRA, YRB, YSY, YZI, YZO, YZY)
- location_on Pennsylvania — Highmark BCBS (YLW, YYZ), Blue Cross of NE Pennsylvania (YZH, YZM)
- location_on Rhode Island — BCBS of Rhode Island (YCA-YCC, YME)
- location_on Virginia — Anthem BCBS of Virginia (YDA-YDD, YLB, YMG, YMH, YRC, YRZ, YTA, YTB, YTZ)
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.
How to Use YAA to YZZ Prefixes for Insurance Eligibility Verification?
Using BCBS alpha prefixes in the YAA to YZZ range for insurance eligibility verification follows a structured process. The YAA to YZZ 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 YAA to YZZ BCBS Prefix?
Routing claims using the YAA to YZZ 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 YAA to YZZ 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.
Common Questions
What Are BCBS Prefixes?
How Do You Identify a Blue Prefix?
Does YAA to YZZ 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.