Qmf Bcbs Prefix (2024)

FAQs

What is the member ID prefix for Highmark BCBS? ›

The alpha prefix for Highmark FreedomBlue members is HKS or FEM for enrollment source Plan Code 363 and HKR or FER for enrollment source Plan Code 378.

The alpha prefix is critical for inquiries regarding the member, including eligibility and benefits, and is necessary for proper claim filing.  When filing a claim, always enter the ID number, including the alpha prefix, exactly as it appears on the member's card.

Payer name and ID

Your Payer Name is Highmark Blue Cross Blue Shield, and the Payer ID is 00246.

If the card presented has no prefix, follow the instructions on the back of the card for claims handling. ID cards for FEP members do not display a three-character prefix. Rather, all FEP member ID numbers begin with the letter “R,” as highlighted on the sample ID card below.

Together with its Blue-branded affiliates, Highmark Inc. is collectively the fourth-largest overall Blue Cross and Blue Shield-affiliated organization in the country based on capital. Highmark Inc. is an independent licensee of the Blue Cross Blue Shield Association. Highmark Blue Shield | Camp Hill, Pa.

PPOBlue High Deductible is a qualified, comprehensive, major medical, preferred-provider, high-deductible health plan.

As a Freedom Blue PPO member, you're covered for urgent and emergency care worldwide. Get help with the ins and outs of your Freedom Blue PPO. Highmark Senior Health Company is a PPO plan with a Medicare contract. Enrollment in Highmark Senior Health Company depends on contract renewal.

It is a health insurer in Pennsylvania, and through a purchase in 1996, an insurer in West Virginia and also later Delaware. As Highmark Blue Cross Blue Shield, it is primarily available in 29 counties of western Pennsylvania.

What does Blue Cross Blue Shield start with R? ›

Complete patient information, on the other hand, allows your claims to process without delays. Member identification numbers beginning with “R” belong to Federal Employee Program (FEP) and will not have a three-character prefix when filing.

In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS).

Identification of BlueCard Members

The alpha prefix will identify the patient's BCBS Plan (for example: ZGP for Texas), the National Account to which the member belongs (for example: HBT for Halliburton) or the patient's international BCBS Plan (for example: ZZC for Italy).

Member ID number: Each policy holder has a unique member ID number that links to your specific health insurance benefits and coverage. For some members, a unique State ID may also be present on the member ID card. Group number: This number is the same for everyone who participates in that insurance plan.

Identification of BlueCard Members

The alpha prefix will identify the patient's BCBS Plan (for example: ZGP for Texas), the National Account to which the member belongs (for example: HBT for Halliburton) or the patient's international BCBS Plan (for example: ZZC for Italy).

Since 1929, Blue Cross Blue Shield (BCBS) companies have provided healthcare coverage to members, allowing them to live free of worry, free of fear. In every ZIP code, Blue Cross Blue Shield offers a personalized approach to healthcare based on the needs of the communities where their members live and work.