Effective January 1, 2023, some BCBSAZ member accounts were updated with new member ID prefixes. This may require adjustments in your eligibility/benefits inquiries and claim submission processes to ensure accurate information and timely claim processing. For more information, see our provider FAQs.
Tip: Be sure to submit eligibility/benefits inquiries and claims with the prefix related to the date of service.
If you do an eligibility/benefits inquiry using a prefix that isn’t valid for the service date, you will receive a “Member Not Found” message that may not be accurate for that member. You can re-run your inquiry using the other prefix or use the “Name” search option to bypass the need to enter a prefix. If you can’t confirm eligibility online, please email us at ProviderHelp@azblue.com so we can validate the member’s eligibility.
If you submit a claim using a prefix that isn’t valid for the service date, you will receive a message advising you of the prefix replacement and where to find the prefix reference list so you can resubmit your claim with the other prefix:
"This member's ID prefix was replaced. Please check the prefix listed azblue.com/prefix and resubmit with the prefix that is valid for this service date."
Tip: You might want to adjust the date range of your online remit searches.
Some member accounts will be updated without a prefix replacement. All account updates (with and without prefix replacements) may affect remit searches that span a date range. If you find remits are missing from your search, try searching payments issued up to the date of the account update (e.g., 01/01/2023) and do another search for payments issued on or after that date.
Note: For Federal Employee Program® (FEP®) members (prefix “R”), use the following 2022 dates to start or end your remit searches:
August 6, 2022 (dental claims)
- October 29, 2022 (professional claims)
- November 19, 2022 (institutional claims)