Some Medicaid Claims Rejected for Missing Alpha Prefix

Posted January 15, 2018 [Updated Jan. 25, 2018]

This notice has been updated to emphasize that the alpha prefix is required on all claims; a link for additional information also has been added.

Electronic and paper Blue Cross Community Health PlansSM (BCCHPSM) claims submitted on or after Jan. 1, 2018, may have been rejected for a missing alpha prefix, which is a required element on all claims submitted to Blue Cross and Blue Shield of Illinois (BCBSIL). The alpha prefix is a 3-character code that precedes the member ID number. Typically, the alpha prefix appears on the member ID card; however, some BCCHP member ID cards issued recently did not contain this information.

Please note that the alpha prefix for BCCHP members is XOG. The alpha prefix must be included as part of the member ID number, otherwise claims will be rejected. Any BCCHP claims that were submitted on or after Jan. 1, 2018, without the alpha prefix (XOG) and that were rejected will need to be corrected to include the alpha prefix and resubmitted.

We appreciate your patience and cooperation and apologize for any inconvenience that this matter may have caused your practice.

For additional information to assist you with submitting claims for BCCHP members, as well as Blue Cross Community MMAI (Medicare-Medicaid Plan)SM members, please refer to the Quick Tips, Guidelines and Reminders  document in the Related Resources on the BCCHP and MMAI pages in our Medicaid section.