Premera Blue Cross & The Regence Group Common Alpha Plan Prefixes

Last updated: 11/1/2013

Alpha Prefix AAF AAJ AGL AHC AIQ AJJ AJW AJX ALD ALK ALV AMK AQJ AQT AUN AUT AVN AWA AWB AWJ AZX AYS BBJ BCU BEL BEM BHP BIP BQB BQE BRR BSR BTQ BE BVR BYR BZB BZK CEK CFE CIR CJJ CJW CLX CPK CRJ Premera Blue Cross & Premera Blue Cross/NASCO Prefixes Western WA providers submit claims to Regence Blue Shield. Eastern WA and Alaska providers submit to Premera. Prefixes with * include all characters for the 3rd position unless otherwise listed Alpha Prefix CRS CTC CTT CXA CXF CYY CYZ CZJ DGG DGM DHT DIJ DLV DOQ DWE DWN DXK ECK ECW EEH EFH EGU EGZ EIQ EKL EOX EUG EVN EXD EXZ EZD FDP FEI FHU FJB FKK FOA FVI FZW GCI GDT GFT GHE GKZ GNM GOT Alpha Prefix GOU GQJ GQN GTN GUO GVK GVQ GWJ GXQ GZZ HEM HFL HFT HGF HJH HLC HLD HQW HRK HRZ HTS HWS HYA HYQ HZU ICX IER IKA ILS INB INR INZ IQA ISB ITV ITY IUG JJA JJC KCQ KCT KFY KGE KHL KKY KLC

BCBS Plan Regence Blue Shield Regence Blue Shield Premera Blue Cross/NASCO Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross HCSC (Illinois) Premera Blue Cross HCSC (Illinois) HCSC (Illinois) Regence BCBS of Oregon Regence Blue Shield Premera Blue Cross Regence Blue Shield Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross HCSC (Illinois) Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Regence BCBS of Oregon Premera Blue Cross Regence Blue Shield Premera Blue Cross

BCBS Plan Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Regence Blue Shield Regence BCBS of Oregon Regence Blue Shield Regence Blue Shield Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Regence Blue Shield Regence BCBS of Oregon Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Regence BCBS of Oregon Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Regence BCBS of Utah Premera Blue Cross Regence Blue Shield

BCBS Plan Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Regence Blue Shield Regence BCBS of Oregon Regence Blue Shield Regence Blue Shield Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross/NASCO Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Regence Blue Shield Regence Blue Shield Premera Blue Cross Regence Blue Shield Regence Blue Shield Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross

An Independent Licensee of the Blue Cross Blue Shield Association

020469 (11-2013)

Premera Blue Cross & The Regence Group Common Alpha Plan Prefixes
Last updated: 11/1/2013
KLJ KLZ KPE KNC KPF KQK KQT KRC KUN KVS KWU KWV KWY KXB KYT KZN LBO LBR LDX LEE LHK LHU LIW LKG LMG LMT LPT LRT LTF LTM LTS LUN LUR LVN LWN LXZ LYD LYN LYU MAA MCM MDJ MFJ MGD MJG MKU MLB MLI MMC Premera Blue Cross & Premera Blue Cross/NASCO Prefixes Western WA providers submit claims to Regence Blue Shield. Eastern WA and Alaska providers submit to Premera. Prefixes with * include all characters for the 3rd position unless otherwise listed Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Regence BCBS of Oregon BCBS South Carolina Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Regence BCBS of Oregon Premera Blue Cross Regence BCBS of Oregon Regence BCBS of Oregon Regence BCBS of Oregon Regence BCBS of Oregon Regence BCBS of Oregon Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Regence Blue Shield Premera Blue Cross MMD MMR MOR MSJ MSN MSQ MSY MTU MVD MXZ NAS NAY NBB NCW NET NEV NFX NIR NLQ NNK NNQ NNT NNY NQN NRB NRL NTT NVH NVQ NWB NWV NXL NXW NXX NZE OBT OER OGM OGY OLG OPQ ORA OTV OVH OWC OXC OXM PAZ PBQ Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross/NASCO Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Regence Blue Shield Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross/NASCO Premera Blue Cross Regence Blue Shield Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross/NASCO PBV PCK PCM PFM PFV PGF PIP PJB PJE PKC PKO PLK PMK PMT PMV PNC PNK PNV PPB PQF PQL PQO PSV PTE PTF PTQ PUX PXZ PYF PZO RGB RGK RGO RHQ RII RJF RLQ RMQ ROL ROM RPA RPB RPJ RQK RQN RRP RRT RSN RSO Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence Blue Shield Regence Blue Shield Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Regence Blue Shield Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Regence Blue Shield Regence BCBS of Utah Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Regence BCBS of Oregon Regence BCBS of Oregon Premera Blue Cross Regence BCBS of Oregon Regence Blue Shield Regence BCBS of Oregon Regence BCBS of Oregon Regence Blue Shield Regence BCBS of Utah

An Independent Licensee of the Blue Cross Blue Shield Association

020469 (11-2013)

Premera Blue Cross & The Regence Group Common Alpha Plan Prefixes
Last updated: 11/1/2013
RUJ RUK RVU RWG RZG RZX SAS SAW SBJ SEA SEN SFK SHF SKB SKO SKU SKZ SLH SMB SMN SQN SRU SRV SSS SSZ STB SUN SVC SXN SZR SZZ TAH TAP TDT TDX TFB TGA TIM TIR Premera Blue Cross & Premera Blue Cross/NASCO Prefixes Western WA providers submit claims to Regence Blue Shield. Eastern WA and Alaska providers submit to Premera. Prefixes with * include all characters for the 3rd position unless otherwise listed Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Regence BCBS of Utah Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross/NASCO Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Regence BCBS of Oregon Regence Blue Shield TNG TQB TST TSU TYA TZS UCB UDA UDV UDW UFH UIV UJD UKR UKY ULD UMR UMZ UNN UOS UQG UOH UQZ URF UXS UYJ UZX WAH WBG WBP WCL WCP WCY WDT WEK WEU WFE WFN WGA Regence BCBS of Oregon Regence Blue Shield Premera Blue Cross/NASCO Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Regence Blue Shield Premera Blue Cross Regence Blue Shield Premera Blue Cross Premera Blue Cross Regence Blue Shield Regence Blue Shield Premera Blue Cross Regence BCBS of Oregon Regence Blue Shield Regence BCBS of Utah Premera Blue Cross Premera Blue Cross Regence Blue Shield Regence Blue Shield Premera Blue Cross WGE WGS WGU WGX WHZ WIZ WLJ WOB WOW WRL WTU WVS WWD WWI WXD WYP WYV WZH WZK WZQ YV* ZH* ZK* ZL* ZM* ZN* ZO* ZVH ZVJ ZVK ZVU ZVW ZVX ZV* Regence BCBS of Oregon Premera Blue Cross Regence BCBS of Utah Regence BCBS of Utah Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Premera Blue Cross Premera Blue Cross Regence BCBS of Utah Premera Blue Cross Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Regence BCBS of Oregon Premera Blue Cross Regence Blue Shield Premera Blue Cross Regence Blue Shield Regence Blue Shield Regence BCBS of Oregon Regence BCBS of Utah Premera Blue Cross Regence Blue Shield Regence Blue Shield Premera Blue Cross Regence Blue Shield Regence BCBS of Oregon Regence BCBS of Utah Regence Blue Shield Regence BCBS of Utah Regence Blue Shield Regence BCBS of Oregon Regence BCBS of Oregon

An Independent Licensee of the Blue Cross Blue Shield Association

020469 (11-2013)