Read the card
Use the prefix from the member’s current ID card. Never borrow or infer one from another member.
BlueCard routing directory
Enter the first three characters from a member’s current Blue Cross Blue Shield ID card. Find the BlueCard home plan, state, payer ID, and published claim-status and eligibility routes.
Use the first three characters exactly as printed on the current member ID card. Federal Employee Program IDs beginning with a single “R” follow a separate route.
A2ABlue Cross and Blue Shield of TexasBlueCard home planTXEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2BBlue Cross and Blue Shield of TexasBlueCard home planTXEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2CBlue Cross and Blue Shield of IllinoisBlueCard home planILEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2DBlue Cross and Blue Shield of TexasBlueCard home planTXEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2EBlue Cross and Blue Shield of TexasBlueCard home planTXEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2FBlue Cross and Blue Shield of TexasBlueCard home planTXEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2GBlue Cross and Blue Shield of IllinoisBlueCard home planILEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2HBlue Cross and Blue Shield of TexasBlueCard home planTXEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2ICapital BlueCrossCAPITAL BLUE CROSSPAEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: not published. EDI 270/271Appeals agent: not published. AI appeals workflowA2JBlue Cross and Blue Shield of IllinoisBlueCard home planILEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2KCapital BlueCrossCAPITAL BLUE CROSSPAEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: not published. EDI 270/271Appeals agent: not published. AI appeals workflowA2LCapital BlueCrossCAPITAL BLUE CROSSPAEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: not published. EDI 270/271Appeals agent: not published. AI appeals workflowA2MCapital BlueCrossCAPITAL BLUE CROSSPAEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: not published. EDI 270/271Appeals agent: not published. AI appeals workflowA2NCapital BlueCrossCAPITAL BLUE CROSSPAEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: not published. EDI 270/271Appeals agent: not published. AI appeals workflowA2QHorizon Blue Cross Blue Shield of New JerseyHorizon Blue Cross and Blue Shield of New JerseyNJEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: available. AI appeals workflowA2RCapital BlueCrossCAPITAL BLUE CROSSPAEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: not published. EDI 270/271Appeals agent: not published. AI appeals workflowA2TPremera Blue CrossPREMERA BLUE CROSS HMOWAEnhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: not published. EDI 270/271Appeals agent: not published. AI appeals workflowA2UHighmark Blue Cross Blue ShieldHighmark of Pennsylvania—Enhanced claim status: available. EDI 276/277, Availity ECS, or portal automationEligibility: available. EDI 270/271Appeals agent: not published. AI appeals workflowBrowse the directory
Open a character to see every mapped prefix that starts with it, with the home plan, state, and payer ID.
For billing teams
Use the prefix from the member’s current ID card. Never borrow or infer one from another member.
The prefix identifies the BlueCard home plan that owns eligibility and claim adjudication.
Copy the trading partner ID or open the payer summary to confirm available claim-status and eligibility routes.
BlueCard reference
A member may carry a Blue plan from another state. The three-character prefix points to the home plan that owns the member relationship and adjudicates the claim—not necessarily the local plan where care was delivered.
Use the current member ID card, then confirm transaction routing with the resolved terminal payer or clearinghouse before submission.
Common questions
A BCBS prefix is the first three characters on a member ID card. It identifies the BlueCard home plan responsible for the member's benefits and claim adjudication.
Enter the three-character prefix exactly as it appears on the member's current ID card. The directory returns the home plan, state, terminal payer, trading partner service ID, and published transaction routes.
Not necessarily. The prefix identifies the member's home plan, which can differ from the local Blue Cross Blue Shield plan where care was delivered.
Disclaimer
The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.
Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.
Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.