BCBS prefix XOJ: BCBS of Illinois, Medicare Advantage HMO
The short answerXOJ is a Blue Cross and Blue Shield of Illinois prefix: Medicare Advantage, on the Medicare Advantage HMO, and Blue Medicare Advocate Health network (medicare Advantage). File the claim to your local Blue plan; outside Illinois, BlueCard routes it to BCBS of Illinois by the prefix.
By Javier Alvarez · Updated · 2 min read
What the XOJ prefix means
| Home plan | Blue Cross and Blue Shield of Illinois, a division of Health Care Service Corporation (HCSC). Medicare Advantage. 1 |
| Network | Medicare Advantage HMO, and Blue Medicare Advocate Health (network code MCA, AJV). Plans: Blue Cross Medicare Advantage Basic (HMO), Basic Plus (HMO-POS) and Premier Plus (HMO-POS), and Blue Medicare Advocate Health (HMO). 1 |
| Who it covers | Medicare Advantage. 1 |
| Area | The State of Illinois, excluding Champaign and Massac counties (Blue Medicare Advocate Health: Cook, DuPage, Kane, Kendall, Lake, McHenry and Will counties). 1 |
| How the network works | BCBS of Illinois says these plans include the same benefits as Original Medicare Part A and B, with a built-in prescription drug benefit. Out of network, a lower level of benefits applies. 1 |
| Where to file | In Illinois, to BCBS of Illinois, your local Blue plan. Outside Illinois, ask your local Blue plan before the visit: Medicare Advantage members have their own out-of-area rules. Send the member ID exactly as printed, prefix included. 2 |
| Verify benefits | Through your local Blue plan's eligibility tools, or the phone number on the member's card, before the first visit. 2 |
| MNT policy | BCBS of Illinois says these plans include the same benefits as Original Medicare Part A and B. Original Medicare covers MNT by a dietitian for diabetes, kidney disease, or a kidney transplant in the last 36 months, with a referral from the doctor. 1 3 See Medicare MNT coverage. |
Before a visit with prefix XOJ
- Copy the current card, front and back, and enter the member ID exactly as printed, XOJ included.
- Verify benefits for 97802 and 97803: through your local Blue plan's eligibility tools, or the phone number on the member's card. Ask whether nutrition counseling is covered, how many visits, whether a referral is needed, and what the member pays.
- Outside Illinois, ask your local Blue plan where the claim goes before the visit.
Another prefix? Type it in the lookup above or see every prefix we have. For how BlueCard routes an out-of-state Blue card, see BlueCard for dietitians.