Transcription of Provider Network Change for Florida Publix …
1 February 2015 Provider Network Change and New Alpha prefix for Florida Publix members Effective Jan. 1, 2015, Publix associates and enrolled family members living in Florida , are covered under Florida Blue s NetworkBlue Provider Network . Impacted Publix associates received new member identification (ID) cards with a new PXN alpha prefix . Important Note: Publix member claims with dates of service on or after Jan. 1, 2015, must include the new PXN alpha prefix or the claim will not process. Remember not to use the previous PBB alpha prefix for any claims with 2015 service dates. Obtaining precertification Providers should request precertification for inpatient and outpatient services by calling (888) 376-6544. This requirement does not apply to preventive services, labs, x-rays, emergency room and urgent care or office visits conducted by family doctors or specialists.
2 All Florida Publix members receiving outpatient high-tech diagnostic imaging services must request precertification by calling (888) 376-6544. Failure to request outpatient precertification for diagnostic imaging services will result in denial of all charges. Identifying Publix Group members Publix group members are easy to identify. The alpha prefix PXN is displayed in front of the member identification number and copay information shows on the front of the card. A sample Publix ID card is provided below. Additional information For questions or additional information, call the Florida Blue Publix Dedicated Customer Service Unit at (866) 782-5495. 900-792-0215
