A5O

BCBS Prefix A5O

Capital Blue Cross

Pennsylvania • Medicare Advantage, POS, PPO

Billing essentials

Provider phone
(717) 541-7000
Electronic payer ID
SB910
Claims mailing address
2500 Elmerton Ave, Harrisburg, PA 17177
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(717) 541-7000

Coverage under prefix A5O

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

POS

Under this POS prefix, the member can access care both in-network and out-of-network, with cost-sharing that varies based on how the care is accessed. In-network care coordinated through the member's PCP has the lowest out-of-pocket cost. Include referral documentation when billing at the in-network benefit level.

PPO

This prefix is associated with a PPO plan. Preferred Provider Organization coverage gives members flexibility to see specialists without referrals and to use out-of-network providers at higher cost-sharing. Claims can be submitted for both in-network and out-of-network services, though reimbursement rates differ.

About Capital Blue Cross

Independent licensee of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley.