C4A

BCBS Prefix C4A

Premera Blue Cross Blue Shield of Alaska

Alaska • High-Deductible Health Plan (HDHP), Medicaid, Traditional Indemnity

Billing essentials

Provider phone
(800) 722-1471
Electronic payer ID
00430
Claims mailing address
P.O. Box 91059, Seattle, WA 98111
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 722-1471

Coverage under prefix C4A

HDHP

HDHP coverage under this prefix means the member carries a higher annual deductible in exchange for lower monthly premiums. Claims are processed normally but the member's cost-sharing will be higher than standard plans until the deductible is met. Preventive services are typically the exception and are covered at no cost to the member.

Medicaid

Under this prefix, the member may have Medicaid coverage managed by this BCBS plan. Medicaid claims have specific rules around cost-sharing, balance billing, and timely filing that override the plan's standard commercial policies. Contact the plan's Medicaid provider services line for submission details.

Traditional Indemnity

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

About Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross has operated in Alaska since 1957. Serves over 500,000 members. Part of the Blue Cross Blue Shield Association.