C4I

BCBS Prefix C4I

Highmark Blue Cross Blue Shield of Western New York

New York • Medicaid, Traditional Indemnity, HMO

Billing essentials

Provider phone
(800) 547-3627
Electronic payer ID
SB430
Claims mailing address
P.O. Box 15013, Albany, NY 12212
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 547-3627

Coverage under prefix C4I

Medicaid

Medicaid managed care under this BCBS prefix means the state has contracted with this plan to administer Medicaid benefits. Balance billing Medicaid members is prohibited. Timely filing requirements may follow state Medicaid rules rather than the plan's commercial deadlines. Contact the plan to confirm submission requirements.

Traditional Indemnity

Under this indemnity prefix, the member has fee-for-service coverage. There is no provider network, no referral requirement, and no primary care physician gatekeeper. Claims are processed based on the plan's fee schedule. While less common than managed care plans, indemnity coverage is still offered by some BCBS companies.

HMO

HMO (Health Maintenance Organization) plans require members to choose a primary care physician (PCP) and obtain referrals before seeing specialists. Out-of-network services are generally not covered except in emergencies. Claims must be submitted to the payer listed above and should include referral authorization when applicable.

About Highmark Blue Cross Blue Shield of Western New York

Highmark Western and Northeastern New York Inc. providing commercial, Medicare and Medicaid plans in Western New York region.