C4N

BCBS Prefix C4N

Independence Blue Cross

Pennsylvania • POS, Medicaid, Traditional Indemnity

Billing essentials

Provider phone
(800) 275-2583
Electronic payer ID
54704
Claims mailing address
P.O. Box 21974, Eagan, MN 55121
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 275-2583

Coverage under prefix C4N

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.

Medicaid

Medicaid coverage under this prefix means the member's Medicaid benefits are administered by a BCBS managed care plan. Medicaid managed care claims may have different submission requirements, payer IDs, and timely filing deadlines than commercial claims. Verify the specific Medicaid plan details with the payer.

Traditional Indemnity

This prefix includes traditional indemnity coverage. Indemnity plans are the oldest form of health insurance and offer maximum provider choice with no network restrictions. Members pay a percentage of charges after meeting their deductible. Reimbursement is based on reasonable and customary rates for the service area.

About Independence Blue Cross

Nonprofit health insurance company serving seven million members nationwide with strongest presence in Philadelphia area and Southeastern Pennsylvania. Member of the Blue Cross Blue Shield Association for over 85 years.