C4Q

BCBS Prefix C4Q

Independence Blue Cross

Pennsylvania • EPO, Medicare Advantage, POS

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 C4Q

EPO

This is an Exclusive Provider Organization (EPO) prefix. EPO plans do not cover out-of-network care except in genuine emergencies. Members can see any in-network specialist without a referral from their primary care physician. Claims for out-of-network non-emergency services will be denied.

Medicare Advantage

Medicare Advantage (MA) coverage means this member receives their Medicare benefits through a private BCBS plan rather than through original Medicare. MA plans may have different payer IDs and claims addresses than the commercial plan. Check with the payer to confirm the correct submission details for Medicare Advantage claims.

POS

POS coverage under this prefix operates on a tiered system. Tier 1 (in-network with referral) provides the highest coverage. Tier 2 (in-network without referral) provides moderate coverage. Tier 3 (out-of-network) provides the lowest coverage. Verify which tier applies before submitting the claim.

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.