C4R

BCBS Prefix C4R

Premera Blue Cross Blue Shield of Alaska

Alaska • Medicaid, Traditional Indemnity, PPO

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 C4R

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

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.

PPO

PPO (Preferred Provider Organization) plans allow members to visit any healthcare provider without a referral. In-network providers cost less, but out-of-network care is still covered at a reduced rate. When billing for a PPO plan, submit claims directly to the payer listed above. No referral documentation is needed.

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.