D4W

BCBS Prefix D4W

Anthem Blue Cross and Blue Shield of Maine

Maine • POS, High-Deductible Health Plan (HDHP), Medicaid

Billing essentials

Provider phone
(800) 676-2583
Electronic payer ID
00070
Claims mailing address
P.O. Box 533, North Haven, CT 06473-4201
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 676-2583

Coverage under prefix D4W

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.

HDHP

HDHP (High-Deductible Health Plan) coverage means the member has a higher deductible than traditional plans, often paired with a Health Savings Account (HSA). Most services require the member to pay out-of-pocket until the deductible is met. Preventive care is typically covered before the deductible. Submit claims normally to the payer listed above.

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.

About Anthem Blue Cross and Blue Shield of Maine

Independent licensee of the Blue Cross Blue Shield Association providing coverage in Maine.