BCBS Prefix Lookup
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D5S

BCBS Prefix D5S

Horizon Blue Cross and Blue Shield of New Jersey

New Jersey • Medicare Advantage, HMO, Traditional Indemnity

Billing essentials

Provider phone
1-800-624-1110
Electronic payer ID
22099
Claims mailing address
P.O. Box 820, Newark, NJ 07101
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(201) 355-9800
Provider website
https://www.horizonblue.com

Coverage under prefix D5S

Medicare Advantage

Under this prefix, the member may have Medicare Advantage coverage administered by this BCBS plan. MA claims are subject to CMS regulations in addition to the plan's own policies. Balance billing restrictions apply. Verify the member's specific MA plan details and confirm the correct payer ID for electronic submission.

HMO

HMO coverage means this member must use providers within the plan's network. A primary care physician serves as the care coordinator and must authorize specialist referrals. Emergency services are the primary exception to the network requirement. Always verify referral status before providing non-emergency specialty care.

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 Horizon Blue Cross and Blue Shield of New Jersey

Largest health insurer in New Jersey serving over 3.8 million members with commercial, Medicare and Medicaid plans.

Other prefixes for Horizon Blue Cross and Blue Shield of New Jersey

A2Q
Medicare Advantage, PPO, High-Deductible Health Plan (HDHP)
A3Q
EPO, Medicare Advantage, High-Deductible Health Plan (HDHP)
A3Z
Traditional Indemnity, POS, High-Deductible Health Plan (HDHP)
A4K
Medicare Advantage, High-Deductible Health Plan (HDHP), EPO
A4Y
EPO, PPO, Medicare Advantage
A5W
PPO, Medicare Advantage, POS
A5Y
Traditional Indemnity, Medicaid, High-Deductible Health Plan (HDHP)
AEJ
PPO, HMO, Medicare
ASL
AWH
HMO, PPO, Medicare Advantage
B5H
POS, PPO, High-Deductible Health Plan (HDHP)
B5J
HMO, Medicaid, POS
B5T
Medicare Advantage, HMO, Medicaid
B5V
Traditional Indemnity, Medicaid, HMO
B7T
EPO, Medicaid, High-Deductible Health Plan (HDHP)
B7U
POS, Medicare Advantage, Traditional Indemnity
B7V
HMO, PPO, High-Deductible Health Plan (HDHP)
B7W
Medicaid, EPO, Medicare Advantage
B9R
PPO, Traditional Indemnity, High-Deductible Health Plan (HDHP)
BAX
EPO, HMO, Medicare Advantage
BBB
HMO, EPO, Medicare Advantage
BBX
Medicare Advantage, HDHP, POS
BDW
POS, PPO, Medicaid Managed Care
BEO
HDHP, PPO, Medicaid Managed Care
BEW
HDHP, POS, Medicaid Managed Care
BFV
POS, PPO, Medicaid Managed Care
BHY
POS, HDHP, Medicaid Managed Care
BIQ
HDHP, PPO, EPO
BIZ
Medicare Advantage, PPO, HMO
BJB
HMO, PPO, Medicaid Managed Care

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