EPO (Exclusive Provider Organization) plans require members to use in-network providers, similar to an HMO. The key difference is that referrals are usually not required to see a specialist. Out-of-network care is not covered except in emergency situations. Submit claims to the payer listed above.
This prefix is associated with a PPO plan. Preferred Provider Organization coverage gives members flexibility to see specialists without referrals and to use out-of-network providers at higher cost-sharing. Claims can be submitted for both in-network and out-of-network services, though reimbursement rates differ.
Independent licensee of the Blue Cross Blue Shield Association serving Minnesota members. Billing note: payer ID CBMN1 (Change Healthcare) is valid for MN-based providers only; out-of-state providers bill their local BCBS plan. Commercial/Medicare alt payer ID: 00720.