E5D

BCBS Prefix E5D

Premera Blue Cross Blue Shield of Alaska

Alaska • EPO, PPO, Medicaid

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 E5D

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.

PPO

Under this PPO prefix, members are covered for both in-network and out-of-network care. The plan pays a higher percentage of allowed charges when members use participating providers. No gatekeeper or primary care referral is required. Verify the member's specific benefits for cost-sharing details.

Medicaid

This prefix includes Medicaid managed care coverage. The BCBS plan administers Medicaid benefits on behalf of the state. Claims submission, prior authorization, and reimbursement rules may follow state Medicaid guidelines rather than the plan's standard commercial policies. Confirm the correct payer ID for Medicaid claims.

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.