G4E

BCBS Prefix G4E

Anthem Blue Cross and Blue Shield of Indiana

Indiana • EPO, Medicare Advantage, Traditional Indemnity

Billing essentials

Provider phone
(866) 408-6132
Electronic payer ID
00630
Claims mailing address
P.O. Box 61010, Virginia Beach, VA 23466
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 457-4584

Coverage under prefix G4E

EPO

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.

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.

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 Anthem Blue Cross and Blue Shield of Indiana

Independent licensee of the Blue Cross Blue Shield Association providing commercial, Medicaid and other health plans in Indiana.