BCBS Prefix Lookup
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GDK

BCBS Prefix GDK

Blue Cross and Blue Shield of North Carolina

North Carolina • Traditional Indemnity, HMO, EPO

Billing essentials

Provider phone
(800) 214-4844
Electronic payer ID
SB865
Claims mailing address
P.O. Box 35, Durham, NC 27702
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 214-4844
Provider website
https://www.bluecrossnc.com/providers

Coverage under prefix GDK

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.

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.

EPO

EPO coverage under this prefix means the member must use network providers but does not need referrals for specialist visits. This plan type is becoming more common as it offers lower premiums than PPO plans while providing more flexibility than HMOs. Verify network status before providing services.

About Blue Cross and Blue Shield of North Carolina

Independent licensee providing commercial, Medicare and Medicaid plans to North Carolina members.

Other prefixes for Blue Cross and Blue Shield of North Carolina

ABP
PPO, HMO, Medicare
AEB
PPO, HMO, Medicare
AFW
PPO, HMO, Medicare
AHG
PPO, HMO, EPO, Medicare Advantage
AHK
PPO, HMO, EPO, Medicare Advantage
AMO
PPO, HMO, EPO, Medicare Advantage
AMX
PPO, HMO, EPO, Medicare Advantage
AOX
PPO, HMO, EPO, Medicare Advantage
ASE
AYZ
HMO, PPO, Medicare Advantage, Medicaid
AZA
HMO, PPO, Medicare Advantage, Medicaid
BFP
EPO, POS, Medicare Advantage
BII
Medicare Advantage, PPO, HMO
BMC
EPO, HDHP, Medicare Advantage
BQO
Medicaid Managed Care, EPO, HMO
BTB
PPO, Medicare Advantage, HMO
BUU
Medicare Advantage, PPO, EPO
BVR
POS, PPO, Medicaid Managed Care
BZP
PPO, EPO, Medicaid Managed Care
BZZ
HMO, PPO, Medicaid Managed Care
CFG
HMO, PPO, EPO, POS, Catastrophic, Medicare Advantage
CGQ
HMO, PPO, EPO, POS, Catastrophic, Medicare Advantage
CHS
HMO, PPO, EPO, POS, Short-Term, Vision
CHX
HMO, PPO, EPO, HDHP, Catastrophic, Vision
CID
HMO, PPO, EPO, HDHP, Catastrophic, Prescription Drug
CJH
HMO, PPO, EPO, POS, Short-Term, Prescription Drug
CKD
HMO, PPO, EPO, HDHP, Catastrophic, Dental, Vision
CLN
HMO, PPO, EPO, HDHP, Catastrophic, Vision, Prescription Drug
CPF
PPO
CRF
HMO

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