GVI

BCBS Prefix GVI

Independence Blue Cross

Pennsylvania • PPO, Traditional Indemnity, EPO

Billing essentials

Provider phone
(800) 275-2583
Electronic payer ID
54704
Claims mailing address
P.O. Box 21974, Eagan, MN 55121
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 275-2583

Coverage under prefix GVI

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.

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.

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.

About Independence Blue Cross

Nonprofit health insurance company serving seven million members nationwide with strongest presence in Philadelphia area and Southeastern Pennsylvania. Member of the Blue Cross Blue Shield Association for over 85 years.