H4C

BCBS Prefix H4C

Anthem Blue Cross Blue Shield of Virginia

Virginia • Traditional Indemnity, HMO, Medicare Advantage

Billing essentials

Provider phone
(800) 676-2583
Electronic payer ID
00840
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 676-2583

Coverage under prefix H4C

Traditional Indemnity

Traditional indemnity coverage under this prefix is a fee-for-service plan. Members can see any provider without network restrictions or referral requirements. The plan reimburses a set percentage of usual and customary charges. Claims are submitted directly to the payer listed above.

HMO

Under this HMO prefix, the member's coverage is limited to the plan's provider network. Care is coordinated through a primary care physician. Specialist visits require a referral from the PCP. When billing, confirm that the referring provider and the referral authorization number are included on the claim.

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

About Anthem Blue Cross Blue Shield of Virginia

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