H4X

BCBS Prefix H4X

Anthem Blue Cross and Blue Shield of Wisconsin

Wisconsin • Medicaid, POS, EPO

Billing essentials

Provider phone
(855) 558-1443
Electronic payer ID
00246
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(855) 558-1443

Coverage under prefix H4X

Medicaid

Medicaid managed care under this BCBS prefix means the state has contracted with this plan to administer Medicaid benefits. Balance billing Medicaid members is prohibited. Timely filing requirements may follow state Medicaid rules rather than the plan's commercial deadlines. Contact the plan to confirm submission requirements.

POS

Under this POS prefix, the member can access care both in-network and out-of-network, with cost-sharing that varies based on how the care is accessed. In-network care coordinated through the member's PCP has the lowest out-of-pocket cost. Include referral documentation when billing at the in-network benefit level.

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.

About Anthem Blue Cross and Blue Shield of Wisconsin

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