I3L

BCBS Prefix I3L

Capital Blue Cross

Pennsylvania • Medicare Advantage, HMO, Traditional Indemnity

Billing essentials

Provider phone
(717) 541-7000
Electronic payer ID
SB910
Claims mailing address
2500 Elmerton Ave, Harrisburg, PA 17177
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(717) 541-7000

Coverage under prefix I3L

Medicare Advantage

Medicare Advantage coverage under this prefix means the plan administers Medicare Part A and Part B benefits on behalf of CMS. These claims may have different processing rules than commercial claims, including different prior authorization requirements and appeal timelines. CMS timely filing rules (365 days) typically apply.

HMO

This is a Health Maintenance Organization (HMO) prefix. HMO plans have stricter routing requirements than PPO plans. Members select a PCP who manages their care and issues referrals. Claims for specialist services should include the referral number. Out-of-network claims will typically be denied unless emergency criteria are met.

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 Capital Blue Cross

Independent licensee of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley.