ICX

BCBS Prefix ICX

Anthem Blue Cross and Blue Shield of Wisconsin

Wisconsin • Traditional Indemnity, HMO, Medicare Advantage

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 ICX

Traditional Indemnity

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

HMO

HMO (Health Maintenance Organization) plans require members to choose a primary care physician (PCP) and obtain referrals before seeing specialists. Out-of-network services are generally not covered except in emergencies. Claims must be submitted to the payer listed above and should include referral authorization when applicable.

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.

About Anthem Blue Cross and Blue Shield of Wisconsin

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