JNA

BCBS Prefix JNA

Blue Cross Blue Shield of Texas

Texas • Medicare Advantage, Traditional Indemnity, POS

Billing essentials

Provider phone
(800) 451-0287
Electronic payer ID
00246
Claims mailing address
P.O. Box 660044, Dallas, TX 75266-0044
Timely filing limit
180 daysCompare all plans
Prior authorization phone
(800) 451-0287

Coverage under prefix JNA

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.

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.

POS

POS coverage under this prefix operates on a tiered system. Tier 1 (in-network with referral) provides the highest coverage. Tier 2 (in-network without referral) provides moderate coverage. Tier 3 (out-of-network) provides the lowest coverage. Verify which tier applies before submitting the claim.

About Blue Cross Blue Shield of Texas

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