KTR

BCBS Prefix KTR

Anthem Blue Cross Blue Shield of Virginia

Virginia • Medicare Advantage, Traditional Indemnity, EPO

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 KTR

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.

EPO

EPO coverage under this prefix means the member must use network providers but does not need referrals for specialist visits. This plan type is becoming more common as it offers lower premiums than PPO plans while providing more flexibility than HMOs. Verify network status before providing services.

About Anthem Blue Cross Blue Shield of Virginia

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