L4X

BCBS Prefix L4X

Anthem Blue Cross and Blue Shield of Wisconsin

Wisconsin • Traditional Indemnity, High-Deductible Health Plan (HDHP), PPO

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 L4X

Traditional Indemnity

Under this indemnity prefix, the member has fee-for-service coverage. There is no provider network, no referral requirement, and no primary care physician gatekeeper. Claims are processed based on the plan's fee schedule. While less common than managed care plans, indemnity coverage is still offered by some BCBS companies.

HDHP

HDHP coverage under this prefix means the member carries a higher annual deductible in exchange for lower monthly premiums. Claims are processed normally but the member's cost-sharing will be higher than standard plans until the deductible is met. Preventive services are typically the exception and are covered at no cost to the member.

PPO

This prefix is associated with a PPO plan. Preferred Provider Organization coverage gives members flexibility to see specialists without referrals and to use out-of-network providers at higher cost-sharing. Claims can be submitted for both in-network and out-of-network services, though reimbursement rates differ.

About Anthem Blue Cross and Blue Shield of Wisconsin

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