L5D

BCBS Prefix L5D

Highmark Blue Cross Blue Shield

New York • PPO, EPO, Medicaid

Billing essentials

Provider phone
(866) 763-3224
Electronic payer ID
03036
Claims mailing address
P.O. Box 890089, Camp Hill, PA 17089-0089
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(866) 763-3224

Coverage under prefix L5D

PPO

PPO (Preferred Provider Organization) plans allow members to visit any healthcare provider without a referral. In-network providers cost less, but out-of-network care is still covered at a reduced rate. When billing for a PPO plan, submit claims directly to the payer listed above. No referral documentation is needed.

EPO

This prefix is associated with an EPO plan. Exclusive Provider Organization coverage combines elements of HMO and PPO plans: members must stay in-network like an HMO, but can self-refer to specialists like a PPO. Out-of-network services are not covered except for emergencies.

Medicaid

This prefix includes Medicaid managed care coverage. The BCBS plan administers Medicaid benefits on behalf of the state. Claims submission, prior authorization, and reimbursement rules may follow state Medicaid guidelines rather than the plan's standard commercial policies. Confirm the correct payer ID for Medicaid claims.

About Highmark Blue Cross Blue Shield

Highmark Inc. providing commercial, Medicare and Medicaid plans in Pennsylvania.