BCBS Prefix Lookup
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LEP

BCBS Prefix LEP

Blue Cross Blue Shield of Texas

Texas • Medicare Advantage, Traditional Indemnity, EPO

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
Provider website
https://www.bcbstx.com/provider/

Coverage under prefix LEP

Medicare Advantage

Under this prefix, the member may have Medicare Advantage coverage administered by this BCBS plan. MA claims are subject to CMS regulations in addition to the plan's own policies. Balance billing restrictions apply. Verify the member's specific MA plan details and confirm the correct payer ID for electronic submission.

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

This is an Exclusive Provider Organization (EPO) prefix. EPO plans do not cover out-of-network care except in genuine emergencies. Members can see any in-network specialist without a referral from their primary care physician. Claims for out-of-network non-emergency services will be denied.

About Blue Cross Blue Shield of Texas

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

Other prefixes for Blue Cross Blue Shield of Texas

A2A
EPO, POS, Medicaid
A2B
PPO, Medicare Advantage, Traditional Indemnity
A2D
Traditional Indemnity, POS, Medicare Advantage
A2E
Medicaid, PPO, High-Deductible Health Plan (HDHP)
A2F
HMO, Traditional Indemnity, Medicare Advantage
A2H
Medicaid, HMO, PPO
A2Y
Medicare Advantage, PPO, HMO
A3K
HMO, Medicare Advantage, EPO
A3T
HMO, Medicare Advantage, POS
A3Y
Medicaid, Medicare Advantage, HMO
A8R
EPO, PPO, High-Deductible Health Plan (HDHP)
A9X
HMO, Traditional Indemnity, PPO
ACN
PPO, HMO, Medicare, Medicaid
AEA
PPO, HMO, POS, Medicare
AER
PPO, HMO, POS, Medicare
AEU
PPO, HMO, POS, Medicare
AEV
PPO, HMO, POS, Medicare
AEX
PPO, HMO, POS, Medicare
AFI
PPO, HMO, POS, Medicare
AFJ
PPO, HMO, POS, Medicare
AHP
PPO, HMO, EPO, Medicare Advantage
AIA
PPO, HMO, EPO, Medicare Advantage
AJL
PPO, HMO, EPO, Medicare Advantage
ALE
PPO, HMO, EPO, Medicare Advantage
ALT
PPO, HMO, EPO, Medicare Advantage
AMR
PPO, HMO, EPO, Medicare Advantage
AOI
PPO, HMO, EPO, Medicare Advantage
ARB
ARS
ARU

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