BCBS Prefix Lookup
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LEY

BCBS Prefix LEY

Blue Cross and Blue Shield of North Carolina

North Carolina • EPO, HMO, Traditional Indemnity

Billing essentials

Provider phone
(800) 214-4844
Electronic payer ID
SB865
Claims mailing address
P.O. Box 35, Durham, NC 27702
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 214-4844
Provider website
https://www.bluecrossnc.com/providers

Coverage under prefix LEY

EPO

Under this EPO prefix, the member has no out-of-network coverage for routine care. However, unlike HMO plans, no referral is needed to see a specialist within the network. When billing, confirm the provider's network participation status with the plan before submitting the claim.

HMO

Under this HMO prefix, the member's coverage is limited to the plan's provider network. Care is coordinated through a primary care physician. Specialist visits require a referral from the PCP. When billing, confirm that the referring provider and the referral authorization number are included on the claim.

Traditional Indemnity

This is a traditional indemnity prefix. Unlike managed care plans (HMO, PPO, EPO), indemnity plans do not use provider networks. There are no referral requirements and no restrictions on which providers the member can see. Submit claims to the payer listed above for reimbursement at the plan's allowed rate.

About Blue Cross and Blue Shield of North Carolina

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

Other prefixes for Blue Cross and Blue Shield of North Carolina

ABP
PPO, HMO, Medicare
AEB
PPO, HMO, Medicare
AFW
PPO, HMO, Medicare
AHG
PPO, HMO, EPO, Medicare Advantage
AHK
PPO, HMO, EPO, Medicare Advantage
AMO
PPO, HMO, EPO, Medicare Advantage
AMX
PPO, HMO, EPO, Medicare Advantage
AOX
PPO, HMO, EPO, Medicare Advantage
ASE
AYZ
HMO, PPO, Medicare Advantage, Medicaid
AZA
HMO, PPO, Medicare Advantage, Medicaid
BFP
EPO, POS, Medicare Advantage
BII
Medicare Advantage, PPO, HMO
BMC
EPO, HDHP, Medicare Advantage
BQO
Medicaid Managed Care, EPO, HMO
BTB
PPO, Medicare Advantage, HMO
BUU
Medicare Advantage, PPO, EPO
BVR
POS, PPO, Medicaid Managed Care
BZP
PPO, EPO, Medicaid Managed Care
BZZ
HMO, PPO, Medicaid Managed Care
CFG
HMO, PPO, EPO, POS, Catastrophic, Medicare Advantage
CGQ
HMO, PPO, EPO, POS, Catastrophic, Medicare Advantage
CHS
HMO, PPO, EPO, POS, Short-Term, Vision
CHX
HMO, PPO, EPO, HDHP, Catastrophic, Vision
CID
HMO, PPO, EPO, HDHP, Catastrophic, Prescription Drug
CJH
HMO, PPO, EPO, POS, Short-Term, Prescription Drug
CKD
HMO, PPO, EPO, HDHP, Catastrophic, Dental, Vision
CLN
HMO, PPO, EPO, HDHP, Catastrophic, Vision, Prescription Drug
CPF
PPO
CRF
HMO

Look up another BCBS prefix · All prefixes for Blue Cross and Blue Shield of North Carolina

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