LPI

BCBS Prefix LPI

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

Coverage under prefix LPI

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

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

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.

About Blue Cross Blue Shield of Texas

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