LUP

BCBS Prefix LUP

Capital Blue Cross

Pennsylvania • Medicaid, Medicare Advantage, Traditional Indemnity

Billing essentials

Provider phone
(717) 541-7000
Electronic payer ID
SB910
Claims mailing address
2500 Elmerton Ave, Harrisburg, PA 17177
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(717) 541-7000

Coverage under prefix LUP

Medicaid

Medicaid coverage under this prefix means the member's Medicaid benefits are administered by a BCBS managed care plan. Medicaid managed care claims may have different submission requirements, payer IDs, and timely filing deadlines than commercial claims. Verify the specific Medicaid plan details with the payer.

Medicare Advantage

Medicare Advantage (MA) coverage means this member receives their Medicare benefits through a private BCBS plan rather than through original Medicare. MA plans may have different payer IDs and claims addresses than the commercial plan. Check with the payer to confirm the correct submission details for Medicare Advantage claims.

Traditional Indemnity

Traditional indemnity coverage under this prefix is a fee-for-service plan. Members can see any provider without network restrictions or referral requirements. The plan reimburses a set percentage of usual and customary charges. Claims are submitted directly to the payer listed above.

About Capital Blue Cross

Independent licensee of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley.