LVI

BCBS Prefix LVI

Highmark Blue Cross Blue Shield of Western New York

New York • Traditional Indemnity, Medicare Advantage, EPO

Billing essentials

Provider phone
(800) 547-3627
Electronic payer ID
SB430
Claims mailing address
P.O. Box 15013, Albany, NY 12212
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 547-3627

Coverage under prefix LVI

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.

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.

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 Highmark Blue Cross Blue Shield of Western New York

Highmark Western and Northeastern New York Inc. providing commercial, Medicare and Medicaid plans in Western New York region.