M6K

BCBS Prefix M6K

Anthem Blue Cross Blue Shield of Virginia

Virginia • EPO, HMO, Traditional Indemnity

Billing essentials

Provider phone
(800) 676-2583
Electronic payer ID
00840
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 676-2583

Coverage under prefix M6K

EPO

EPO coverage under this prefix means the member must use network providers but does not need referrals for specialist visits. This plan type is becoming more common as it offers lower premiums than PPO plans while providing more flexibility than HMOs. Verify network status before providing services.

HMO

HMO coverage means this member must use providers within the plan's network. A primary care physician serves as the care coordinator and must authorize specialist referrals. Emergency services are the primary exception to the network requirement. Always verify referral status before providing non-emergency specialty care.

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.

About Anthem Blue Cross Blue Shield of Virginia

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