MTV

BCBS Prefix MTV

Anthem Blue Cross and Blue Shield of Indiana

Indiana • High-Deductible Health Plan (HDHP), EPO, Traditional Indemnity

Billing essentials

Provider phone
(866) 408-6132
Electronic payer ID
00630
Claims mailing address
P.O. Box 61010, Virginia Beach, VA 23466
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 457-4584

Coverage under prefix MTV

HDHP

This is a High-Deductible Health Plan (HDHP) prefix. These plans have minimum deductible thresholds set by the IRS. Members often use HSA funds to cover out-of-pocket costs. The plan's claims processing and payer ID are the same as the standard plan, but expect higher patient responsibility amounts on remittance.

EPO

This prefix is associated with an EPO plan. Exclusive Provider Organization coverage combines elements of HMO and PPO plans: members must stay in-network like an HMO, but can self-refer to specialists like a PPO. Out-of-network services are not covered except for emergencies.

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.

About Anthem Blue Cross and Blue Shield of Indiana

Independent licensee of the Blue Cross Blue Shield Association providing commercial, Medicaid and other health plans in Indiana.