N4A

BCBS Prefix N4A

Blue Cross and Blue Shield of Illinois

Illinois • EPO, Medicaid, HMO

Billing essentials

Provider phone
(877) 860-2837
Electronic payer ID
00621
Claims mailing address
P.O. Box 650712 Dallas, TX 75265-0712
Timely filing limit
180 daysCompare all plans
Prior authorization phone
(800) 654-7385

Coverage under prefix N4A

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.

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.

HMO

This is a Health Maintenance Organization (HMO) prefix. HMO plans have stricter routing requirements than PPO plans. Members select a PCP who manages their care and issues referrals. Claims for specialist services should include the referral number. Out-of-network claims will typically be denied unless emergency criteria are met.

About Blue Cross and Blue Shield of Illinois

State's only statewide customer-owned health insurer and independent licensee of the Blue Cross Blue Shield Association. Serves Illinois with commercial, Medicare, Medicaid and other plans.