BCBS Prefix Lookup
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NIP

BCBS Prefix NIP

Blue Shield of California

California • EPO, Traditional Indemnity, Medicaid

Billing essentials

Provider phone
(800) 468-9935
Electronic payer ID
94036
Claims mailing address
P.O. Box 272630, Chico, CA 95927-2630
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 541-6652
Provider website
https://www.blueshieldca.com/en/provider

Coverage under prefix NIP

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.

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.

Medicaid

Medicaid managed care under this BCBS prefix means the state has contracted with this plan to administer Medicaid benefits. Balance billing Medicaid members is prohibited. Timely filing requirements may follow state Medicaid rules rather than the plan's commercial deadlines. Contact the plan to confirm submission requirements.

About Blue Shield of California

Nonprofit health plan providing 6 million Californians with affordable healthcare coverage including HMO, PPO, dental, and vision plans for individuals, families, and employers.

Other prefixes for Blue Shield of California

AAH
PPO, HMO, EPO, Medicare Advantage
AAO
PPO, HMO, EPO, Medicare Advantage
ACC
PPO, HMO, EPO, Medicare
ACU
PPO, HMO, EPO, Medicare
AFE
PPO, HMO, EPO, Medicare
AGT
PPO, HMO, EPO, Medicare Advantage
AHF
PPO, HMO, EPO, Medicare Advantage
AJC
PPO, HMO, EPO, Medicare Advantage
AME
PPO, HMO, EPO, Medicare Advantage
AMP
PPO, HMO, EPO, Medicare Advantage
ANL
PPO, HMO, EPO, Medicare Advantage
ANM
PPO, HMO, EPO, Medicare Advantage
ANS
PPO, HMO, EPO, Medicare Advantage
APX
PPO, HMO, EPO, Medicare Advantage
AQS
ARF
ARM
ATQ
HMO, PPO, Medicare Advantage, EPO
AUS
HMO, PPO, Medicare Advantage, EPO
AVK
HMO, PPO, Medicare Advantage, EPO
AVQ
HMO, PPO, Medicare Advantage, EPO
AXO
HMO, PPO, Medicare Advantage, EPO
AYB
HMO, PPO, Medicare Advantage, EPO
AYY
HMO, PPO, Medicare Advantage, EPO
AZO
HMO, PPO, Medicare Advantage, Medicaid
AZS
HMO, PPO, Medicare Advantage, Medicaid
AZT
HMO, PPO, Medicare Advantage, Medicaid
AZY
HMO, PPO, Medicare Advantage, Medicaid
BCV
HMO, HDHP, Medicare Advantage
BEQ
HMO, PPO, Medicaid Managed Care

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