ODM

BCBS Prefix ODM

Blue Cross Blue Shield of Arizona

Arizona • POS, High-Deductible Health Plan (HDHP), Traditional Indemnity

Billing essentials

Provider phone
(844) 995-2583
Electronic payer ID
53589
Claims mailing address
P.O. Box 2924, Phoenix, AZ 85062-2924
Timely filing limit
180 daysCompare all plans
Prior authorization phone
(602) 864-4320

Coverage under prefix ODM

POS

POS (Point of Service) plans combine features of HMO and PPO coverage. Members choose a primary care physician and can get referrals to see in-network specialists at lower cost, or self-refer to out-of-network providers at higher cost. Claims should include referral information when the member uses the in-network benefit level.

HDHP

This prefix is associated with a High-Deductible Health Plan. HDHP members pay more out-of-pocket before insurance coverage begins. These plans are commonly paired with HSA or HRA accounts. When billing, be aware that the member may have significant cost-sharing responsibility until their annual deductible is satisfied.

Traditional Indemnity

Traditional indemnity coverage under this prefix is a fee-for-service plan. Members can see any provider without network restrictions or referral requirements. The plan reimburses a set percentage of usual and customary charges. Claims are submitted directly to the payer listed above.

About Blue Cross Blue Shield of Arizona

Non-profit health insurance company and independent licensee of the Blue Cross Blue Shield Association serving more than 2 million members across Arizona with commercial, Medicaid, and Medicare plans.