ONC

BCBS Prefix ONC

Anthem Blue Cross and Blue Shield of Indiana

Indiana • EPO, Traditional Indemnity, Medicare Advantage

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 ONC

EPO

Under this EPO prefix, the member has no out-of-network coverage for routine care. However, unlike HMO plans, no referral is needed to see a specialist within the network. When billing, confirm the provider's network participation status with the plan before submitting the claim.

Traditional Indemnity

This is a traditional indemnity prefix. Unlike managed care plans (HMO, PPO, EPO), indemnity plans do not use provider networks. There are no referral requirements and no restrictions on which providers the member can see. Submit claims to the payer listed above for reimbursement at the plan's allowed rate.

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

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.