OTV

BCBS Prefix OTV

Capital Blue Cross

Pennsylvania • Medicaid, EPO, Traditional Indemnity

Billing essentials

Provider phone
(717) 541-7000
Electronic payer ID
SB910
Claims mailing address
2500 Elmerton Ave, Harrisburg, PA 17177
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(717) 541-7000

Coverage under prefix OTV

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.

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

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 Capital Blue Cross

Independent licensee of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley.