BCBS Prefix Lookup
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PBC

BCBS Prefix PBC

Anthem Blue Cross and Blue Shield Missouri

Missouri • Medicare Advantage, EPO, Traditional Indemnity

Billing essentials

Provider phone
(866) 321-6080
Electronic payer ID
00240
Claims mailing address
P.O. Box 61010, Virginia Beach, VA 23466
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(866) 321-6080
Provider website
https://www.anthem.com/mo

Coverage under prefix PBC

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.

EPO

EPO (Exclusive Provider Organization) plans require members to use in-network providers, similar to an HMO. The key difference is that referrals are usually not required to see a specialist. Out-of-network care is not covered except in emergency situations. Submit claims to the payer listed above.

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.

About Anthem Blue Cross and Blue Shield Missouri

Independent licensee providing commercial, Medicare and Medicaid plans in Missouri.

Other prefixes for Anthem Blue Cross and Blue Shield Missouri

ADB
PPO, HMO, Medicare
ADG
PPO, HMO, Medicare
ADN
PPO, HMO, Medicare
ANW
PPO, HMO, EPO, Medicare Advantage
AOC
PPO, HMO, EPO, Medicare Advantage
AOT
PPO, HMO, EPO, Medicare Advantage
ARJ
ARW
ATN
HMO, PPO, Medicare Advantage, Medicaid
B7Z
Medicare Advantage, High-Deductible Health Plan (HDHP), Medicaid
B8C
High-Deductible Health Plan (HDHP), Traditional Indemnity, POS
B8D
Medicaid, PPO, EPO
BAK
EPO, POS, Medicaid Managed Care
BAU
PPO, EPO, Medicaid Managed Care
BGG
EPO, HMO, Medicare Advantage
BIR
Medicaid Managed Care, POS, EPO
BKO
Medicaid Managed Care, EPO, HMO
BMJ
HMO, HDHP, POS
BNX
EPO, HDHP, Medicare Advantage
BOY
Medicare Advantage, PPO, HMO
BQP
POS, HDHP, Medicaid Managed Care
BUE
HMO, HDHP, POS
BXA
Medicaid Managed Care, HDHP, POS
C5T
POS, EPO, High-Deductible Health Plan (HDHP)
C8C
High-Deductible Health Plan (HDHP), PPO, Traditional Indemnity
C8D
Medicaid, EPO, HMO
CGH
HMO, PPO, EPO, POS, Catastrophic, Medicare Advantage
CGS
HMO, PPO, EPO, POS, Catastrophic, Medicare Advantage
CGX
HMO, PPO, EPO, POS, Catastrophic, Medicare Advantage
CIX
HMO, PPO, EPO, HDHP, Vision, Mental Health

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PBC BCBS Prefix | Anthem Blue Cross and Blue Shield Missouri (Missouri) | BCBS Prefix Lookup