PCP

BCBS Prefix PCP

Anthem Blue Cross Blue Shield of Colorado

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

Billing essentials

Provider phone
(800) 676-2583
Electronic payer ID
00050
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(844) 396-2330

Coverage under prefix PCP

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.

POS

POS coverage under this prefix operates on a tiered system. Tier 1 (in-network with referral) provides the highest coverage. Tier 2 (in-network without referral) provides moderate coverage. Tier 3 (out-of-network) provides the lowest coverage. Verify which tier applies before submitting the claim.

HDHP

This is a High-Deductible Health Plan (HDHP) prefix. These plans have minimum deductible thresholds set by the IRS. Members often use HSA funds to cover out-of-pocket costs. The plan's claims processing and payer ID are the same as the standard plan, but expect higher patient responsibility amounts on remittance.

About Anthem Blue Cross Blue Shield of Colorado

Independent licensee of the Blue Cross Blue Shield Association serving more than 1.5 million Coloradans with commercial, Medicare, and Medicaid plans. Operates in all Colorado counties.