BCBS Prefix Lookup
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PDB

BCBS Prefix PDB

Blue Cross Blue Shield of Texas

Texas • Medicare Advantage, EPO, Traditional Indemnity

Billing essentials

Provider phone
(800) 451-0287
Electronic payer ID
00246
Claims mailing address
P.O. Box 660044, Dallas, TX 75266-0044
Timely filing limit
180 daysCompare all plans
Prior authorization phone
(800) 451-0287
Provider website
https://www.bcbstx.com/provider/

Coverage under prefix PDB

Medicare Advantage

Medicare Advantage coverage under this prefix means the plan administers Medicare Part A and Part B benefits on behalf of CMS. These claims may have different processing rules than commercial claims, including different prior authorization requirements and appeal timelines. CMS timely filing rules (365 days) typically apply.

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 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 Blue Cross Blue Shield of Texas

Independent licensee providing commercial, Medicare and Medicaid plans to Texas members.

Other prefixes for Blue Cross Blue Shield of Texas

A2A
EPO, POS, Medicaid
A2B
PPO, Medicare Advantage, Traditional Indemnity
A2D
Traditional Indemnity, POS, Medicare Advantage
A2E
Medicaid, PPO, High-Deductible Health Plan (HDHP)
A2F
HMO, Traditional Indemnity, Medicare Advantage
A2H
Medicaid, HMO, PPO
A2Y
Medicare Advantage, PPO, HMO
A3K
HMO, Medicare Advantage, EPO
A3T
HMO, Medicare Advantage, POS
A3Y
Medicaid, Medicare Advantage, HMO
A8R
EPO, PPO, High-Deductible Health Plan (HDHP)
A9X
HMO, Traditional Indemnity, PPO
ACN
PPO, HMO, Medicare, Medicaid
AEA
PPO, HMO, POS, Medicare
AER
PPO, HMO, POS, Medicare
AEU
PPO, HMO, POS, Medicare
AEV
PPO, HMO, POS, Medicare
AEX
PPO, HMO, POS, Medicare
AFI
PPO, HMO, POS, Medicare
AFJ
PPO, HMO, POS, Medicare
AHP
PPO, HMO, EPO, Medicare Advantage
AIA
PPO, HMO, EPO, Medicare Advantage
AJL
PPO, HMO, EPO, Medicare Advantage
ALE
PPO, HMO, EPO, Medicare Advantage
ALT
PPO, HMO, EPO, Medicare Advantage
AMR
PPO, HMO, EPO, Medicare Advantage
AOI
PPO, HMO, EPO, Medicare Advantage
ARB
ARS
ARU

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