BCBS Prefix PDF

Ohio • EPO, Traditional Indemnity, POS

Billing reference for prefix PDF

Provider phone: (800) 282-1016
3 exceptions — check before you submit
Depends on the plan type
(844) 912-1226 — State & Federal Programs providers
Depends on the region
(833) 727-2170 — MyCare Ohio providers
Other departments
(866) 947-9398 — Provider Network Services for contracting, fee schedules, and demographic updates
Electronic payer ID: 00834
Verified Aug 2026 · source
3 exceptions — check before you submit
Depends on the plan type
00332 — commercial institutional claims (UB-04)
0002937 — Ohio Medicaid claims
Depends on the region
0022147 — Anthem MyCare Ohio
Claims mailing address: P.O. Box 105557, Atlanta, GA 30348-5557
Verified Aug 2026 · source
1 exception — check before you submit
Depends on the product
P.O. Box 105187, Atlanta, GA 30348-5187 — WGA Plans members (entertainment industry)
Timely filing limit: 90 daysCompare all plans
1 exception — check before you submit
Depends on the plan type
365 days — Anthem Blue Cross Blue Shield Medicaid Ohio - all providers
Prior authorization phone: (800) 282-1016
Provider website: https://providers.anthem.com/ohio-provider/

Billing Anthem Blue Cross Blue Shield of Ohio from outside Ohio?

Usually you do not send the claim to Anthem Blue Cross Blue Shield of Ohio. Under the BlueCard program, a provider treating a member from another Blue plan submits the claim to their own local Blue Cross Blue Shield plan, which then routes it to Anthem Blue Cross Blue Shield of Ohio for processing.

The payer ID and claims address above are for filing within Ohio. Filing from elsewhere, use your local plan's details instead.
Prior authorizationis generally handled by the member's home plan — so Anthem Blue Cross Blue Shield of Ohio, wherever you are.
Your timely filing limit is set by your own contract with your local Blue plan, not by the figure above. 365 days is customary but contracts vary.
To check eligibility and benefits for an out-of-area Blue member, call 1-800-676-BLUE (1-800-676-2583).

Arrangements vary by contract, and self-funded (ASO) accounts can differ — confirm with your local Blue plan before filing. See the BlueCard Program Provider Manual for the full rules.

Coverage under prefix PDF

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

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

POS

This prefix is linked to a POS plan. Point of Service coverage gives members a choice at the time of service: use the HMO-style in-network benefit with a referral for lower costs, or access out-of-network providers at reduced coverage levels. The billing approach depends on which option the member chooses.