PGX

BCBS Prefix PGX

Blue Cross and Blue Shield of Alabama

Alabama • High-Deductible Health Plan (HDHP), Traditional Indemnity, Medicaid

Billing essentials

Provider phone
(205) 220-6899
Electronic payer ID
00510
Claims mailing address
450 Riverchase Parkway East, Birmingham, AL 35244-2858
Timely filing limit
730 daysCompare all plans
Prior authorization phone
(205) 988-2245

Coverage under prefix PGX

HDHP

Under this HDHP prefix, the member's plan has a higher deductible than traditional coverage. This affects patient cost-sharing but does not change how claims are submitted or processed. Use the same payer ID, claims address, and filing procedures listed above. Verify the member's remaining deductible before estimating patient responsibility.

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.

Medicaid

Under this prefix, the member may have Medicaid coverage managed by this BCBS plan. Medicaid claims have specific rules around cost-sharing, balance billing, and timely filing that override the plan's standard commercial policies. Contact the plan's Medicaid provider services line for submission details.

About Blue Cross and Blue Shield of Alabama

Nonprofit health insurance company providing coverage to over 3 million members in Alabama. Member of the Blue Cross Blue Shield Association since 1936.