PPC

BCBS Prefix PPC

Anthem Blue Cross Blue Shield of Virginia

Virginia • HMO, High-Deductible Health Plan (HDHP), Traditional Indemnity

Billing essentials

Provider phone
(800) 676-2583
Electronic payer ID
00840
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 676-2583

Coverage under prefix PPC

HMO

This prefix is linked to an HMO plan. Health Maintenance Organization coverage requires members to use in-network providers and coordinate care through a designated primary care physician. Referrals are typically required for specialist visits. Claims submitted without proper referral documentation may be denied.

HDHP

HDHP coverage under this prefix means the member carries a higher annual deductible in exchange for lower monthly premiums. Claims are processed normally but the member's cost-sharing will be higher than standard plans until the deductible is met. Preventive services are typically the exception and are covered at no cost to the member.

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 Blue Shield of Virginia

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