PUM

BCBS Prefix PUM

Blue Cross Blue Shield of South Carolina

South Carolina • Traditional Indemnity, Medicare Advantage, High-Deductible Health Plan (HDHP)

Billing essentials

Provider phone
(800) 731-2300
Electronic payer ID
00980
Claims mailing address
P.O. Box 100300, Columbia, SC 29202
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 731-2300

Coverage under prefix PUM

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.

Medicare Advantage

Medicare Advantage (MA) coverage means this member receives their Medicare benefits through a private BCBS plan rather than through original Medicare. MA plans may have different payer IDs and claims addresses than the commercial plan. Check with the payer to confirm the correct submission details for Medicare Advantage claims.

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.

About Blue Cross Blue Shield of South Carolina

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