Q4N

BCBS Prefix Q4N

Anthem Blue Cross and Blue Shield of Georgia

Georgia • HMO, Medicare Advantage, Traditional Indemnity

Billing essentials

Provider phone
(800) 241-7475
Electronic payer ID
00601
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(844) 396-2330

Coverage under prefix Q4N

HMO

HMO coverage means this member must use providers within the plan's network. A primary care physician serves as the care coordinator and must authorize specialist referrals. Emergency services are the primary exception to the network requirement. Always verify referral status before providing non-emergency specialty care.

Medicare Advantage

Under this prefix, the member may have Medicare Advantage coverage administered by this BCBS plan. MA claims are subject to CMS regulations in addition to the plan's own policies. Balance billing restrictions apply. Verify the member's specific MA plan details and confirm the correct payer ID for electronic submission.

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 and Blue Shield of Georgia

Independent licensee of the Blue Cross Blue Shield Association providing commercial, Medicare, and Medicaid plans in Georgia.