R4A

BCBS Prefix R4A

Highmark Blue Shield

Pennsylvania • HMO, Traditional Indemnity, PPO

Billing essentials

Provider phone
(866) 763-3224
Electronic payer ID
00423
Claims mailing address
P.O. Box 890089, Camp Hill, PA 17089-0089
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(866) 763-3224

Coverage under prefix R4A

HMO

Under this HMO prefix, the member's coverage is limited to the plan's provider network. Care is coordinated through a primary care physician. Specialist visits require a referral from the PCP. When billing, confirm that the referring provider and the referral authorization number are included on the claim.

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.

PPO

This is a Preferred Provider Organization (PPO) prefix. PPO plans are the most common BCBS plan type. Members have the freedom to self-refer to specialists. Claims for in-network services are typically processed faster and reimbursed at higher rates than out-of-network claims.

About Highmark Blue Shield

Highmark Inc. providing commercial, Medicare and Medicaid plans in Pennsylvania.