R4I

BCBS Prefix R4I

Highmark Blue Cross Blue Shield

New York • Traditional Indemnity, POS, Medicaid

Billing essentials

Provider phone
(866) 763-3224
Electronic payer ID
03036
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 R4I

Traditional Indemnity

Under this indemnity prefix, the member has fee-for-service coverage. There is no provider network, no referral requirement, and no primary care physician gatekeeper. Claims are processed based on the plan's fee schedule. While less common than managed care plans, indemnity coverage is still offered by some BCBS companies.

POS

POS coverage under this prefix operates on a tiered system. Tier 1 (in-network with referral) provides the highest coverage. Tier 2 (in-network without referral) provides moderate coverage. Tier 3 (out-of-network) provides the lowest coverage. Verify which tier applies before submitting the claim.

Medicaid

Medicaid coverage under this prefix means the member's Medicaid benefits are administered by a BCBS managed care plan. Medicaid managed care claims may have different submission requirements, payer IDs, and timely filing deadlines than commercial claims. Verify the specific Medicaid plan details with the payer.

About Highmark Blue Cross Blue Shield

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