BCBS Prefix Lookup
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R4K

BCBS Prefix R4K

Anthem Blue Cross and Blue Shield of Wisconsin

Wisconsin • EPO, HMO, Traditional Indemnity

Billing essentials

Provider phone
(855) 558-1443
Electronic payer ID
00246
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(855) 558-1443
Provider website
https://providers.anthem.com/wisconsin-provider/

Coverage under prefix R4K

EPO

Under this EPO prefix, the member has no out-of-network coverage for routine care. However, unlike HMO plans, no referral is needed to see a specialist within the network. When billing, confirm the provider's network participation status with the plan before submitting the claim.

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.

About Anthem Blue Cross and Blue Shield of Wisconsin

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

Other prefixes for Anthem Blue Cross and Blue Shield of Wisconsin

A9I
EPO, Medicare Advantage, Traditional Indemnity
AGY
PPO, HMO, EPO, Medicare Advantage
AHH
PPO, HMO, EPO, Medicare Advantage
AHT
PPO, HMO, EPO, Medicare Advantage
AIH
PPO, HMO, EPO, Medicare Advantage
AIL
PPO, HMO, EPO, Medicare Advantage
AMF
PPO, HMO, EPO, Medicare Advantage
AMV
PPO, HMO, EPO, Medicare Advantage
AMW
PPO, HMO, EPO, Medicare Advantage
AMZ
PPO, HMO, EPO, Medicare Advantage
ANB
PPO, HMO, EPO, Medicare Advantage
ANK
PPO, HMO, EPO, Medicare Advantage
ANX
PPO, HMO, EPO, Medicare Advantage
AQG
PPO, HMO, EPO, Medicare Advantage
ASQ
AUJ
HMO, PPO, Medicare Advantage, Medicaid
AUQ
HMO, PPO, Medicare Advantage, Medicaid
AUR
HMO, PPO, Medicare Advantage, Medicaid
AYU
HMO, PPO, Medicare Advantage, Medicaid
AYX
HMO, PPO, Medicare Advantage, Medicaid
BBV
EPO, POS, Medicare Advantage
BEL
EPO, HMO, Medicare Advantage
BGZ
Medicare Advantage, PPO, HMO
BJM
Medicare Advantage, PPO, EPO
BJY
POS, HDHP, Medicaid Managed Care
BKM
HDHP, Medicare Advantage, POS
BLL
Medicare Advantage, PPO, HMO
BLQ
HMO, HDHP, Medicare Advantage
BMA
HMO, PPO, EPO
BMH
HDHP, PPO, EPO

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