BCBS Prefix Lookup
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R4P

BCBS Prefix R4P

Blue Cross and Blue Shield of Illinois

Illinois • Medicare Advantage, EPO, Traditional Indemnity

Billing essentials

Provider phone
(877) 860-2837
Electronic payer ID
00621
Claims mailing address
P.O. Box 650712 Dallas, TX 75265-0712
Timely filing limit
180 daysCompare all plans
Prior authorization phone
(800) 654-7385
Provider website
https://www.bcbsil.com/provider

Coverage under prefix R4P

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.

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.

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 Blue Cross and Blue Shield of Illinois

State's only statewide customer-owned health insurer and independent licensee of the Blue Cross Blue Shield Association. Serves Illinois with commercial, Medicare, Medicaid and other plans.

Other prefixes for Blue Cross and Blue Shield of Illinois

A2C
High-Deductible Health Plan (HDHP), HMO, EPO
A2G
EPO, High-Deductible Health Plan (HDHP), POS
A2J
High-Deductible Health Plan (HDHP), POS, HMO
A3G
High-Deductible Health Plan (HDHP), PPO, POS
A3J
POS, PPO, Medicaid
A3N
Medicare Advantage, HMO, Traditional Indemnity
A4D
EPO, PPO, Medicaid
A4J
Medicaid, POS, PPO
A4P
PPO, Traditional Indemnity, Medicaid
A6D
HMO, Medicare Advantage, POS
A6F
Medicaid, High-Deductible Health Plan (HDHP), Medicare Advantage
A7G
POS, HMO, High-Deductible Health Plan (HDHP)
A7K
Medicaid, EPO, PPO
A7M
HMO, Traditional Indemnity, Medicaid
A8B
PPO, Traditional Indemnity, Medicaid
A8C
EPO, High-Deductible Health Plan (HDHP), POS
A8T
Medicaid, HMO, PPO
A9E
POS, PPO, Medicaid
A9V
PPO, EPO, Medicaid
AAC
PPO, HMO, Medicare Advantage, Medicaid
ABA
PPO, HMO, Medicare
ABB
PPO, HMO, Medicare
ABG
PPO, HMO, Medicare
ABL
PPO, HMO, Medicare
ACT
PPO, HMO, EPO, Medicare
ACX
PPO, HMO, EPO, Medicare
ADC
PPO, HMO, Medicare, Medicaid
ADE
PPO, HMO, Medicare, Medicaid
ADM
PPO, HMO, Medicare, Medicaid
ADV
PPO, HMO, Medicare, Medicaid

Look up another BCBS prefix · All prefixes for Blue Cross and Blue Shield of Illinois

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