BCBS Prefix Lookup
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R4X

BCBS Prefix R4X

Anthem Blue Cross and Blue Shield of Indiana

Indiana • EPO, Medicare Advantage, Traditional Indemnity

Billing essentials

Provider phone
(866) 408-6132
Electronic payer ID
00630
Claims mailing address
P.O. Box 61010, Virginia Beach, VA 23466
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 457-4584
Provider website
https://www.anthem.com/in

Coverage under prefix R4X

EPO

This prefix is associated with an EPO plan. Exclusive Provider Organization coverage combines elements of HMO and PPO plans: members must stay in-network like an HMO, but can self-refer to specialists like a PPO. Out-of-network services are not covered except for emergencies.

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 Indiana

Independent licensee of the Blue Cross Blue Shield Association providing commercial, Medicaid and other health plans in Indiana.

Other prefixes for Anthem Blue Cross and Blue Shield of Indiana

A7L
Medicare Advantage, POS, High-Deductible Health Plan (HDHP)
AAZ
PPO, HMO, Medicare Advantage
ADD
PPO, HMO, Medicare
AGD
PPO, HMO, Medicare Advantage
AHV
PPO, HMO, EPO, Medicare Advantage
AIY
PPO, HMO, EPO, Medicare Advantage
AJO
PPO, HMO, EPO, Medicare Advantage
AJS
PPO, HMO, EPO, Medicare Advantage
ALI
PPO, HMO, EPO, Medicare Advantage
AMD
PPO, HMO, EPO, Medicare Advantage
APN
PPO, HMO, EPO, Medicare Advantage
ASO
AXE
HMO, PPO, Medicare Advantage, Medicaid
B9Y
Medicare Advantage, HMO, POS
BDJ
EPO, POS, Medicaid Managed Care
BFX
HDHP, POS, Medicaid Managed Care
BPL
Medicare Advantage, PPO, HMO
BRL
Medicare Advantage, PPO, HMO
BRT
HDHP, POS, Medicaid Managed Care
BYB
PPO, Medicare Advantage, HMO
BYK
POS, HDHP, Medicaid Managed Care
BYP
PPO, EPO, Medicaid Managed Care
BYZ
HMO, PPO, Medicaid Managed Care
C3J
POS, PPO, High-Deductible Health Plan (HDHP)
C5G
Traditional Indemnity, EPO, POS
C5H
PPO, Medicaid, HMO
C5J
High-deductible health Plan (HDHP), Medicare Advantage, Traditional Indemnity
C6K
HMO, Traditional Indemnity, PPO
C6Z
HMO, PPO, High-Deductible Health Plan (HDHP)
CDJ
HMO, PPO, EPO, POS, HDHP

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