R5Q

BCBS Prefix R5Q

Anthem Blue Cross and Blue Shield of Connecticut

Connecticut • HDHP, Medicaid, Medicare Advantage

Billing essentials

Provider phone
(800) 922-3242
Electronic payer ID
00060
Claims mailing address
P.O. Box 533, North Haven, CT 06473-0533
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 922-3242

Coverage under prefix R5Q

HDHP

This prefix is associated with a High-Deductible Health Plan. HDHP members pay more out-of-pocket before insurance coverage begins. These plans are commonly paired with HSA or HRA accounts. When billing, be aware that the member may have significant cost-sharing responsibility until their annual deductible is satisfied.

Medicaid

This prefix includes Medicaid managed care coverage. The BCBS plan administers Medicaid benefits on behalf of the state. Claims submission, prior authorization, and reimbursement rules may follow state Medicaid guidelines rather than the plan's standard commercial policies. Confirm the correct payer ID for Medicaid claims.

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

About Anthem Blue Cross and Blue Shield of Connecticut

Independent licensee of the Blue Cross Blue Shield Association serving Connecticut members with commercial, Medicare, and Medicaid plans.