R5Y

BCBS Prefix R5Y

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 R5Y

HDHP

Under this HDHP prefix, the member's plan has a higher deductible than traditional coverage. This affects patient cost-sharing but does not change how claims are submitted or processed. Use the same payer ID, claims address, and filing procedures listed above. Verify the member's remaining deductible before estimating patient responsibility.

Medicaid

Medicaid managed care under this BCBS prefix means the state has contracted with this plan to administer Medicaid benefits. Balance billing Medicaid members is prohibited. Timely filing requirements may follow state Medicaid rules rather than the plan's commercial deadlines. Contact the plan to confirm submission requirements.

Medicare Advantage

This prefix is associated with Medicare Advantage. MA plans combine hospital (Part A) and medical (Part B) coverage, and many include prescription drug coverage (Part D). When billing, confirm whether the plan uses the same payer ID for MA claims as for commercial claims, as many BCBS companies use separate IDs.

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.