ROM

BCBS Prefix ROM

Premera Blue Cross

Washington • Traditional Indemnity, Medicaid, PPO

Billing essentials

Provider phone
(877) 342-5258
Electronic payer ID
00851
Claims mailing address
P.O. Box 91059, Seattle, WA 98111-9159
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(877) 342-5258

Coverage under prefix ROM

Traditional Indemnity

Under this indemnity prefix, the member has fee-for-service coverage. There is no provider network, no referral requirement, and no primary care physician gatekeeper. Claims are processed based on the plan's fee schedule. While less common than managed care plans, indemnity coverage is still offered by some BCBS companies.

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.

PPO

Under this PPO prefix, members are covered for both in-network and out-of-network care. The plan pays a higher percentage of allowed charges when members use participating providers. No gatekeeper or primary care referral is required. Verify the member's specific benefits for cost-sharing details.

About Premera Blue Cross

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