RVT

BCBS Prefix RVT

Empire Blue Cross Blue Shield

New York • High-Deductible Health Plan (HDHP), EPO, PPO

Billing essentials

Provider phone
(800) 397-1630
Electronic payer ID
00803
Claims mailing address
P.O. Box 1407, Church Street Station, New York, NY 10008
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 397-1630

Coverage under prefix RVT

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.

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.

PPO

PPO (Preferred Provider Organization) plans allow members to visit any healthcare provider without a referral. In-network providers cost less, but out-of-network care is still covered at a reduced rate. When billing for a PPO plan, submit claims directly to the payer listed above. No referral documentation is needed.

About Empire Blue Cross Blue Shield

Part of the Blue Cross Blue Shield Association, serving New York members with commercial, Medicare and Medicaid plans.