S4D

BCBS Prefix S4D

Premera Blue Cross Blue Shield of Alaska

Alaska • Medicaid, PPO, Traditional Indemnity

Billing essentials

Provider phone
(800) 722-1471
Electronic payer ID
00430
Claims mailing address
P.O. Box 91059, Seattle, WA 98111
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 722-1471

Coverage under prefix S4D

Medicaid

Under this prefix, the member may have Medicaid coverage managed by this BCBS plan. Medicaid claims have specific rules around cost-sharing, balance billing, and timely filing that override the plan's standard commercial policies. Contact the plan's Medicaid provider services line for submission details.

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.

Traditional Indemnity

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

About Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross has operated in Alaska since 1957. Serves over 500,000 members. Part of the Blue Cross Blue Shield Association.