SFX

BCBS Prefix SFX

Anthem Blue Cross and Blue Shield Missouri

Missouri • Medicaid, Medicare Advantage, Traditional Indemnity

Billing essentials

Provider phone
(866) 321-6080
Electronic payer ID
00240
Claims mailing address
P.O. Box 61010, Virginia Beach, VA 23466
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(866) 321-6080

Coverage under prefix SFX

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

Medicare Advantage coverage under this prefix means the plan administers Medicare Part A and Part B benefits on behalf of CMS. These claims may have different processing rules than commercial claims, including different prior authorization requirements and appeal timelines. CMS timely filing rules (365 days) typically apply.

Traditional Indemnity

This prefix includes traditional indemnity coverage. Indemnity plans are the oldest form of health insurance and offer maximum provider choice with no network restrictions. Members pay a percentage of charges after meeting their deductible. Reimbursement is based on reasonable and customary rates for the service area.

About Anthem Blue Cross and Blue Shield Missouri

Independent licensee providing commercial, Medicare and Medicaid plans in Missouri.