BCBS Prefix Lookup
Home›Anthem Blue Cross Blue Shield of Virginia›SMF
SMF

BCBS Prefix SMF

Anthem Blue Cross Blue Shield of Virginia

Virginia • EPO, Traditional Indemnity, Medicare Advantage

Billing essentials

Provider phone
(800) 676-2583
Electronic payer ID
00840
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 676-2583
Provider website
https://providers.anthem.com/virginia-provider/

Coverage under prefix SMF

EPO

This is an Exclusive Provider Organization (EPO) prefix. EPO plans do not cover out-of-network care except in genuine emergencies. Members can see any in-network specialist without a referral from their primary care physician. Claims for out-of-network non-emergency services will be denied.

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.

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.

About Anthem Blue Cross Blue Shield of Virginia

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

Other prefixes for Anthem Blue Cross Blue Shield of Virginia

A6M
Medicaid, HMO, Medicare Advantage
A7Z
Traditional Indemnity, POS, EPO
A8M
EPO, HMO, High-Deductible Health Plan (HDHP)
A9O
Medicare Advantage, HMO, POS
A9T
Medicaid, Medicare Advantage, HMO
ABN
PPO, HMO, Medicare
ACJ
PPO, HMO, EPO, Medicare
ADT
PPO, HMO, Medicare
AEI
PPO, HMO, Medicare
AFA
PPO, HMO, Medicare
AFT
PPO, HMO, Medicare
AFU
PPO, HMO, Medicare
AGX
PPO, HMO, EPO, Medicare Advantage
AIO
PPO, HMO, EPO, Medicare Advantage
AMU
PPO, HMO, EPO, Medicare Advantage
ATM
HMO, PPO, Medicare Advantage, Medicaid
ATW
HMO, PPO, Medicare Advantage, Medicaid
AUE
HMO, PPO, Medicare Advantage, Medicaid
AVI
HMO, PPO, Medicare Advantage, Medicaid
AVO
HMO, PPO, Medicare Advantage, Medicaid
AXI
HMO, PPO, Medicare Advantage, Medicaid
AXZ
HMO, PPO, Medicare Advantage, Medicaid
B8B
EPO, HMO, Medicare Advantage
B9T
HMO, POS, PPO
BFJ
HMO, HDHP, Medicare Advantage
BGE
HMO, HDHP, Medicare Advantage
BGU
PPO, Medicaid Managed Care, EPO
BGW
HMO, PPO, Medicare Advantage
BJK
Medicaid Managed Care, POS, PPO
BLV
HMO, PPO, EPO

Look up another BCBS prefix · All prefixes for Anthem Blue Cross Blue Shield of Virginia

Report a problem