SMN

BCBS Prefix SMN

Empire Blue Cross Blue Shield

New York • High-Deductible Health Plan (HDHP), Traditional Indemnity, 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 SMN

HDHP

This is a High-Deductible Health Plan (HDHP) prefix. These plans have minimum deductible thresholds set by the IRS. Members often use HSA funds to cover out-of-pocket costs. The plan's claims processing and payer ID are the same as the standard plan, but expect higher patient responsibility amounts on remittance.

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.

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 Empire Blue Cross Blue Shield

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