T4A

BCBS Prefix T4A

Empire Blue Cross Blue Shield

New York • Traditional Indemnity, HDHP, Medicare Advantage

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 T4A

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.

HDHP

HDHP (High-Deductible Health Plan) coverage means the member has a higher deductible than traditional plans, often paired with a Health Savings Account (HSA). Most services require the member to pay out-of-pocket until the deductible is met. Preventive care is typically covered before the deductible. Submit claims normally to the payer listed above.

Medicare Advantage

This prefix is associated with Medicare Advantage. MA plans combine hospital (Part A) and medical (Part B) coverage, and many include prescription drug coverage (Part D). When billing, confirm whether the plan uses the same payer ID for MA claims as for commercial claims, as many BCBS companies use separate IDs.

About Empire Blue Cross Blue Shield

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