T4L

BCBS Prefix T4L

Empire Blue Cross Blue Shield

New York • Traditional Indemnity, HMO, 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 T4L

Traditional Indemnity

This is a traditional indemnity prefix. Unlike managed care plans (HMO, PPO, EPO), indemnity plans do not use provider networks. There are no referral requirements and no restrictions on which providers the member can see. Submit claims to the payer listed above for reimbursement at the plan's allowed rate.

HMO

This prefix is linked to an HMO plan. Health Maintenance Organization coverage requires members to use in-network providers and coordinate care through a designated primary care physician. Referrals are typically required for specialist visits. Claims submitted without proper referral documentation may be denied.

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

About Empire Blue Cross Blue Shield

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