T4V

BCBS Prefix T4V

Empire Blue Cross Blue Shield

New York • HDHP, Traditional Indemnity, POS

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 T4V

HDHP

Under this HDHP prefix, the member's plan has a higher deductible than traditional coverage. This affects patient cost-sharing but does not change how claims are submitted or processed. Use the same payer ID, claims address, and filing procedures listed above. Verify the member's remaining deductible before estimating patient responsibility.

Traditional Indemnity

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

POS

POS coverage under this prefix operates on a tiered system. Tier 1 (in-network with referral) provides the highest coverage. Tier 2 (in-network without referral) provides moderate coverage. Tier 3 (out-of-network) provides the lowest coverage. Verify which tier applies before submitting the claim.

About Empire Blue Cross Blue Shield

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