UTQ

BCBS Prefix UTQ

Independence Blue Cross

Pennsylvania • EPO, POS, Medicare Advantage

Billing essentials

Provider phone
(800) 275-2583
Electronic payer ID
54704
Claims mailing address
P.O. Box 21974, Eagan, MN 55121
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 275-2583

Coverage under prefix UTQ

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.

POS

Under this POS prefix, the member can access care both in-network and out-of-network, with cost-sharing that varies based on how the care is accessed. In-network care coordinated through the member's PCP has the lowest out-of-pocket cost. Include referral documentation when billing at the in-network benefit level.

Medicare Advantage

Under this prefix, the member may have Medicare Advantage coverage administered by this BCBS plan. MA claims are subject to CMS regulations in addition to the plan's own policies. Balance billing restrictions apply. Verify the member's specific MA plan details and confirm the correct payer ID for electronic submission.

About Independence Blue Cross

Nonprofit health insurance company serving seven million members nationwide with strongest presence in Philadelphia area and Southeastern Pennsylvania. Member of the Blue Cross Blue Shield Association for over 85 years.