VFS

BCBS Prefix VFS

Blue Cross and Blue Shield of Massachusetts

Massachusetts • Medicare Advantage, EPO, Traditional Indemnity

Billing essentials

Provider phone
(800) 443-6657
Electronic payer ID
00200
Claims mailing address
P.O. Box 986030, Boston MA 02298
Timely filing limit
180 daysCompare all plans
Prior authorization phone
(800) 443-6657

Coverage under prefix VFS

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.

EPO

Under this EPO prefix, the member has no out-of-network coverage for routine care. However, unlike HMO plans, no referral is needed to see a specialist within the network. When billing, confirm the provider's network participation status with the plan before submitting the claim.

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.

About Blue Cross and Blue Shield of Massachusetts

Independent licensee serving Massachusetts members with commercial, Medicare and Medicaid plans.