VJE

BCBS Prefix VJE

Anthem Blue Cross and Blue Shield of Georgia

Georgia • Traditional Indemnity, Medicare Advantage, EPO

Billing essentials

Provider phone
(800) 241-7475
Electronic payer ID
00601
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(844) 396-2330

Coverage under prefix VJE

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.

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.

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.

About Anthem Blue Cross and Blue Shield of Georgia

Independent licensee of the Blue Cross Blue Shield Association providing commercial, Medicare, and Medicaid plans in Georgia.