VXH

BCBS Prefix VXH

Anthem Blue Cross and Blue Shield Missouri

Missouri • Traditional Indemnity, Medicare Advantage, HMO

Billing essentials

Provider phone
(866) 321-6080
Electronic payer ID
00240
Claims mailing address
P.O. Box 61010, Virginia Beach, VA 23466
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(866) 321-6080

Coverage under prefix VXH

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.

Medicare Advantage

Medicare Advantage coverage under this prefix means the plan administers Medicare Part A and Part B benefits on behalf of CMS. These claims may have different processing rules than commercial claims, including different prior authorization requirements and appeal timelines. CMS timely filing rules (365 days) typically apply.

HMO

HMO coverage means this member must use providers within the plan's network. A primary care physician serves as the care coordinator and must authorize specialist referrals. Emergency services are the primary exception to the network requirement. Always verify referral status before providing non-emergency specialty care.

About Anthem Blue Cross and Blue Shield Missouri

Independent licensee providing commercial, Medicare and Medicaid plans in Missouri.