W7R

BCBS Prefix W7R

Anthem Blue Cross Blue Shield of Ohio

Ohio • Traditional Indemnity, Medicare Advantage, Medicaid

Billing essentials

Provider phone
(800) 282-1016
Electronic payer ID
00870
Claims mailing address
P.O. Box 105557, Atlanta, GA 30348-5557
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 282-1016

Coverage under prefix W7R

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.

Medicaid

Under this prefix, the member may have Medicaid coverage managed by this BCBS plan. Medicaid claims have specific rules around cost-sharing, balance billing, and timely filing that override the plan's standard commercial policies. Contact the plan's Medicaid provider services line for submission details.

About Anthem Blue Cross Blue Shield of Ohio

Independent licensee providing commercial, Medicare and Medicaid plans to Ohio members.