BCBS Prefix Lookup
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WYE

BCBS Prefix WYE

Horizon Blue Cross and Blue Shield of New Jersey

New Jersey • Medicaid, EPO, Traditional Indemnity

Billing essentials

Provider phone
1-800-624-1110
Electronic payer ID
22099
Claims mailing address
P.O. Box 820, Newark, NJ 07101
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(201) 355-9800
Provider website
https://www.horizonblue.com

Coverage under prefix WYE

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.

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.

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 Horizon Blue Cross and Blue Shield of New Jersey

Largest health insurer in New Jersey serving over 3.8 million members with commercial, Medicare and Medicaid plans.

Other prefixes for Horizon Blue Cross and Blue Shield of New Jersey

A2Q
Medicare Advantage, PPO, High-Deductible Health Plan (HDHP)
A3Q
EPO, Medicare Advantage, High-Deductible Health Plan (HDHP)
A3Z
Traditional Indemnity, POS, High-Deductible Health Plan (HDHP)
A4K
Medicare Advantage, High-Deductible Health Plan (HDHP), EPO
A4Y
EPO, PPO, Medicare Advantage
A5W
PPO, Medicare Advantage, POS
A5Y
Traditional Indemnity, Medicaid, High-Deductible Health Plan (HDHP)
AEJ
PPO, HMO, Medicare
ASL
AWH
HMO, PPO, Medicare Advantage
B5H
POS, PPO, High-Deductible Health Plan (HDHP)
B5J
HMO, Medicaid, POS
B5T
Medicare Advantage, HMO, Medicaid
B5V
Traditional Indemnity, Medicaid, HMO
B7T
EPO, Medicaid, High-Deductible Health Plan (HDHP)
B7U
POS, Medicare Advantage, Traditional Indemnity
B7V
HMO, PPO, High-Deductible Health Plan (HDHP)
B7W
Medicaid, EPO, Medicare Advantage
B9R
PPO, Traditional Indemnity, High-Deductible Health Plan (HDHP)
BAX
EPO, HMO, Medicare Advantage
BBB
HMO, EPO, Medicare Advantage
BBX
Medicare Advantage, HDHP, POS
BDW
POS, PPO, Medicaid Managed Care
BEO
HDHP, PPO, Medicaid Managed Care
BEW
HDHP, POS, Medicaid Managed Care
BFV
POS, PPO, Medicaid Managed Care
BHY
POS, HDHP, Medicaid Managed Care
BIQ
HDHP, PPO, EPO
BIZ
Medicare Advantage, PPO, HMO
BJB
HMO, PPO, Medicaid Managed Care

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