BCBS Prefix Lookup
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X7B

BCBS Prefix X7B

Anthem Blue Cross and Blue Shield of Connecticut

Connecticut • PPO, Medicare Advantage, EPO

Billing essentials

Provider phone
(800) 922-3242
Electronic payer ID
00060
Claims mailing address
P.O. Box 533, North Haven, CT 06473-0533
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 922-3242
Provider website
https://www.anthem.com/ct

Coverage under prefix X7B

PPO

This is a Preferred Provider Organization (PPO) prefix. PPO plans are the most common BCBS plan type. Members have the freedom to self-refer to specialists. Claims for in-network services are typically processed faster and reimbursed at higher rates than out-of-network claims.

Medicare Advantage

This prefix includes Medicare Advantage coverage. MA plans follow CMS guidelines for timely filing (365 days from date of service), which may differ from the commercial plan's deadline. The payer ID for Medicare Advantage claims may differ from the standard commercial payer ID. Verify before submitting.

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 Connecticut

Independent licensee of the Blue Cross Blue Shield Association serving Connecticut members with commercial, Medicare, and Medicaid plans.

Other prefixes for Anthem Blue Cross and Blue Shield of Connecticut

A8I
Medicare Advantage, PPO, POS
A8O
Medicaid, PPO, EPO
A8Q
HMO, POS, Medicaid
A8S
Medicare Advantage, Traditional Indemnity, POS
A8U
High-Deductible Health Plan (HDHP), EPO, Traditional Indemnity
A8V
POS, Medicaid, Medicare Advantage
A8Y
Medicare Advantage, Medicaid, PPO
A8Z
HMO, High-Deductible Health Plan (HDHP), Traditional Indemnity
A9A
POS, EPO, Medicare Advantage
A9C
Medicaid, High-Deductible Health Plan (HDHP), POS
ALP
PPO, HMO, EPO, Medicare Advantage
ALR
PPO, HMO, EPO, Medicare Advantage
APG
PPO, HMO, EPO, Medicare Advantage
APH
PPO, HMO, EPO, Medicare Advantage
APQ
PPO, HMO, EPO, Medicare Advantage
APR
PPO, HMO, EPO, Medicare Advantage
ARY
ATJ
HMO, PPO, Medicare Advantage, Medicaid
ATK
HMO, PPO, Medicare Advantage, Medicaid
AVZ
HMO, PPO, Medicare Advantage, Medicaid
AWC
HMO, PPO, Medicare Advantage, Medicaid
AWE
HMO, PPO, Medicare Advantage, Medicaid
AWL
HMO, PPO, Medicare Advantage, Medicaid
AWT
HMO, PPO, Medicare Advantage, Medicaid
AWV
HMO, PPO, Medicare Advantage, Medicaid
AWY
HMO, PPO, Medicare Advantage, Medicaid
AZB
HMO, PPO, Medicare Advantage, Medicaid
AZJ
HMO, PPO, Medicare Advantage, Medicaid
AZL
HMO, PPO, Medicare Advantage, Medicaid
BAB
POS, HDHP, Medicare Advantage

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