XDG

BCBS Prefix XDG

Independence Blue Cross

Pennsylvania • Traditional Indemnity, Medicaid, HMO

Billing essentials

Provider phone
(800) 275-2583
Electronic payer ID
54704
Claims mailing address
P.O. Box 21974, Eagan, MN 55121
Timely filing limit
365 daysCompare all plans
Prior authorization phone
(800) 275-2583

Coverage under prefix XDG

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.

Medicaid

This prefix includes Medicaid managed care coverage. The BCBS plan administers Medicaid benefits on behalf of the state. Claims submission, prior authorization, and reimbursement rules may follow state Medicaid guidelines rather than the plan's standard commercial policies. Confirm the correct payer ID for Medicaid claims.

HMO

This prefix is linked to an HMO plan. Health Maintenance Organization coverage requires members to use in-network providers and coordinate care through a designated primary care physician. Referrals are typically required for specialist visits. Claims submitted without proper referral documentation may be denied.

About Independence Blue Cross

Nonprofit health insurance company serving seven million members nationwide with strongest presence in Philadelphia area and Southeastern Pennsylvania. Member of the Blue Cross Blue Shield Association for over 85 years.