XDV

BCBS Prefix XDV

Anthem Blue Cross Blue Shield of Ohio

Ohio • POS, Medicaid, PPO

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 XDV

POS

POS coverage under this prefix operates on a tiered system. Tier 1 (in-network with referral) provides the highest coverage. Tier 2 (in-network without referral) provides moderate coverage. Tier 3 (out-of-network) provides the lowest coverage. Verify which tier applies before submitting the claim.

Medicaid

Medicaid coverage under this prefix means the member's Medicaid benefits are administered by a BCBS managed care plan. Medicaid managed care claims may have different submission requirements, payer IDs, and timely filing deadlines than commercial claims. Verify the specific Medicaid plan details with the payer.

PPO

PPO (Preferred Provider Organization) plans allow members to visit any healthcare provider without a referral. In-network providers cost less, but out-of-network care is still covered at a reduced rate. When billing for a PPO plan, submit claims directly to the payer listed above. No referral documentation is needed.

About Anthem Blue Cross Blue Shield of Ohio

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