XVA

BCBS Prefix XVA

Anthem Blue Cross and Blue Shield of Maine

Maine • Traditional Indemnity, High-Deductible Health Plan (HDHP), EPO

Billing essentials

Provider phone
(800) 676-2583
Electronic payer ID
00070
Claims mailing address
P.O. Box 533, North Haven, CT 06473-4201
Timely filing limit
90 daysCompare all plans
Prior authorization phone
(800) 676-2583

Coverage under prefix XVA

Traditional Indemnity

Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.

HDHP

This is a High-Deductible Health Plan (HDHP) prefix. These plans have minimum deductible thresholds set by the IRS. Members often use HSA funds to cover out-of-pocket costs. The plan's claims processing and payer ID are the same as the standard plan, but expect higher patient responsibility amounts on remittance.

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 Maine

Independent licensee of the Blue Cross Blue Shield Association providing coverage in Maine.