CommercialApril 1, 2024
Findlay Management group plan
Anthem Blue Cross and Blue Shield (Anthem) would like to remind care providers that our Findlay account members will present with ID cards with an alpha prefix YFW or YFY:
- The YFW alpha prefix for Findlay will access the PPO network for Anthem.
- The YFY alpha prefix for Findlay will access the Open Access HMO network for Anthem:
- Unlike a traditional HMO, the Open Access HMO for Anthem allows members to obtain care from specialists without a referral from their primary care provider (PCP).
- When checking eligibility and benefits within the Availity Essentials platform*, these members will show:
- Insurance type: Point of Service (POS).
- Plan/product: NEVADA BLUE ADVANTAGE POS
*Note: The alpha prefix YFY is used for both the Open Access HMO and HMO Guided Access. Plans with the YFY alpha prefix that are not from Findlay are subject to referral requirements.
Findlay account members do not require a referral to obtain care.
Below are images of the front and back of the member ID card that a Findlay account member may present.
If you have questions, contact Provider Services using the number on the back of the member’s ID card.
*Availity, LLC is an independent company providing administrative support services on behalf of the health plan.
Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
NVBCBS-CM-036507-23, NVBCBS-CM-052560-24
PUBLICATIONS: April 2024 Provider Newsletter
To view this article online:
Visit https://providernews.anthem.com/nevada/articles/findlay-management-group-plan-18532-18532
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