BENEFITS, ELIGIBILITY & CLAIMS
Availity
Availity is our secure provider portal, which makes it easy for you to do business with us. The system is online all the time, offering faster prior authorizations, claims decisions and more.
Sign on today to:
- Enroll a provider
- Check benefits, eligibility and coverage details
- Manage prior authorizations and review claims status
- View fee schedules and remittance advice
- Change a BlueCare Tennessee or CoverKids patient’s primary care provider
- Manage your contact preferences
- Review Quality program reports and attest to closing gaps in care
- File inquiries, reconsiderations and appeals
EFT & ERA ENROLLMENT
Change Healthcare’s Payer Enrollment Services
Change Healthcare’s Payer Enrollment Services portal simplifies and streamlines the EFT and ERA enrollment processes – helping to improve administrative efficiency and save time.
Visit Payer Enrollment Services Portal
CREDENTIALING
CAQH ProView
CAQH ProView is more than a credentialing database. CAQH ProView eliminates duplicative paperwork with organizations that require your professional and practice information for claims administration, credentialing, directory services, and more.
Visit CAQH Proview
ELECTRONIC DATA TRANSFER
Blue CORE
We offer Blue CORE, our CAQH-certified system, to providers who want enhanced levels of automation. Similar to Availity, it provides benefits, eligibility and claim status information.
Learn More
Register for a Medicaid ID
ONLINE SUPPORT
Get technical support from our eBusiness team
We’re here to help you manage our web-based tools and electronic processes that support your everyday business transactions.
Get help with:
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Electronic Funds Transfer (EFT/ERA)
When you enroll for a BlueCross network, you’re directed to the Change Healthcare Payer Enrollment Services portal to verify your data and apply for Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) capabilities.
If you have trouble using this tool, please feel free to contact our eBusiness technical support team at 1-800-924-7141 and follow the prompts to eBusiness support.
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Blue CORE Enrollment
We offer Blue CORE, our CAQH-certified system, to providers who work outside of Availity. Like Availity, you can use Blue CORE to access real-time eligibility, benefits and claim status information.
- Blue CORE 270 / 271 companion guide
- Blue CORE 276 / 277 companion guide
- Blue CORE 835 companion guide
Holiday Schedule
Please note that Blue CORE will not be available on the following holidays:
- New Year's Day
- Martin Luther King Jr. Day
- Memorial Day
- Juneteenth
- Independence Day
- Labor Day
- Thanksgiving
- Christmas
Regular Scheduled Maintenance
Blue CORE may not be available due to regular system maintenance during the following times:
- Every Tuesday from 7 to 10 p.m. ET
- Every Sunday
For more information about the CAQH CORE program, please visit the CAQH website.
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Electronic Data Interchange (EDI)
EDI Enrollment and Updates
If you need to enroll in electronic claims filing, add a provider to an existing electronic practice or make any changes to your electronic filing process you must complete an Electronic Provider Profile form. For questions, please call 1-800-924-7141 and follow the prompts to connect with eBusiness Enrollment.
If you’re a new Billing Agent, Clearinghouse or Vendor you must complete an Electronic Vendor Profile form.
If you’d like to make changes to your current electronic mailbox or add additional users to access your mailbox, you must complete a Secure File Gateway (SFG) Request for Access form.
Secure File Gateway
Secure File Gateway Scheduled Maintenance
- Every Thursday from 5 to 9 p.m. ET
EDI Front-end Edits
EDI Companion Guides
HIPAA ANSI X12 Information
EBUSINESS SUPPORT
Need additional assistance?
Call the eBusiness technical support team at 1-800-924-7141 or send an email to eBusiness_service@bcbst.com.
You can also contact us using the chat feature on Availity.
If you'd like to work directly with one of our regional representatives, click the button below.
FIND MY REPRESENTATIVE