Blue Cross Blue Shield (State Plans)
Also covers / subsidiaries: BCBS, Blue Card, Highmark, Horizon, Florida Blue, BCBS of Michigan, Carefirst, Regence
Core Payer & Clearinghouse Profile
Electronic Payer ID
WC734
Each independent BCBS plan has its own payer ID; out-of-area claims route via BlueCard to the local plan.
Timely Filing Limit (TFL)
Varies by plan — commonly 90, 180, or 365 days from the date of service
Appeal Window
Varies by plan
Clearinghouse Gateway
Availity (most plans)
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.availity.com
36 independent, locally-operated BCBS companies. Use the alpha-prefix on the member ID to identify the home plan; submit to the patient's local Blue plan via BlueCard.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Blue Cross Blue Shield (State Plans).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Blue Cross Blue Shield (State Plans).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Blue Cross | WC734 | Non-Par | None | Workers Comp |
| Blue Cross Blue Shield Of Michigan | BBMDQ | Par | None | 835 ERADental |
Resolution Tools for Blue Cross Blue Shield (State Plans) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims. Last verified 2026-06-24.
Tired of Chasing Blue Cross Blue Shield (State Plans) Denials & Delayed Payments?
Aethera's billing specialists work Blue Cross Blue Shield (State Plans) every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.