Capital Blue Cross
Also covers / subsidiaries: Capital BlueCross, CapBlueCross
Core Payer & Clearinghouse Profile
Electronic Payer ID
23045
23045 is the commercial claims payer ID. 24705 appears on Availity for 835/ERA. Behavioral health often routes to Magellan (01260).
Timely Filing Limit (TFL)
Professional/ancillary: 180 days from DOS; facility: 12 months; Medicare Advantage: 365 days
Appeal Window
Reviews/appeals/disputes go to Capital Blue Cross, PO Box 779518, Harrisburg, PA 17177-9518 (fax 717-541-6915)
Clearinghouse Gateway
Availity (no longer accepts paper claims)
Provider Services
717-541-7200
Claims Fax
717-541-6915
Claims Address
Capital Blue Cross, PO Box 779518, Harrisburg, PA 17177-9518 (appeals/disputes; electronic required for claims)
Provider Portal
https://www.capbluecross.com/wps/portal/cap/provider/provider-hub
Central PA / Lehigh Valley. Provider automation line 800-874-8433.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Capital Blue Cross.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Capital Blue Cross.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Capital Bc And Capital Advantage Insurance (Caic) | 23045 | Non-Par | None | 837P |
| Capital Blue Cross | CBC01 | Par | None | Dental |
Resolution Tools for Capital Blue Cross 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.
Tired of Chasing Capital Blue Cross Denials & Delayed Payments?
Aethera's billing specialists work Capital Blue Cross every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.