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Florida Blue Medicare Advantage

Medicare AdvantageNon-ParticipatingEDI Enrollment Required

Also covers / subsidiaries: Florida Blue, BlueMedicare, Florida Blue Medicare

Core Payer & Clearinghouse Profile

Electronic Payer ID

00772

Florida Blue is the BCBS licensee for FLORIDA; Medicare Advantage (BlueMedicare) payer ID is plan/product specific. Confirm via the member's ID prefix.

Timely Filing Limit (TFL)

Per provider contract; verify against your contract and the member's plan

Appeal Window

Medicare Advantage appeals follow CMS Part C rules (commonly 60 days from the denial/organization determination)

Clearinghouse Gateway

Availity

Provider Services

800-727-2227

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Varies — confirm via portal / clearinghouse

Provider Portal

https://www.floridablue.com/providers

Florida Blue offers BlueMedicare Advantage products statewide — directly relevant to Florida practices.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Florida Blue Medicare Advantage.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Florida Blue Medicare Advantage.

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Blue Medicare Advantage00772Non-ParRequired
837P837I835 ERA
EdicJ1289Non-ParNone
Workers Comp
EdicWB021Non-ParNone
Workers Comp
Medica10125Non-ParNone
837P837I270/271276/277Dental
Medica94265Non-ParRequired
837P837I835 ERA
Medicare00431Non-ParNone
837P837I270/271Dental

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 Florida Blue Medicare Advantage Denials & Delayed Payments?

Aethera's billing specialists work Florida Blue Medicare Advantage every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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