Florida Blue (Blue Cross and Blue Shield of Florida)
Also covers / subsidiaries: Florida Blue, BCBS of Florida, BCBSFL, Health Options Inc., GuideWell
Core Payer & Clearinghouse Profile
Electronic Payer ID
10031
00590 covers both 837P and 837I; BlueMedicare (MA), Florida Blue HMO/Health Options, and BlueCard out-of-state members may route to different IDs. Confirm against the member ID card.
Timely Filing Limit (TFL)
180 days from DOS (par); secondary 180 days from primary EOB; corrected 180 days
Appeal Window
Level 1 reconsideration 180 days; Level 2 formal 60 days; Level 3 external/IRO 120 days — verify against current provider manual
Clearinghouse Gateway
Availity (Florida Blue's EDI gateway)
Provider Services
800-727-2227
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Florida Blue, P.O. Box 1798, Jacksonville, FL 32231-0014
Provider Portal
https://www.floridablue.com/providers
Commercial BCBS affiliate for Florida (a GuideWell company); also operates Health Options Inc. (HMO). Claims address is product-specific — confirm on the member ID card. THIS IS FLORIDA'S BLUE PLAN.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Florida Blue (Blue Cross and Blue Shield of Florida).
Resolution Tools for Florida Blue (Blue Cross and Blue Shield of Florida) 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 Florida Blue (Blue Cross and Blue Shield of Florida) Denials & Delayed Payments?
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