Electronic Options

Blue Cross Blue Shield of Arizona (BCBSAZ) requires providers to use electronic transactions in the standard HIPAA 5010 format. If you have questions or concerns (e.g. funds or remits not received within four business days), please contact BCBSAZ Integrated Customer Solutions at ICS@azblue.com.

  • We offer the following two options for submitting HIPAA transactions (we currently do not have a data entry system to submit claims directly from our secure provider portal):

    1. Arizona Blue Direct Connect (ABDC) Clearinghouse
      This option allows you to connect directly from your system to send all claims to BCBSAZ. To get started, contact BCBSAZ Integrated Customer Solutions (ICS) at ICS@azblue.com
    2. Third party clearinghouse.
      This option allows you to use one of several national clearinghouses conducting business in Arizona. See the list of clearinghouses already connected to BCBSAZ and contact your clearinghouse to get started.

    For specific requirements and available methods of connecting to BCBSAZ, see our HIPAA Transaction Standard – BCBSAZ Companion Guide.

    • 837 Institutional Healthcare Claim
    • Transfer and exchange healthcare claim billing and encounter information - Institutional claims

    • 837 Professional Healthcare Claim
    • Transfer and exchange healthcare claim billing and encounter information Professional claims

    • 837 Dental Healthcare Claim
    • Transfer and exchange healthcare claim billing and encounter information - Dental claims

    • 835 Health Care Electronic Remittance
    • Exchange of healthcare claim payment information through an electronic remittance advice (ERA)

    • 270/271 Healthcare Eligibility Benefit Inquiry and Response
    • Transfer healthcare eligibility and benefit information

    • 275 Claim Attachments (Future)
    • Additional information to support a health care claim or encounter

    • 276/277 Healthcare Claims Status and Response
    • Exchange the subscriber’s and/or dependent’s healthcare claim status information

    • 278 Healthcare Services Request for Review and Response (Future)
    • Transfer a subscriber’s and/or dependent’s healthcare referral, pre-certification and pre-authorization review, request, and response between providers and review entities

    • 834 Benefit Enrollment and Maintenance
    • Request and receive information, and transfer subscriber and/or dependent enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer

    • 820 Healthcare Premium Payments (Future)
    • Initiate group premium payment transactions with or without remittance detail

    • 999 Implementation Acknowledgement (not mandated)
    • Provide the results of the compliancy status

    • TA1 Interchange Acknowledgement (not mandated)
    • Batch or real-time transactions; sent for compliance failures at the X12 Interchange Envelope level

    • 277CA Claims acknowledgement (not mandated)
    • Generated for all claim files received; additional information: HIPAA Technical Report Type 3 (TR3): 5010 - Healthcare Claim Acknowledgment 277CA

  • EFT and ERA electronic transactions for payment and reconciliation are reliable means of managing claims and being reimbursed quickly.

    BCBSAZ requires contracted providers to be enrolled in EFT for reimbursement. We now use a secure digital EFT form that may only be accessed by someone with the “Financial Manager” user role. For more information, see the BCBSAZ requires contracted providers to be enrolled in EFT for reimbursement. We now use a secure digital EFT form that may only be accessed by someone with the “Financial Manager” user role. See below for more information.

    EFT Enrollment - Provider FAQs
    EFT Enrollment Instructions

    Please allow 30 calendar days for enrollment processing. If you have questions, contact our EFT team at EFT@azblue.com

  • Enroll now to receive electronic remittance advice (ERA) 835 transactions.

    ERA Enrollment Form
    ERA Enrollment Instructions

    Please allow 30 calendar days for enrollment processing. If you have questions, contact BCBSAZ Integrated Customer Solutions at ICS@azblue.com.