Arizona Blue Cross Blue Shield
To enroll for electronic claim submission, please email the AZ Blue Cross Blue Shield (BCBS) Help desk at ICSPROSAnalyst@azblue.com. Let the BCBS help desk know that you will be using ClaimShuttle to submit AZ BCBS claims directly to BCBS. If asked about connectivity options, make sure to inform them you will be submitting claims using the BCBS Hosted SFTP connectivity method. They will then send you the required forms that you will need to complete.
The instructions for the two forms they will be sending you are below for your convenience.
Once you have received your AZ BCBS Submitter ID, please contact the ClaimShuttle Support Team to schedule a time to setup your new AZ BCBS Mailbox. You may need the following information regarding delimiters:
Segment Terminator: ~ (tilde)
Element Separator: * (asterisk)
Component (Sub element) Separator: : (colon)
Do not include a Carriage Return
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Health Care Provider HIPAA Customer Profile
HIPAA Transaction Setup
Place a check mark next to "835 Electronic Remittance Advice Transaction" to receive your EOB's electronically
Check the option for "837 Claims (Professional, Institutional)Transaction"
Place another check mark next to Version ACS X12N 5010
Select Professional or Institutional
Use the information provided above for the rest of this section
Enter your name as the Submitter/Receiver Name
Enter your demographic information
Enter your office contact information
Enter your Provider or Group NPI number
Fill in your Federal Tax ID and the TIN
Enter your Computers Operating System, (For ex: Windows 7, XP, etc...)
Fill in the Name of your Practice Management System and Version
For Electronic Claim Software please enter the information for the software or vendor that creates your 837 files you need ClaimShuttle to transfer for you. If you have paid for our SolAce billing software please call our support line for our SolAce software information.
Place a check mark next to "BCBCS Hosted SFTP"
On the Last Page, Enter any other Providers that will need to be associated with your Submitter ID
BCBSAZ Connectivity Option: BCBSAZ Hosted SFTP
Check Standard Transactions
Enter your Contact and Demographic information
Leave the Sender ID Blank
Enter your information under Primary Contact information
Skip the rest of the page
On Page 3, skip the first and second box, and go to "File Description"
Mark an "X" Next to:
Leave the rest of the form as is
Waiting for a Response
Once AZ BCBS processes your enrollment they will grant you your Submitter ID and Password. If you do not receive your Submitter ID, or have any problems with the enrollment process, please call BCBS Technology Support Center toll-free at 1-800-650-5656 for assistance. Once you have your Submitter ID and Password please call your ClaimShuttle Support Team for assistance with the Mailbox Setup and Test transmition.
Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.