Georgia Blue Cross Blue Shield (Anthem Central)

Please follow the Enrollment Instructions below to become an electronic submitter to Georgia Blue Cross Blue Shield.

 

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed and returned to the BCBS office prior to initiation of electronic claims submission or inquiry.

1. Trading Partner Agreement

2. Trading Partner EDI Registration Form

3. ERA 825 Registration Form

If the links above to not work properly, please click the link below and scroll to the bottom of the page:

http://www.bcbsga.com/wps...

If you have any questions regarding any of the documents in this package, please call the BCBS EDI Technology Support Center at 1-800-470-9630.

 

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.

 

Trading Partner Agreement

Please complete the Online Trading Partner Agreement with your information and press Submit. Please remember that you are the Trading Partner.
(You may leave the section for “Known Concentrators” blank.)

 

Trading Partner EDI Registration Form

Header

  • Please choose “New Submitter” for new applicants

  • Please select Physician/Provider. Billing Services select Billing Service

Section 1

  • Complete this section with your information

Section 2

  • Please select either In House if you create your own software, or Software/System Vendor if you have purchased software from a vendor

    • For Software Vendor name 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.

Section 3

  • Select Secure FTP as your Data Transmission Method

Section 4 

  • Select "Assign New"

  • Complete this section with your Facility or Provider Information

Section 5

  • Select your line of business, either 837P for Professional (CMS 1500) or 837I for Institutional (UB 04)

  • Select 835 Payment Advice if you want electronic explanation of benefits

 

835 Electronic Remittance Advice

After you have received your Anthem Submitter ID, please fill this form out if you would like to receive your EOBs electronically in SolAce

Payer

  • Select the Payer (Anthem)

Provider Information

  • Please enter your Business/ Practice or Provider Name

Provider Address

  • Enter your address, city, state, and zip

Provider Data

  • Enter your Tax ID

  • Enter your NPI

  • Enter your Trading Parnter ID (also called Submitter ID)

Provider Contact Information

  • Enter the main contact for your office

  • Make sure to fill out all fields in this section

Preferences

  • Choose either Tax ID or NPI

  • In the drop down, select "Direct Download Secure FTP"

Clearinghouse Information

  • Leave this section blank

Reason for Submission

  • If this is a new registration select New

Authorized Signature

  • Enter the name and title of the authorized individual submitting registration

Check the box then press Submit

 

Submitting your Forms

 

It is recommended that you keep a copy of all the forms you will be submitting for your records. Mail the enrollment forms reflecting original signatures to:

 

Blue Cross/Blue Shield of Georgia
EDI Services/G01407
3350 Peachtree Road
Atlanta, GA 30326
 

It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.

 

Waiting for a Response

 

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt. (Remember that mailing time can take as much as five days.)

After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Technology Support Center toll-free at 1-800-470-9630.

 

Testing

Once you have received your Submitter ID and password from BCBS, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission.

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.