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:
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
Please choose “New Submitter” for new applicants
Please select Physician/Provider. Billing Services select Billing Service
Complete this section with your information
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.
Select Secure FTP as your Data Transmission Method
Select "Assign New"
Complete this section with your Facility or Provider Information
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
Select the Payer (Anthem)
Please enter your Business/ Practice or Provider Name
Enter your address, city, state, and zip
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
Choose either Tax ID or NPI
In the drop down, select "Direct Download Secure FTP"
Leave this section blank
Reason for Submission
If this is a new registration select New
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
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.
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.