South Carolina Blue Cross Blue Shield

Please follow the Enrollment Instructions below to become an electronic submitter for South Carolina Blue Cross 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 SC BCBS office prior to initiation of electronic claims submission or inquiry.

1. Hospital & Healthcare Professional Trading Partner Agreement


2. EDIG Trading Partner Enrollment Form 

If the above links do not work properly, please download the forms from here:
https://www.hipaacriticalcenter.com/enrollmentandagreements/hospitalandphysiciantradingpartneragreement.aspx

3. Electronic Remittance Advice Enrollment Form (To be submitted once you have received a Submitter ID)  

If the link above does not work, download the form listed above by going to:
https://www.hipaacriticalcenter.com/835electronicremittanceadvice.aspx
 

4. SFTP/VPN Customer Connectivity Parameter Survey

 

If the link above does not work, download the form listed above by going to:

http://www.hipaacriticalcenter.com/resources/technicalinformation/whichconnectivitydoyouwant.aspx

 


If you have any questions regarding any of the documents in this package, please call the Technology Support Center at 1-800-868-2505 

 

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.

 

Hospital & Healthcare Professional Trading Partner Agreement

Header Section

  • Enter the current date

  • Enter your Business/Practice or Provider name as the “Trading Partner” and your facility's address

Section 9.1

  • Please complete the Trading Partner section with your Business or Provider information

    • Under Attn and Title, please fill in the information for the main contact person for your office.

Signature Section

  • Please complete the Trading Partner section with your Business or Provider information

    • Under Contact and Title, please fill in the information for the main contact person for your office.

BCBSSC EDIG Trading Partner Enrollment Form

Section 1

  • Enter the Current Date

  • For Action Requested select “New Trading Partner ID”

Section 2

  • Enter your Business/Practice or Provider name as the Trading Partner Name

  • New applicants may leave the Trading Partner ID blank

  • Enter your TAX ID number

  • For type of business select the following that applies to you

    • Institutional – If you are billing on UB04 Forms

    • Professional – If you are billing on CMS 1500 Forms

    • Billing Service – If you are a billing service billing for other providers

Section 3

  • For Line of Business please select BCBSSC Commercial

Section 4

  • Please enter the current date as the start date and leave the end date blank

Section 5

  • For Protocol please select Secure FTP

Section 6

  • For Service address please enter your Facility Address

Section 7

  • Please enter the name of the primary contact person for your office as the Primary Contact and Primary Technical Contact

Section 8

  • For Transactions Requested select the following that applies to your line of business:

    • ASC X12N 835 - for electronic remits

    • ASC X12N 837I – for institutional claims on a UB04

    • ASC X12N 837P – for professional claims on a CMS 1500

 

Please Note: AXIOM submitters do not have to complete the “SFTP/VPN Customer Parameter Survey”, however if still asked to do so, instructions are below...

SFTP/VPN Customer Connectivity Parameter Survey

  • Please enter your information in the following sections:

    • Business Contact Name, Phone, and Email

    • Technical Contact Name, Phone, and Email

    • Company Name, Phone, and Address

  • Please leave the VPN Section (left side of table) Blank

  • On the right hand side, the SFTP Section, please enter:

    • "Use Axiom's IP Address" for the Customer Static Public IP

    • For Customer FTP Client Software, please enter "Use Axiom's SSH Key"

ERA Enrollment Form (Submit AFTER you have been assigned a Trading parnter ID)

  • Complete the "Billing Provider" fields with your information

  • Enter your assigned Submitter ID in the Submitter ID Number box

  • Complete the table with your Billing Tax ID, NPI number and Faclity address

 

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 S.C.
Technology Support Center: EDI Enrollment
I-20 at Alpine Road, AX-156
Columbia, S.C. 29219

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 at 1-800-868-2505.

Testing

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

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.