Clearinghouse Services

Clearinghouse Submissions

Various healthcare transactions can be submitted electronically to our Clearinghouse. We do not charge a fee for electronic transactions. However, the Trading Partner is responsible for its own expenses incurred through sending and/or receiving electronic communications. Providers can submit transactions directly to us or indirectly through a third-party clearinghouse.

• Indirect Submission
  Your transactions will be sent to us on your behalf by a clearinghouse.
  To Enroll: Contact the third-party clearinghouse.
  For More Information: To send us claim transactions, download the appropriate Business Rule Guides.
  
  
• Direct Submission
  Your transactions will be sent from your location directly to our Clearinghouse via your medical practice software.
  To Enroll: Complete two original copies of the Electronic Trading Partner Agreement and review the EDI Enrollment Instructions for submission requirements.
  For More Information: Review the following guides (where appropriate) for further clearinghouse rules and requirements for claims processing and submissions:
  • EDI Clearinghouse Services Guide
  • BCBSLA Companion Guides and Business Rules

Tools for Existing Direct Trading Partners

• Trading Partner Addendum allows you add additional transactions to your existing Submitter ID Number.
• Business Associate Profile allows you to add/link additional locations to your existing Submitter ID Number.

Contact Information

Phone: 225.291.4334
Fax: 225.298.2945
E-mail: edich@bcbsla.com