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Electronic Options

Blue Cross Blue Shield of Arizona (BCBSAZ) encourages the use of electronic transactions in the standard HIPAA 5010 format. Electronic transactions and EFT/ERA delivery are reliable means of managing claims and being reimbursed quickly. However, if you experience something out of the ordinary or have any questions or concerns (e.g. funds or remits not received within four business days), please contact eSolutions at (602) 864-4844 or for prompt attention and resolution.
Female doctor on computer

Electronic Transactions

Arizona Blue Direct Connect (ABDC) allows you to connect directly to BCBSAZ to exchange electronic healthcare data. Transactions supported by BCBSAZ:

  • 837 Institutional Healthcare Claim
      Transfer and exchange healthcare claim billing and encounter information - Institutional claims
  • 837 Professional Healthcare Claim
      Transfer and exchange healthcare claim billing and encounter information - Professional claims
  • 837 Dental Healthcare Claim
      Transfer and exchange healthcare claim billing and encounter information - Dental claims
  • 835 Health Care Electronic Remittance
      Exchange of healthcare claim payment information through an electronic remittance advice (ERA)
  • 270/271 Healthcare Eligibility Benefit Inquiry and Response
      Transfer healthcare eligibility and benefit information
  • 275 Claim Attachments (Future)
      Additional information to support a health care claim or encounter
  • 276/277 Healthcare Claims Status and Response
      Exchange the subscriber’s and/or dependent’s healthcare claim status information
  • 278 Healthcare Services Request for Review and Response (Future)
      Transfer a subscriber’s and/or dependent’s healthcare referral, pre-certification and pre-authorization review, request, and response between providers and review entities
  • 834 Benefit Enrollment and Maintenance
      Request and receive information, and transfer subscriber and/or dependent enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer
  • 820 Healthcare Premium Payments (Future)
      Initiate group premium payment transactions with or without remittance detail
  • 999 Implementation Acknowledgement (not mandated)
      Provide the results of the compliancy status
  • TA1 Interchange Acknowledgement (not mandated)
      Batch or real-time transactions; sent for compliance failures at the X12 Interchange Envelope level
  • 277CA Claims acknowledgement (not mandated)
      Generated for all claim files received; additional information: HIPAA Technical Report Type 3 (TR3): 5010 - Healthcare Claim Acknowledgment 277CA
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    Stethoscope and keyboard

    Getting Started with Electronic Transactions

    • Review the Companion Guide to understand BCBSAZ specific requirements and available methods of connecting directly to us.
    • How do you want to connect to BCBSAZ?
      • Arizona Blue Direct Connect (ABDC) allows you to connect directly from your system to BCBSAZ
        • If connecting directly, contact us and our dedicated team of account reps will support you throughout the process.
    • Third Party Clearinghouse
      • If connecting directly through the ABDC does not fit the needs of your organization, you can still conduct electronic business through a third party clearinghouse.
      • To better serve you, BCBSAZ exchanges transactions with multiple national clearinghouses conducting business in Arizona.
      • Here's a list of clearinghouses that are already connected to BCBSAZ. Contact your clearinghouse vendor to get started.
      • Third Party Clearinghouse

    Questions or Assistance?

    BCBSAZ eSolutions
    Mon - Fri, 8 a.m. - 4:30 p.m. MST
    (602) 864-4844, or
    (800) 650-5656 in Arizona, or
    (800) 232-2345 ext. 4844 from outside Arizona