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 HIPAA Transaction Standard – BCBSAZ 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
    eSolution@azblue.com
    (602) 864-4844, or
    (800) 650-5656 in Arizona, or
    (800) 232-2345 ext. 4844 from outside Arizona