Close Welcome! We've made a few changes to our site. We've refreshed the design and added great content to help you make smarter health care choices.

Electronic Options

Blue Cross Blue Shield of Arizona (BCBSAZ) encourages the use of electronic transactions in the standard HIPAA 5010 format. Below is an outline of the options available to exchange electronic healthcare data. If you have any questions regarding electronic transactions please contact eSolutions Technical Support at the phone number or email listed below.

null

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
  • 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
    Read More Show Less
    null

    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
    • Availity
      • Availity allows physicians and other health care professionals to streamline their billing process while reducing paperwork.
      • Availity support claims submissions with multiple payers via the internet and EDI to help streamline workflow, improve clean claim rates and improve turn-around time.
      • Availity is Free of charge to the provider
      • Go to Availity's website