Avalon Healthcare Solutions (Capital Blue Cross)
medical
Summary
Avalon Healthcare Solutions (Capital Blue Cross) is a medical payer. Claims route under payer ID AVA03, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
AVA03Also seen as 8199
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Avalon Healthcare Solutions (Capital Blue Cross)?
- The payer ID for Avalon Healthcare Solutions (Capital Blue Cross) is AVA03. Alternate IDs seen across clearinghouses include 8199.
- Does Avalon Healthcare Solutions (Capital Blue Cross) require ERA enrollment?
- Yes. Avalon Healthcare Solutions (Capital Blue Cross) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does Avalon Healthcare Solutions (Capital Blue Cross) offer?
- Avalon Healthcare Solutions (Capital Blue Cross) covers medical.
- Can I submit claims to Avalon Healthcare Solutions (Capital Blue Cross) electronically?
- Yes. Avalon Healthcare Solutions (Capital Blue Cross) is reachable through clearinghouses for professional claims and electronic remittance. Electronic claims are supported for professional (837P).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.