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Blue Cross and Blue Shield of Vermont

Part of Blue Cross Blue Shield of VT

Regional plandentalmedicalvision
Typical enrollment turnaround
60-90 days

Summary

Blue Cross and Blue Shield of Vermont is a regional health plan, part of Blue Cross Blue Shield of VT, offering dental, medical, and vision coverage operating in Vermont. Claims route under payer ID BCBSVT, with 7 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BCBS VT Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
BCBSVTAlso seen as 10624, 12B32, 4967, 7493, SB915, VTBCBS and 1 more
Also known as
Blue Cross Blue Shield Vermont, Blue Cross Blue Shield of Vermont
Uses CAQH
YesApplication route: CAQH application only
Service area
VT

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Blue Cross and Blue Shield of Vermont?
The payer ID for Blue Cross and Blue Shield of Vermont is BCBSVT. Alternate IDs seen across clearinghouses include 10624, 12B32, 4967, 7493.
How long does Blue Cross and Blue Shield of Vermont provider enrollment take?
Blue Cross and Blue Shield of Vermont provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Blue Cross and Blue Shield of Vermont require CAQH?
Yes. Blue Cross and Blue Shield of Vermont uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Blue Cross and Blue Shield of Vermont require ERA enrollment?
Yes. Blue Cross and Blue Shield of Vermont requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Blue Cross and Blue Shield of Vermont cover?
Blue Cross and Blue Shield of Vermont operates in VT. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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.