BlueCross BlueShield of South Carolina
Part of BlueCross BlueShield of SC
Summary
BlueCross BlueShield of South Carolina is a regional health plan, part of BlueCross BlueShield of SC, offering dental, medical, and vision coverage operating in South Carolina. Claims route under payer ID 00401, with 23 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BCBS SC 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 a few days.
At a glance
- Payer ID
00401Also seen as 100054, 10047, 12B55, 1559, 2410, 315 and 17 more- Also known as
- Blue Cross Blue Shield South Carolina, Blue Cross Blue Shield of South Carolina, BlueCross BlueShield State Employees Health Plan, BlueCross BlueShield of South Carolina - Medicare Advantage, Medicare Preferred Provider Organizations (PPO)
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- SC
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for BlueCross BlueShield of South Carolina?
- The payer ID for BlueCross BlueShield of South Carolina is 00401. Alternate IDs seen across clearinghouses include 100054, 10047, 12B55, 1559.
- How long does BlueCross BlueShield of South Carolina provider enrollment take?
- BlueCross BlueShield of South Carolina provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does BlueCross BlueShield of South Carolina require CAQH?
- Yes. BlueCross BlueShield of South Carolina uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does BlueCross BlueShield of South Carolina require ERA enrollment?
- Yes. BlueCross BlueShield of South Carolina requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does BlueCross BlueShield of South Carolina cover?
- BlueCross BlueShield of South Carolina operates in SC. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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.