Florida Blue Medicare

Summary

Florida Blue Medicare is a regional health plan, part of GuideWell, offering dental, medical, and vision coverage operating in Florida. Claims route under payer ID FBM01, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-90 days, with applications through Florida Blue Medicare 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 but activates instantly.

At a glance

Payer ID

FBM01Also seen as 5081, 9128

Also known as

Medicare Florida Blue

Uses CAQH

YesApplication route: CAQH application only

Service area

FL

Clearinghouse transaction setup

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

Common questions

What is the payer ID for Florida Blue Medicare?

The payer ID for Florida Blue Medicare is FBM01. Alternate IDs seen across clearinghouses include 5081, 9128.

How long does Florida Blue Medicare provider enrollment take?

Florida Blue Medicare provider enrollment typically takes 45-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Florida Blue Medicare require CAQH?

Yes. Florida Blue Medicare uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Florida Blue Medicare require ERA enrollment?

Yes. Florida Blue Medicare requires a separate ERA (835) enrollment before electronic remittances flow, and setup activates instantly.

What states does Florida Blue Medicare cover?

Florida Blue Medicare operates in FL. Coverage can differ by plan and product line, so confirm the specific plan before you file.