Healthy Blue Missouri

Summary

Healthy Blue Missouri is a Medicaid managed care organization, part of Elevance Health, offering dental, medical, and vision coverage operating in 16 states. Claims route under payer ID 541, with 6 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through Anthem 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 but activates instantly.

At a glance

Payer ID

541Also seen as 00541, 10702, 5019, 8867, HBLUMO, MOSCA

Also known as

Missouri Care

Uses CAQH

YesApplication route: Payer portal application

Service area

16 states

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 Healthy Blue Missouri?

The payer ID for Healthy Blue Missouri is 541. Alternate IDs seen across clearinghouses include 00541, 10702, 5019, 8867.

How long does Healthy Blue Missouri provider enrollment take?

Healthy Blue Missouri provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Healthy Blue Missouri require CAQH?

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

Does Healthy Blue Missouri require ERA enrollment?

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

What states does Healthy Blue Missouri cover?

Healthy Blue Missouri operates in 16 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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