What is the payer ID for Healthy Blue South Carolina?

The payer ID for Healthy Blue South Carolina is 00403. Alternate IDs seen across clearinghouses include 10504, 14463, 2121, 5953.

How long does Healthy Blue South Carolina provider enrollment take?

Healthy Blue 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 Healthy Blue South Carolina require CAQH?

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

Does Healthy Blue South Carolina require ERA enrollment?

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

What states does Healthy Blue South Carolina cover?

Healthy Blue South Carolina operates in SC. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Healthy Blue South Carolina

Part of BlueCross BlueShield of SC

Regional plandentalmedicalvision

Typical enrollment turnaround

60-90 days

Summary

Healthy Blue 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 00403, with 7 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 but activates instantly.

At a glance

Payer ID: 00403Also seen as 10504, 14463, 2121, 5953, A0403, SB885 and 1 more
Also known as: BlueChoice HealthPlan Medicaid, BlueCross BlueShield of South Carolina
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	Instant

Common questions

What is the payer ID for Healthy Blue South Carolina?: The payer ID for Healthy Blue South Carolina is 00403. Alternate IDs seen across clearinghouses include 10504, 14463, 2121, 5953.
How long does Healthy Blue South Carolina provider enrollment take?: Healthy Blue 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 Healthy Blue South Carolina require CAQH?: Yes. Healthy Blue South Carolina uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Healthy Blue South Carolina require ERA enrollment?: Yes. Healthy Blue South Carolina requires a separate ERA (835) enrollment before electronic remittances flow, and setup activates instantly.
What states does Healthy Blue South Carolina cover?: Healthy Blue South Carolina operates in SC. 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.