Independence Blue Cross

Summary

Independence Blue Cross is a regional health plan, part of Independence Health Group, offering dental, medical, and vision coverage operating in Pennsylvania. Claims route under payer ID 54704, with 8 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-90 days, with applications through Independence Provider Portal / NaviNet, 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

54704Also seen as 100337, 10262, 2781, 3560, 54704MA, IBC01 and 2 more

Also known as

Independence Blue Cross - Medicare Advantage, Independence Blue Cross Dental Plan – Blueextrasm, Independence Blue Cross Pennsylvania, Independence Blue Cross Pennsylvania Personal Choice, Keystone Health Plan East

Uses CAQH

YesApplication route: CAQH application only

Service area

PA (Philadelphia region)

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 Independence Blue Cross?

The payer ID for Independence Blue Cross is 54704. Alternate IDs seen across clearinghouses include 100337, 10262, 2781, 3560.

How long does Independence Blue Cross provider enrollment take?

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

Does Independence Blue Cross require CAQH?

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

Does Independence Blue Cross require ERA enrollment?

Yes. Independence Blue Cross requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Independence Blue Cross cover?

Independence Blue Cross operates in PA (Philadelphia region). Coverage can differ by plan and product line, so confirm the specific plan before you file.

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