Triple-S Salud (Commercial and Medicaid)
dentalmedical
Summary
Triple-S Salud (Commercial and Medicaid) is a dental and medical payer operating in Puerto Rico. Claims route under payer ID BCPRC, with 9 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
BCPRCAlso seen as 10953, 12B48, 2756, 3543, 660650587, 973 and 3 more- Also known as
- Blue Cross Blue Shield Puerto Rico, BlueCross BlueShield of Puerto Rico, Triple-S Salud (Commercial and Medicaid) - Medicare Advantage
- Service area
- PR
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 |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Triple-S Salud (Commercial and Medicaid)?
- The payer ID for Triple-S Salud (Commercial and Medicaid) is BCPRC. Alternate IDs seen across clearinghouses include 10953, 12B48, 2756, 3543.
- Does Triple-S Salud (Commercial and Medicaid) require ERA enrollment?
- Yes. Triple-S Salud (Commercial and Medicaid) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Triple-S Salud (Commercial and Medicaid) cover?
- Triple-S Salud (Commercial and Medicaid) operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Triple-S Salud (Commercial and Medicaid) offer?
- Triple-S Salud (Commercial and Medicaid) covers dental and medical.
- Can I submit claims to Triple-S Salud (Commercial and Medicaid) electronically?
- Yes. Triple-S Salud (Commercial and Medicaid) is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
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.