Stethoscope and keyboard

Getting Started with Electronic Transactions

We offer the following two options for submitting HIPAA transactions (we currently do not have a data entry system to submit claims directly from our secure provider portal):

  1. Arizona Blue Direct Connect (ABDC) Clearinghouse
    This option allows you to connect directly from your system to send all claims to BCBSAZ. To get started, contact BCBSAZ Integrated Customer Solutions (ICS) at ICS@azblue.com

  2. Third party clearinghouse.
    This option allows you to use one of several national clearinghouses conducting business in Arizona. See the list of clearinghouses already connected to BCBSAZ and contact your clearinghouse to get started.

For specific requirements and available methods of connecting to BCBSAZ, see our HIPAA Transaction Standard – BCBSAZ Companion Guide.

Female doctor on computer

Electronic Transactions Supported by BCBSAZ

  • 837 Institutional Healthcare Claim
      Transfer and exchange healthcare claim billing and encounter information - Institutional claims
  • 837 Professional Healthcare Claim
      Transfer and exchange healthcare claim billing and encounter information - Professional claims
  • 837 Dental Healthcare Claim
      Transfer and exchange healthcare claim billing and encounter information - Dental claims
  • 835 Health Care Electronic Remittance
      Exchange of healthcare claim payment information through an electronic remittance advice (ERA)
  • 270/271 Healthcare Eligibility Benefit Inquiry and Response
      Transfer healthcare eligibility and benefit information
  • 275 Claim Attachments (Future)
      Additional information to support a health care claim or encounter
  • 276/277 Healthcare Claims Status and Response
      Exchange the subscriber’s and/or dependent’s healthcare claim status information
  • 278 Healthcare Services Request for Review and Response (Future)
      Transfer a subscriber’s and/or dependent’s healthcare referral, pre-certification and pre-authorization review, request, and response between providers and review entities
  • 834 Benefit Enrollment and Maintenance
      Request and receive information, and transfer subscriber and/or dependent enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer
  • 820 Healthcare Premium Payments (Future)
      Initiate group premium payment transactions with or without remittance detail
  • 999 Implementation Acknowledgement (not mandated)
      Provide the results of the compliancy status
  • TA1 Interchange Acknowledgement (not mandated)
      Batch or real-time transactions; sent for compliance failures at the X12 Interchange Envelope level
  • 277CA Claims acknowledgement (not mandated)
      Generated for all claim files received; additional information: HIPAA Technical Report Type 3 (TR3): 5010 - Healthcare Claim Acknowledgment 277CA
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