Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Enrollment required |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
00361 - Payer ID
10325 - Payer ID
12B61 - Payer ID
23045 - Payer ID
23045MA - Payer ID
24705 - Payer ID
7705 - Payer ID
CBC01 - Payer ID
PABLC - Payer ID
PACAPB - Also listed as Capital Blue Cross Pennsylvania
- Also listed as Capital Blue Cross of Pennsylvania - Medicare Advantage
Coverage states
Pennsylvania.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes days
Plan your billing workflow
- Complete payer enrollment before sending eligibility, claim-status, 837P, 837I, or ERA transactions through your clearinghouse.
- Use the available COB 271 workflow for coordination checks, even before enrollment for the other supported transactions.
- Do not submit dental claims or attachments electronically through this connection; use the payer's accepted alternative process.
- If ERA is not available in your workflow, plan manual remittance posting and payment reconciliation; EFT is not supported.
- Keep enrollment confirmation and test results with billing records before switching production workflows.
Common questions
Can this payer verify eligibility electronically?
Yes, eligibility and benefits use the 270/271 transaction, but this capability is available only after the practice completes payer enrollment.
Can I send professional and institutional claims electronically?
Yes. Professional claims use 837P and institutional claims use 837I, with both transactions supported after payer enrollment.
Does this payer support electronic remittance and EFT?
ERA 835 is supported after payer enrollment. EFT and combined ERA plus EFT are not supported.
Can I send dental claims or attachments electronically?
No. Dental claims through 837D and attachments through 275 are not available electronically through this payer connection.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
See a demo