Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| 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
00190 - Payer ID
00690 - Payer ID
10095 - Payer ID
10270 - Payer ID
12011 - Payer ID
190 - Payer ID
2419 - Payer ID
580 - Payer ID
MDBCBS - Payer ID
MDBLS - Payer ID
SB690 - Payer ID
SB690MA - Also listed as Blue Cross Blue Shield of Maryland / Carefirst
- Also listed as CareFirst Blue Cross Blue Shield
- Also listed as CareFirst Blue Cross Blue Shield Maryland - Medicare Advantage
Coverage states
District of Columbia, Delaware, Florida, Maryland, North Carolina, Pennsylvania, Virginia, West Virginia.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow considerations
- Use 270/271 before visits and 271 for coordination-of-benefits inquiries; do not plan on electronic dental claims for dental services.
- Send medical claims as 837I or 837P, depending on facility or professional billing.
- Complete this payer's ERA enrollment before expecting 835 remittance files; until then, plan a separate payment-posting workflow.
- Use 276/277 to check claim status electronically after submission.
- Do not build workflows around EFT, combined ERA and EFT, or 275 attachments because these transactions are unavailable.
Common questions
Does this payer support electronic eligibility verification?
Yes. Use the 270/271 eligibility and benefits transaction, and use 271 for coordination-of-benefits inquiries.
Can I send professional and institutional claims electronically?
Yes. Professional claims use 837P, and institutional claims use 837I.
How do I receive an ERA from this payer?
ERA 835 is supported, but the practice must complete this payer's enrollment first. Do not expect electronic remittance files before enrollment is complete.
Does this payer support EFT or electronic attachments?
No. EFT, combined ERA and EFT, and attachments using 275 are not available for this payer.
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.
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