Electronic data interchange
Healthy Blue transitioned into a strategic relationship with Availity to serve as our electronic data interchange (EDI) partner for all electronic data and transactions. Availity is an independent company that provides a secure portal on behalf of BlueChoice HealthPlan.
Providers, billing services and clearinghouses that are new to the EDI space can register to exchange 27x self-service and 837 claims electronic transactions with Healthy Blue in the Availity Portal .
If you are currently using a billing service or clearinghouse for your EDI transmissions, please work with them to ensure connectivity to the EDI gateway.
Your organization can submit and receive the following transactions through the EDI gateway:
- Institutional claims 837
- Professional claims 837
- Dental claims 835
- Electronic remittance advice (ERA) 276
- Claim status 277
- Claim status 270
- Eligibility request 271
- Eligibility request 278
- Precertification/prior authorization
Payer name and ID
Your payer name is Healthy Blue South Carolina, and the payer ID is 00403.
Electronic funds transfer
Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation.
As of November 1, 2021, use enrollsafe.payeehub.org to register and manage EFT account changes.
Electronic remittance advice (835)
The 835 eliminates the need for paper remittance reconciliation.
Use Availity to register and manage ERA account changes with these easy steps:
- Log in to Availity .
- Select My Providers > Enrollment Center > ERA Enrollment.
Note: If you use a clearinghouse or vendor, please work with them on ERA registration and receiving your ERAs.
If you have any questions, please contact Availity Client Services at 800-AVAILITY (800-282-4548) Monday–Friday 8 a.m.–7:30 p.m. ET.
Provider Tools & Resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview