Here you’ll find everything you need for submitting claims and receiving payment.
Resources
Electronic Funds Transfer (EFT) – Get details for enrollment and change requests
Electronic Transactions – View claim payer IDs, clearinghouses, 835 and HIPAA transactions
BlueCard Claims and Payment – Get Availity information for BlueCard
Explanation of Payment (EOP) Message Codes
Everything you need to know about your Explanation of Payment
Your Explanation of Payment (EOP) gives you information about the adjudication of your claims. Since EOP details vary by plan, we’re offering the grid below for clarification.
The grid tells you where to find your EOPs by plan, where the payment comes from, check digit details, and when the payments are available.
Provider remits in Availity
| |
PAYMENT COMES FROM: |
CHECK NUMBER DIGITS: |
PAYMENT RUN DATES: |
LOCATED WITHIN AVAILITY |
| Commercial |
Premera Blue Cross and Premera Blue Cross Blue Shield of Alaska
Electronic Funds Transfer (EFT) registration via Premera
|
Electronic: 16 digits, starts with the year, i.e., 2023XXXXXXXXXXXX
Hard copy
10 digits, starts with 002XXXXXXX
|
Saturday or last day of the month |
Yes |
| FEP |
Blue Cross Blue Shield Federal Employee Program
Electronic Funds Transfer (EFT) registration via Premera
|
Electronic:
10 digits, starts with 500XXXXXXX
Hard copy:
10 digits, starts with 400XXXXXXX
|
Tuesday |
Yes |
| LifeWise Assurance Company |
LifeWise Assurance Company (Premera affiliate)
Electronic Funds Transfer (EFT) registration via Premera
|
Electronic: 16 digits, starts with the year, i.e., 2023 XXXXXXXXXXXX
Hard copy:
10 digits, starts with 009XXXXXXX
|
Saturday or last day of the month |
Yes |
Provider remits not in Availity
| |
PAYMENT COMES FROM: |
CHECK NUMBER DIGITS: |
PAYMENT RUN DATES: |
LOCATED WITHIN AVAILITY |
Individual
Evolent |
Payment and EOPs via Evolent Eagan, MN
Electronic Funds Transfer (EFT) registration via InstaMed
|
Electronic:
8 digits
Hard copy:
8 digits
|
Monday, Tuesday, Thursday, and Friday (ad hoc check runs on Wednesday – no check runs on the last 3 days of the month) |
No – view Evolent secure provider portal. |
| Interest Payments |
Premera Blue Cross |
Hard copy ONLY: 9 digits,
- PBC starts with 01XXXXXXX
- PBCBSAK starts with 04XXXXXXX
- LWAC starts with 08XXXXXXX
PBC HMO starts with 09XXXXXXX
|
Checks issued to:
- Oregon providers: Saturday or last day of the month
All other providers: Monthly (if applicable) - usually occurs mid to late part of the month.
|
No |
Medicare Advantage
Advantasure |
Payment and EOPs via several sources that pay claims:
- Optum (behavioral health)
- Dominion
(dental)
- Optum Care Network (Polyclinic, The Everett Clinic, Western Washington Medical Group)
- Physicians of Southwest Washington
- Seoul Medical Group
- Non-delegated via Advantasure
Electronic Funds Transfer (EFT) registration via Premera
|
Electronic:
Advantasure only:
8 digits, starts with 5XXXXXXX
Hard copy:
8 digits, starts with 4XXXXXXX
[CXE]
Manual checks:
8 digits, starts with 2XXXXXXX
Important: We don’t have check information generated from delegates
|
Wednesday
Advantasure payments on Friday.
OCN pays twice a week, PSW pays every week, unknown for SMG. We get encounters from these entities weekly.
Note: Doesn’t include behavioral health and dental claims.
|
No – view Advantasure secure provider portal. |
| Shared Administration |
Premera Blue Cross
Checks and EOPs are only available via hard copy; no Electronic Funds Transfer (EFT) option available
|
Hard copy ONLY:
9 digits, starts with 20XXXXXXX |
Friday |
No |