Louisiana Blue Cross Blue Shield
Please follow the Enrollment Instructions below to become an electronic submitter for Blue Cross Blue Shield of Louisiana.
Required Documents for those applying for new Submitter IDs
The following documents are required enrollment documents that must be completed, signed and returned to the LA BCBS office prior to initiation of electronic claims submission or inquiry.
1. Electronic Trading Partner Agreement (you will need to complete 2 copies of this form in ink)
If the above link does not work properly, please go here to download the form:
http://www.bcbsla.com
If you have any questions regarding any of the documents in this package, please phone the LA BCBS EDI Technology Support Center at 1-225-291-4334 Option 2.
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Electronic Trading Partner Agreement
Please enter your Business/Practice or Provider name and today’s date in the first paragraph
Complete the Trading Partner column on Page 7.
Enter your address, phone and fax numbers, and the name of the main contact person for your office
Complete the EDI Transaction Addendum: Trading Partner Profile Section
Enter your name as the trading partner and complete your demographical information
Enter the BCBS Provider NPIs that you will be billing for
Under the Standard Transactions section select the following
Professional Claim (837 P) or Institutional Claim (837 I)
Pay/Remittance Advice (835) for electronic EOBs
For Communication Protocol , please select “Secure FTP”
Enter your Business/Practice or Provider name as the Trading Partner
Enter today’s date and your phone number
For Software Vendor enter the information for the software or vendor that creates your 837 files you need ClaimShuttle to transfer for you. If you have paid for our SolAce billing software please call our support line for our SolAce software information.
Complete page 9 only if you are a Billing Service
On page 9 enter the names of the providers you will be billing for , their Tax IDs, and NPI numbers.
Select 835 for Electronic Remittance Advice for each provider.
Complete the last box with your Trading Partner information
For Software Vendor enter the information for the software or vendor that creates your 837 files you need ClaimShuttle to transfer for you. If you have paid for our SolAce billing software please call our support line for our SolAce software information.
Submitting your Forms
It is recommended that you keep a copy of all the forms you will be submitting for your records.
After completing, return two completed and signed original agreements to:
Blue Cross and Blue Shield of LA
EDI Customer Operations
Attention Agreement Processing
P.O. Box 98029
Baton Rouge, LA 70898-9029
It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.
Waiting for a Response
Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt. (Remember that mailing time can take as much as five days.)
After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the LA BCBS EDI Technology Support Center at 1-225-291-4334 Option 2.
Testing
Once you have received your Submitter ID and Password from LA BCBS, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission to LA BCBS.
Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.