Blue Review
A newsletter for physician, professional, facility, ancillary and Medicaid providers

August 2017

EFT and ERA Update for Non-contracted Blue Cross Medicare AdvantageSM Plan Providers

Effective July 24, 2017, if you are contracted with Blue Cross and Blue Shield of Texas (BCBSTX) and have enrolled to receive Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) files from BCBSTX, then you will begin receiving EFTs and ERAs for Blue Cross Medicare Advantage (PPO)SM and Blue Cross Medicare Advantage (HMO)SM member claims. This applies even if you are not participating in a Blue Cross Medicare Advantage provider network. Specifically, this information applies to claims submitted for any of the following BCBSTX government program members:

  • Blue Cross Medicare Advantage (PPO) (MA PPO)
  • Blue Cross Medicare Advantage (HMO) (MA HMO)

This notice provides an update to a March 2017 announcement that specified delivery of paper checks and provider claim summaries to non-contracted government program providers. Please continue watching the News and Updates section on BCBSTX’s provider website and the Blue Review newsletter for additional information.

EFT and ERA Enrollment
If you are not currently enrolled to receive EFT or ERA from BCBSTX, we encourage you to enroll online through the AvailityTM Web Portal, which also permits users to make any necessary set-up changes online, at no cost. To learn more about EFT and ERA enrollment, visit the EFT/ERA page on BCBSTX’s provider website.

If you have questions or need assistance with EFT and ERA enrollment through Availity, contact a BCBSTX Provider Education Consultant at ECommerceHotline@bcbsil.com or 800-746-4614.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.