BCBS South Carolina provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.southcarolinablues.com/en/home/providers/claims-and-payments.html |
|---|---|
| Payer contact reference | 1-800-868-2510800-868-2510 is the claims, benefits and eligibility route for Preferred Blue and Blue Essentials. FEP, State Health Plan, Medicare Advantage and prior authorization use separately listed contacts; this is not one universal authorization line. |
| Claims payer ID | BCBSSC lists 00401 for direct electronic BlueCross BlueShield of South Carolina claims, with separate 00400 State Health Plan, 00402 FEP, 00C63 Medicare Advantage and 38520 dental routes. A clearinghouse may require different payer IDs; confirm the member product and configured destination. |
| Eligibility payer ID | The November 2023 270 guide gives destination-entity TINs for inbound EDI Gateway ISA08/GS03 fields, including 570287419 for BCBSSC. That envelope role does not establish claims code 00401 or the TIN as one universal eligibility payer-ID scalar. |
| ERA payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: The November 2023 835 guide describes EDI Gateway enrollment and labels its control-segment table as inbound envelope instructions using entity-specific TINs. The reviewed sources do not establish 00401 as a universal ERA enrollment or routing ID. Missing registry mapping does not mean ERA is unavailable. |
| Timely filing | Product and agreement specific; no universal period established |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- 800-868-2510 is the claims, benefits and eligibility route for Preferred Blue and Blue Essentials. FEP, State Health Plan, Medicare Advantage and prior authorization use separately listed contacts; this is not one universal authorization line.
- The April 2026 manual says timely filing limits vary. No all-product 365-day rule was established; confirm the member plan and provider agreement.
- This registry has not established a payer-specific appeal ladder for BCBS South Carolina. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- The November 2023 835 guide describes EDI Gateway enrollment and labels its control-segment table as inbound envelope instructions using entity-specific TINs. The reviewed sources do not establish 00401 as a universal ERA enrollment or routing ID. Missing registry mapping does not mean ERA is unavailable.
BCBS South Carolina at a glance
| Legal name | BlueCross BlueShield of South Carolina |
|---|---|
| Also known as | BCBSSC, BlueCross BlueShield of SC |
| Category | BCBS affiliate |
| Parent organization | Blue Cross Blue Shield Association (independent licensee) |
| Claims payer ID | BCBSSC lists 00401 for direct electronic BlueCross BlueShield of South Carolina claims, with separate 00400 State Health Plan, 00402 FEP, 00C63 Medicare Advantage and 38520 dental routes. A clearinghouse may require different payer IDs; confirm the member product and configured destination. |
| Eligibility (270/271) payer ID | The November 2023 270 guide gives destination-entity TINs for inbound EDI Gateway ISA08/GS03 fields, including 570287419 for BCBSSC. That envelope role does not establish claims code 00401 or the TIN as one universal eligibility payer-ID scalar. |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: The November 2023 835 guide describes EDI Gateway enrollment and labels its control-segment table as inbound envelope instructions using entity-specific TINs. The reviewed sources do not establish 00401 as a universal ERA enrollment or routing ID. Missing registry mapping does not mean ERA is unavailable. |
| NAIC company code | Not established in this registry |
| States covered | South Carolina |
| Members covered | ~1.2 million members |
| Provider resource entry point | https://www.southcarolinablues.com/en/home/providers/claims-and-payments.html |
| Provider phone | 1-800-868-2510800-868-2510 is the claims, benefits and eligibility route for Preferred Blue and Blue Essentials. FEP, State Health Plan, Medicare Advantage and prior authorization use separately listed contacts; this is not one universal authorization line. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for BCBS South Carolina
Section 3.2.3 of BCBSSC’s April 2026 Provider Office Manual states that timely filing limits vary. This bounded review does not establish one all-product initial-claim limit or verify the former 365-day seed. Confirm the member plan, provider agreement, claim type and applicable start event before calculating a deadline; corrected claims and appeals require their own instructions.
| Submission type | Window |
|---|---|
| Initial claim reference | Product and agreement specific; no universal period established |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for BCBS South Carolina. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: BCBS South Carolina provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with BCBS South Carolina
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify BCBS South Carolina electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for BCBS South Carolina. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
- → https://www.southcarolinablues.com/en/home/providers/contact-us.html
- → https://www.southcarolinablues.com/en/home/providers/claims-and-payments.html
- → https://www.southcarolinablues.com/en/home/providers/tools-and-resources/manuals-and-guides.html
- → https://www.southcarolinablues.com/content/dam/commercial-web-public/sc/blues/en/providers/pdfs/manuals-and-guides/2026%20Provider%20Administrative%20Office%20Manual.pdf
- → https://www.southcarolinablues.com/en/home/providers/claims-and-payments/electronic-data-interchange-resources.html
- → https://www.southcarolinablues.com/content/dam/commercial-web-public/sc/blues/en/providers/pdfs/edi/HIAI_218212_24_BCBSSC%20270%20Eligibility%20Request%20Companion%20Guide.pdf
- → https://www.southcarolinablues.com/content/dam/commercial-web-public/sc/blues/en/providers/pdfs/edi/HIAI_216537_23_BlueCross%20835%20Electronic%20Remittance%20Advice%20Companion%20Guide.pdf
Top denial reasons for BCBS South Carolina
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient BCBS South Carolina volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | BCBSSC lists 00401 for direct electronic BlueCross BlueShield of South Carolina claims, with separate 00400 State Health Plan, 00402 FEP, 00C63 Medicare Advantage and 38520 dental routes. A clearinghouse may require different payer IDs; confirm the member product and configured destination. |
| 270 / 271 eligibility | Listed in registry; verify current scope | The November 2023 270 guide gives destination-entity TINs for inbound EDI Gateway ISA08/GS03 fields, including 570287419 for BCBSSC. That envelope role does not establish claims code 00401 or the TIN as one universal eligibility payer-ID scalar. |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: The November 2023 835 guide describes EDI Gateway enrollment and labels its control-segment table as inbound envelope instructions using entity-specific TINs. The reviewed sources do not establish 00401 as a universal ERA enrollment or routing ID. Missing registry mapping does not mean ERA is unavailable. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- The current public claims page distinguishes direct payer IDs from clearinghouse mappings. Its 00401 is a claims reference, not a verified NAIC company code. Legal-entity verification remains outstanding.
- The currently linked 270 and 835 guides are revised November 2023. Their 570287419 entity TIN is used in the specified inbound EDI Gateway envelope fields; do not place it into generic claims, eligibility or ERA scalar fields. Complete the applicable trading-partner enrollment separately.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
provider_phone, portal_url, field_status — BCBSSC provider contacts
Source comparison: 2026-09-18
Source scope: 800-868-2510 is Preferred Blue/Blue Essentials claims, benefits and eligibility. FEP, State Health, Medicare Advantage and prior authorization have distinct routes. Locator: Claims, Benefits and Eligibility; separate Prior Authorization contacts. Version: No publication or effective date established on the checked HTML page.. Retrieval: content_read; public_web_read. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for provider_phone, portal_url, field_status — bcbssc provider contactspayer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, transaction_scope, naic — BCBSSC electronic claims and payment resources
Source comparison: 2026-09-18
Source scope: 00401 is the direct BCBSSC claims code; State Health 00400, FEP 00402, MA 00C63 and dental 38520 differ. Clearinghouses can require different IDs. This is not NAIC verification. Locator: Electronic Payer IDs; direct-versus-clearinghouse warning. Version: No publication or effective date established on the checked HTML page.. Retrieval: content_read; public_web_read. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for payer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, transaction_scope, naic — bcbssc electronic claims and payment resourcestimely_filing_days, filing_rule, timely_filing_source_url — BCBSSC manuals and guides index
Source comparison: 2026-09-18
Source scope: Current owner index links the April 2026 provider manual. The obsolete /web/public/resources manual URL returned 404; current replacement actually downloaded. Locator: Provider Office Administrative Manual link. Version: No publication or effective date established on the checked HTML page.. Retrieval: content_read; public_web_read. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for timely_filing_days, filing_rule, timely_filing_source_url — bcbssc manuals and guides indextimely_filing_days, filing_rule, timely_filing_source_url — BCBSSC Provider Office Manual
Source comparison: 2026-09-18
Source scope: The manual expressly says timely filing limits vary; it does not establish the stored universal 365 days. Claim submission and corrected claims are separate sections. Locator: PDF 1 cover; PDF 35 section 3.2.3 Timely Filing. Version: Revised April 2026.. Retrieval: content_read; public_web_pdf_plus_actual_download_and_scoped_visual_review. Only the documented PDF pages were inspected; not a whole-document review. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for timely_filing_days, filing_rule, timely_filing_source_url — bcbssc provider office manualpayer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, transaction_scope, naic — BCBSSC EDI resources
Source comparison: 2026-09-18
Source scope: Current owner page links newer November 2023 270 and 835 guides. Enrollment and transaction-specific IDs must be confirmed; public guide access is not completed enrollment. Locator: Transaction types; Getting Started; Available Resources. Version: No publication or effective date established on the checked HTML page.. Retrieval: content_read; public_web_read. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for payer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, transaction_scope, naic — bcbssc edi resourcespayer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, transaction_scope, naic — BCBSSC 270 companion guide
Source comparison: 2026-09-18
Source scope: Inbound EDI Gateway ISA08/GS03 are destination entity TINs (BCBSSC 570287419), not proof that claims code 00401 is a universal 270 payer ID. Do not replace it with the envelope TIN in a different field. Locator: PDF 1 cover; PDF 8 / printed 6, envelope table and entity TINs. Version: Revised November 2023; currently linked newer guide, not the older August 2023 provider-host copy.. Retrieval: content_read; public_web_pdf_plus_actual_download_and_scoped_visual_review. Only the documented PDF pages were inspected; not a whole-document review. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for payer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, transaction_scope, naic — bcbssc 270 companion guidepayer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, transaction_scope, naic — BCBSSC 835 companion guide
Source comparison: 2026-09-18
Source scope: Guide labels its table as inbound EDI Gateway envelope instructions and distinguishes entity TINs from trading-partner enrollment; the entity table lists BCBSSC including FEP as 570287419. It does not verify claims 00401 as universal ERA routing. Locator: PDF 1 cover; PDF 7 / printed 6 envelope table; PDF 8 / printed 7 entity table and revision history. Version: Revised November 2023, change-summary revision 1.0. Current document is 9 pages, not the older 10-page provider-host copy.. Retrieval: content_read; public_web_pdf_plus_actual_download_and_scoped_visual_review. Only the documented PDF pages were inspected; not a whole-document review. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for payer_ids.claims, payer_ids.eligibility, payer_ids.era, era_payer_id, transaction_scope, naic — bcbssc 835 companion guide
Not checked in this pass: Unresolved fields from the immutable 43-field inventory: aka, appeal_levels, category, common_denial_risks, display_name, electronic_claims_supported, legal_name, lives_covered_millions, parent_org, payer_ids, prior_auth_required_codes_sample, quickintell_workflow_fit, record_scope, source_review, states_covered, supports_278, supports_279_271; Whole-record approval, current legal entity/ownership, enrollment and complete insured geography; Every provider agreement, product, claim type, filing/appeal exception and clinical authorization policy; Current transaction-specific enrollment/capabilities and authenticated portal behavior; unknown does not mean unavailable; QuickIntell integrations/outcomes and historical April 2026 DataForSEO demand; Accountable reviewer approval; last_reviewed and reviewed_by remain unchanged.
Sources used for this guide
State coverage
BCBS South Carolina operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for BCBS South Carolina
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for BCBS South Carolina; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for BCBS South Carolina; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for BCBS South Carolina before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about BCBS South Carolina
Where is the BCBS South Carolina provider portal?
Use https://www.southcarolinablues.com/en/home/providers/claims-and-payments.html as a starting point for BCBS South Carolina provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for BCBS South Carolina?
Section 3.2.3 of BCBSSC’s April 2026 Provider Office Manual states that timely filing limits vary. This bounded review does not establish one all-product initial-claim limit or verify the former 365-day seed. Confirm the member plan, provider agreement, claim type and applicable start event before calculating a deadline; corrected claims and appeals require their own instructions.
What is the BCBS South Carolina payer ID?
Claims: BCBSSC lists 00401 for direct electronic BlueCross BlueShield of South Carolina claims, with separate 00400 State Health Plan, 00402 FEP, 00C63 Medicare Advantage and 38520 dental routes. A clearinghouse may require different payer IDs; confirm the member product and configured destination.. Eligibility (270/271): The November 2023 270 guide gives destination-entity TINs for inbound EDI Gateway ISA08/GS03 fields, including 570287419 for BCBSSC. That envelope role does not establish claims code 00401 or the TIN as one universal eligibility payer-ID scalar.. ERA (835): No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: The November 2023 835 guide describes EDI Gateway enrollment and labels its control-segment table as inbound envelope instructions using entity-specific TINs. The reviewed sources do not establish 00401 as a universal ERA enrollment or routing ID. Missing registry mapping does not mean ERA is unavailable.. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does BCBS South Carolina accept electronic claims?
Verify BCBS South Carolina electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a BCBS South Carolina denial?
This registry has not established a payer-specific appeal ladder for BCBS South Carolina. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do BCBS South Carolina prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the BCBS South Carolina provider phone number?
This registry lists 1-800-868-2510 as a contact reference for BCBS South Carolina. 800-868-2510 is the claims, benefits and eligibility route for Preferred Blue and Blue Essentials. FEP, State Health Plan, Medicare Advantage and prior authorization use separately listed contacts; this is not one universal authorization line.
Automate workflows around BCBS South Carolina requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against BCBS South Carolina's current published documents before submission. CPT® is a registered trademark of the American Medical Association.