Excellus BCBS at a glance
| Legal name | Excellus Health Plan, Inc. |
|---|---|
| Also known as | Excellus BlueCross BlueShield, BCBS Western NY/Central NY |
| Category | BCBS affiliate |
| Parent organization | Lifetime Healthcare Companies (BCBSA licensee) |
| Claims payer ID | 00801 — registry reference; verify the member product, transaction and clearinghouse |
| Eligibility (270/271) payer ID | 00801 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 00801 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | New York |
| Members covered | ~1.5 million members |
| Provider resource entry point | https://provider.excellusbcbs.com/ |
| Provider phone | 1-800-920-8889Provider-site Customer Care for eligibility, benefits and claims; dental 800-724-1675 and website support 800-278-1247 are separate. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Excellus BCBS
The October 2025 billing orientation gives professional providers 120 days, directs hospitals to their contract, and starts COB filing from primary-payer payment. Verify the applicable product and provider agreement; this is not a universal all-product deadline.
| Submission type | Window |
|---|---|
| Initial claim reference | Professional claims: 120 days; hospital and COB rules differ |
| 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 Excellus BCBS. 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: Excellus BCBS provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Excellus BCBS
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 Excellus BCBS 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 Excellus BCBS. 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.
Top denial reasons for Excellus BCBS
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Excellus BCBS 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 | 00801 — registry reference; verify the member product, transaction and clearinghouse |
| 270 / 271 eligibility | Listed in registry; verify current scope | 00801 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 00801 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
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.
portal_url
Source comparison: 2026-09-26
Current public provider resources are on provider.excellusbcbs.com.
Primary source for portal_urlprovider_phone
Source comparison: 2026-09-26
Current provider contact page lists 800-920-8889 for eligibility/benefits and claims; dental and web-help numbers are distinct.
Primary source for provider_phonetimely_filing_days
Source comparison: 2026-09-26
October 2025 orientation page 4 visually confirms 120 days for professional providers, hospitals per contract, and COB timing from primary payment. Preserve this source-specific scope, with the applicable product/provider agreement governing exceptions.
Primary source for timely_filing_days
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; payer_ids.claims: The reviewed sources do not validate baseline 00801 as the applicable transaction/clearinghouse ID.; record_scope: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization.; payer_ids.eligibility / payer_ids.era / era_payer_id: No current transaction-specific eligibility/ERA identifier evidence was verified; do not reuse claim identifiers.; electronic_claims_supported / supports_279_271 / supports_278: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization.; appeal_levels / prior_auth_required_codes_sample / qi_module_coverage: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization..
Sources used for this guide
State coverage
Excellus BCBS 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 Excellus BCBS
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 Excellus BCBS; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Excellus BCBS; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Excellus BCBS before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Excellus BCBS
Where is the Excellus BCBS provider portal?
Use https://provider.excellusbcbs.com/ as a starting point for Excellus BCBS 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 Excellus BCBS?
The October 2025 billing orientation gives professional providers 120 days, directs hospitals to their contract, and starts COB filing from primary-payer payment. Verify the applicable product and provider agreement; this is not a universal all-product deadline.
What is the Excellus BCBS payer ID?
Claims: 00801 — registry reference; verify the member product, transaction and clearinghouse. Eligibility (270/271): 00801 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 00801 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Excellus BCBS accept electronic claims?
Verify Excellus BCBS 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 Excellus BCBS denial?
This registry has not established a payer-specific appeal ladder for Excellus BCBS. 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 Excellus BCBS 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 Excellus BCBS provider phone number?
This registry lists 1-800-920-8889 as a contact reference for Excellus BCBS. Provider-site Customer Care for eligibility, benefits and claims; dental 800-724-1675 and website support 800-278-1247 are separate.
Automate workflows around Excellus BCBS 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 Excellus BCBS's current published documents before submission. CPT® is a registered trademark of the American Medical Association.