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Florida Blue prior authorization, provider portal and payer ID

Blue Cross and Blue Shield of Florida, Inc. · Parent organization: GuideWell Mutual Holding Corporation

QuickIntell editorial content · Legacy registry date · Review not verified

TL;DR

Florida Blue, a GuideWell Mutual Holding Corporation subsidiary, is a bcbs affiliate payer covering roughly 5.0 million members operating in 1 state. This registry lists 1-800-727-2227 as a contact reference for Florida Blue. Provider Contact Center. Select the appropriate inquiry; FEP, dental, BlueCard and delegated-vendor routes may differ. Claims payer ID: 00590 — registry reference; verify the member product, transaction and clearinghouse. This registry lists 180 days as an initial-claim reference for Florida Blue. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims. Verify Florida Blue 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. Use https://www.floridablue.com/providers as a starting point for Florida Blue 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.

Practice manager and clinician reviewing payer requirements with a specialist

Florida Blue provider portal, phone and payer ID quick facts

Provider resource entry pointhttps://www.floridablue.com/providers
Payer contact reference1-800-727-2227Provider Contact Center. Select the appropriate inquiry; FEP, dental, BlueCard and delegated-vendor routes may differ.
Claims payer ID00590 — registry reference; verify the member product, transaction and clearinghouse
Eligibility payer ID00590 — registry reference; verify the member product, transaction and clearinghouse
ERA payer ID00590 — registry reference; verify the member product, transaction and clearinghouse
Timely filing180 days (verify applicability)
Prior auth routeVerify the current product policy and delegated reviewer; X12 278 support is not established by a portal link
Last reviewed2026-04-23
  • Provider Contact Center. Select the appropriate inquiry; FEP, dental, BlueCard and delegated-vendor routes may differ.
  • This registry has not established a payer-specific appeal ladder for Florida Blue. 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.

Florida Blue at a glance

Legal nameBlue Cross and Blue Shield of Florida, Inc.
Also known asBCBS FL, Blue Cross Blue Shield of Florida
CategoryBCBS affiliate
Parent organizationGuideWell Mutual Holding Corporation
Claims payer ID00590 — registry reference; verify the member product, transaction and clearinghouse
Eligibility (270/271) payer ID00590 — registry reference; verify the member product, transaction and clearinghouse
ERA (835) payer ID00590 — registry reference; verify the member product, transaction and clearinghouse
NAIC company codeNot established in this registry
States coveredFlorida
Members covered~5.0 million members
Provider resource entry pointhttps://www.floridablue.com/providers
Provider phone1-800-727-2227Provider Contact Center. Select the appropriate inquiry; FEP, dental, BlueCard and delegated-vendor routes may differ.

Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.

Timely filing & appeals for Florida Blue

This registry lists 180 days as an initial-claim reference for Florida Blue. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.

Submission typeWindow
Initial claim reference180 days (verify applicability)
Out-of-network initial claimVerify the member's plan and applicable out-of-network rules
Secondary / coordination of benefitsVerify the allowed window and start event; a primary EOB does not automatically restart filing
Corrected claimVerify correction instructions; do not substitute an appeal deadline
Reconsideration / appealUse the applicable denial or decision notice and the process below

This registry has not established a payer-specific appeal ladder for Florida Blue. 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: Florida Blue provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.

Prior authorization with Florida Blue

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 Florida Blue 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 Florida Blue. 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 Florida Blue

Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Florida Blue volume. Until then, see the broader CARC reference for industry-wide remediation guides.

Electronic claims, eligibility & ERA

TransactionRegistry indication — not verificationRouting reference
837P / 837I claimsListed in registry; verify current scope00590 — registry reference; verify the member product, transaction and clearinghouse
270 / 271 eligibilityListed in registry; verify current scope00590 — registry reference; verify the member product, transaction and clearinghouse
278 prior authorizationListed in registry; verify current scopeVerify X12 278 routing separately
835 ERAVerify support and enrollment separately00590 — 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 quick reference is on the existing official provider resource domain.

    Primary source for portal_url
  • provider_phone

    Source comparison: 2026-09-26

    800-727-2227 remains the Contact Center for claims, eligibility and other menu choices; FEP, dental, BlueCard and vendors have separate contacts.

    Primary source for provider_phone

Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; 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.claims: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization.; timely_filing_days: 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

Florida Blue 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 Florida Blue

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 Florida Blue; verify the actual plan rules and available connections before implementation.

  • QuickAuth

    Assess authorization-packet and status workflows for Florida Blue; confirm product, service, delegated reviewer and permitted submission channels.

  • QuickERA

    Verify the actual 835 files, posting exceptions and reconciliation requirements for Florida Blue before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.

Frequently asked questions about Florida Blue

Where is the Florida Blue provider portal?

Use https://www.floridablue.com/providers as a starting point for Florida Blue 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 Florida Blue?

This registry lists 180 days as an initial-claim reference for Florida Blue. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.

What is the Florida Blue payer ID?

Claims: 00590 — registry reference; verify the member product, transaction and clearinghouse. Eligibility (270/271): 00590 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 00590 — 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 Florida Blue accept electronic claims?

Verify Florida Blue 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 Florida Blue denial?

This registry has not established a payer-specific appeal ladder for Florida Blue. 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 Florida Blue 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 Florida Blue provider phone number?

This registry lists 1-800-727-2227 as a contact reference for Florida Blue. Provider Contact Center. Select the appropriate inquiry; FEP, dental, BlueCard and delegated-vendor routes may differ.

Automate workflows around Florida Blue 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 Florida Blue's current published documents before submission. CPT® is a registered trademark of the American Medical Association.