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Florida Blue prior authorization, provider portal and payer ID

Blue Cross and Blue Shield of Florida, Inc. · A GuideWell Mutual Holding Corporation company

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Updated

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. Provider phone is 1-800-727-2227. Claims payer ID is 00590. 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. Electronic claims (837), eligibility (270/271), prior auth (278), and ERA (835) are supported. Use the provider portal for eligibility, claims status, prior authorization, and appeal workflows.

Florida Blue provider portal, phone and payer ID quick facts

Provider portalhttps://www.floridablue.com/providers
Provider phone1-800-727-2227
Claims payer ID00590
Eligibility payer ID00590
ERA payer ID00590
Timely filing180 days (verify applicability)
Prior auth routeX12 278 plus provider portal
Last reviewed2026-04-23
  • 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
Eligibility (270/271) payer ID00590
ERA (835) payer ID00590
NAIC company codeNot established in this registry
States coveredFlorida
Members covered~5.0 million members
Provider portalhttps://www.floridablue.com/providers
Provider phone1-800-727-2227

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

Florida Blue accepts X12 278 prior-authorization transactions electronically. The procedures most commonly subject to prior authorization include advanced imaging, inpatient admissions, specialty pharmacy, and certain outpatient surgical procedures. Use the payer's authorization tool below to confirm requirements per CPT before scheduling a service.

Florida Blue maintains a live prior-authorization code lookup tool that supersedes any cached list. Use the provider portal or the policy documents below to confirm the current PA list before rendering a service.

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

TransactionSupportedPayer ID
837P / 837I claimsYes00590
270 / 271 eligibilityYes00590
278 prior authorizationYesVerify X12 278 routing separately
835 ERAYes00590

Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.

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.

QuickIntell coverage for Florida Blue

  • QuickRCM

    End-to-end claim lifecycle automation tuned to Florida Blue's edits and adjudication patterns.

  • QuickAuth

    Automated prior-authorization submissions and status checks for Florida Blue services that require PA.

  • QuickERA

    Automated 835 ERA posting from Florida Blue with payment reconciliation and denial routing.

Frequently asked questions about Florida Blue

Where is the Florida Blue provider portal?

The Florida Blue provider portal is available at https://www.floridablue.com/providers. Use it for eligibility checks, claim status, prior authorization workflows, appeals, and payer-specific routing updates. QuickIntell links to the payer's provider-facing portal as a reference and 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?

The registry lists claims payer ID 00590 for Florida Blue. Eligibility (270/271): 00590. ERA (835): 00590. Do not substitute a claims ID for an unverified transaction ID. Confirm the member ID card, product and clearinghouse payer list before submitting.

Does Florida Blue accept electronic claims?

Yes — Florida Blue accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is supported and X12 278 prior authorization is supported.

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 provider contact for Florida Blue. Confirm the service scope and the number on the member ID card; claim, eligibility and authorization inquiries may use different teams. Have the member ID, date of service and tax ID ready. The provider portal is https://www.floridablue.com/providers.

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.