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Payments and Remittances

Simplify your payment process by enrolling in electronic funds transfer (EFT) and electronic remittance advice (ERA). With EFT and ERA, payments are deposited directly into your designated bank account, and remittance details are available online—eliminating the need for paper checks and mailed remittance advice. Electronic payments and remittance information are typically available about four days earlier than paper delivery.

Enrollment Made Easy

If you are not yet enrolled in EFT or ERA, follow the steps below:

Electronic Funds Transfer (EFT)

Note: The same authorized representative from your practice must sign both pages of the form.

Electronic Remittance Advice (ERA)

To receive ERAs, complete one of the appropriate enrollment forms for your practice:

Note: Only one of these forms is needed. Be sure to select the form that best fits the needs of your practice.

Refund Process

If an overpayment occurs, we may contact you and request a refund, or you may identify the overpayment through your own reconciliation process and wish to return the funds voluntarily.

Solicited Refunds

If you receive an overpayment refund request letter from us, please return the requested amount within 30 days of the letter date. Include a copy of the refund request letter to help ensure accurate and timely processing.

Mail your check and documentation to:

BlueCross BlueShield of South Carolina

Attn: Lockbox, AX-A31
I-20 E at Alpine Rd.
Columbia, SC 29219-0001

If we do not receive the refund within 30 days, the overpayment amount will be systematically offset from future payments. Some providers may prefer this offset method to reconcile refunds.

Unsolicited Refunds

If you did not receive a refund request letter but wish to voluntarily return an overpayment, complete and submit the Overpayment Refund Form along with your check.

We will review your submission and process the refund if our records confirm an overpayment. If our records do not indicate an overpayment, your check will be returned with an explanation.

Note: Solicited and unsolicited refunds for another Blue® plan must be sent directly to that plan. We cannot process refunds for other plans.

BlueCard® Executive

The BlueCard Executive is a senior leader at BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan responsible for resolving escalated BlueCard claim payment issues. Providers must first use standard dispute and appeal processes for all other BlueCard concerns. Eligible escalation requests from providers serviced by BlueCross and BlueChoice® may be submitted by email.

 

BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association.