Welcome to Electronic Commerce Services!

We are your source for electronic commerce transactions that will work today and tomorrow. These transactions can be billing, payments, eligibility verification, claim status, or other transactions related to the business operation of a healthcare organization. Using such services enables organizations to say goodbye to paper shuffle and say hello to increased operation efficiencies and improved turnaround on payments.

Please review the information below for detailed information for your organization (provider, billing service, or vendor), forms, or partner solutions.

Online Transaction Schedule

Effective Jan. 1, 2013, online Eligibility and Benefits (270/271) and Claims Status (276/277) transactions may be conducted almost continuously, with the exception of Sunday, 8 pm to midnight, CT*.

*Non-routine downtime will be communicated via designated third party independent vendor websites at least one week in advance.

Availity L.L.C.

With Availity, health care providers can conduct transactions at no charge. It’s a comprehensive claims clearinghouse solution that supports more than 1,000 payers. Learn more about Availity.

Availity Revenue Cycle Management

Availity Revenue Cycle Management (RCM) is a fee for service that goes beyond conventional claims clearinghouses and uses smart technology and an intuitive interface to help you receive payments faster while reducing the administrative burden on your office staff. Learn more about RCM Learn more about third-party links.

EDI Transactions

With EDI, health care providers can save time, money and delays in claims processing. View, track, and monitor claim status reports electronically…and more. Learn more about EDI Transactions.

Electronic Funds Transfer (EFT) / Electronic Remittance Advice (ERA)

EFT is a secure method of claims payment. BCBSTX electronically transfers funds directly into the bank account of your choice for added security and prompt payments. Learn more about EFT and ERA.

Electronic Refund Management (eRM)

This on-line refund management tool will help simplify overpayment reconciliation and related processes. The eRM application is available at no additional charge. Learn more about eRM.

Provider Tools

At BCBSTX, we are committed to providing support to physician practices. We’ve designed tools that health care providers find useful. Whether doing research or streamlining billing, these tools can help you evaluate costs, save time, improve service and more. Learn more about provider tools.