Explore Your Paperless Possibilities at Blue Cross and Blue Shield of Texas

Switch from Paper Checks to Electronic Funds Transfer (EFT)
Imagine: no more opening envelopes, suffering paper cuts, filling out deposit slips, standing in teller lines at the bank or waiting at the drive-through simply to deposit funds. These inconveniences are a reality for many of our independently contracted professional and institutional provider offices throughout Texas. But it doesn’t have to be this way.

With Electronic Funds Transfer (EFT), you can have your payments transferred directly into your bank account. This alternative to receiving paper checks can help save you time, in addition to reducing the frustration – and the security risk – of lost or misrouted payments.

To start enjoying the convenience and security of EFT, you will need to fill out an HCSC Electronic Funds Transfer Agreement . Once you have completed the EFT enrollment materials, just mail your form and signed Agreement, along with an original voided check or letter from your financial institution, to the address indicated on the form. We’ll take it from there!

Note: You have the option of selecting daily EFT payments, or you can remain on your current payment cycle; however you may wish to opt for weekly payments, to lump multiple claims into a larger, single payment.

Choose to Receive Electronic Reporting on Your Processed Claims
For providers receiving claims information via paper Provider Claims Summary (PCS), there are two options for receiving the same information in as little as 24 hours after the claim has completed processing. These options are called Electronic Remittance Advice (ERA) and Electronic Payment Summary (EPS). Once you have signed up for these transactions, you will have approximately 30 days of simultaneous paper and electronic delivery to make sure the new files are a good fit for your practice operations. After this 30-day period, the paper PCS will be discontinued.

The ERA is a HIPAA-compliant file that is generated in the ANSI X12 835 format. You or your billing service will need translation programming to read the ERA. Contact your software vendor to verify compatibility and availability of automatic posting software or programs. The EPS is an electronic print image of the PCS. It can be easily read by your staff and also allows ease of storage on your computer so you can readily reprint whenever the need arises, without having to call BCBSTX for paper reprints.

It’s easy to get started with ERA and EPS. Just visit the Electronic Commerce section of our Web site for some Frequently Asked Questions and access to the enrollment forms. For ERA, simply fill out an Electronic Remittance Advice Enrollment Form . Make sure to read and follow all instructions on the form, then mail or fax your completed ERA form to Availity®’, as indicated on the form.

When you enroll for the ERA, you will automatically receive the EPS. If the EPS is requested to be delivered differently than the ERA, you must fill out two ERA enrollment forms. You cannot receive the EPS without enrolling for the ERA.

Note: You will need to register with Availity if you wish to enroll for the ERA and EPS, as Availity processes these transactions. After enrollment, you will connect via Availity’s Web portal to obtain your ERA and EPS information. For more information on how to register with Availity, visit the Electronic Commerce section of our Web site, or call Availity directly at (800) AVAILITY.

Go Green with E-Commerce today!
If you have questions or need additional information, please visit the Electronic Commerce section of our Web site or call our E-Commerce Center at (800) 746-4614.

Availity is a registered trademark of Availity, L.L.C.

BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by third party vendors mentioned in this article. The vendors are solely responsible for the products or services offered by them. If you have any questions regarding any of the products or services mentioned in this article, you should contact the vendor directly.