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BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid

BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid

This page contains information you can use to exchange healthcare transactions with BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid using Stedi.
Use any of the following payer IDs to send transactions to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid using Stedi APIs or SFTP. Read the docs
Primary Payer ID
BCPRC
Stedi Payer ID
VMJBW
Payer ID aliases
10953, 12B48, 2756, 3543, 660650587, 973, 97300, BCPRC, SB980, Z0065
Parent group
Blue Cross Blue Shield of Florida
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Supported

Dental claims

(837D)
Submit dental claims to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid.
Get started
Use Stedi's APIs to get fast and reliable connectivity to BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and BlueCross BlueShield of Puerto Rico (Triple-S Salud) - Commercial and Medicaid today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Blue Cross Blue Shield Puerto Rico (Triple-S Salud)
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