The remittance advice provides you with claim payment and rejects information. When you file a claim, you will receive a paper remittance advice. If a payment is due, the BCBSF check is attached or you may receive your monies due via EFT. Claims are processed daily, but only one remittance advice and one payment is generated weekly. Our remittance cycles occur according to the zip code grouping of the payee’s address. Capitation is paid once a month (by the 15th of the month). These dates are subject to change.
Separate remittance advices are generated for each separate payment address by the following lines of business or special groups:
- PPO/Traditional (including BlueCard)
- Federal Employee Program (FEP Basic and Standard)
- State Employees’ PPO Plan
- Health Options
- Various ASO accounts
If you file electronically, you can receive the 835 ERA upon request. Refer to the Health Care Payment/Advice section for additional information on how to start receiving the 835.