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Electronic Funds Transfer Available for FEP Business in Early October

In June 2012, we notified you via Provider News that Blue Cross and Blue Shield of North Carolina (BCBSNC) would be transitioning the claims processing functions for the Federal Employee Program (FEP) from our Legacy system to our Power MHS system.  Since that time, we’ve provided you with several updates about the progress of this transition, and we’re pleased to report that we’re now entering the final stages, which includes the convenience of electronic funds transfer (EFT) becoming available for FEP claim payments.     

Starting the week of October 7, 2013, BCBSNC providers participating in BCBSNC electronic funds transfer will begin to receive EFTs for FEP claim payments.  If you are a current BCBSNC EFT participant, you are automatically enrolled in the EFT for FEP claim payments and no further action is required on your part.

Signing Up for Electronic Funds Transfer

Providers not currently participating in BCBSNC EFT can access Blue eSM to complete the enrollment form – if you do not have access to Blue e, an enrollment form can be accessed via the "Forms and Documentation" section of our provider portal.  This sign-up alternative means less paperwork, lower administrative costs (i.e., preparing deposits, trips to the bank), and makes it easier for providers to receive the fastest receipt of eligible payments for their BCBSNC claim submissions.  Once we have received and processed a claim, EFT payment is sent directly to the bank account of your designation.  Payments are sent through an automated clearinghouse and typically take up to two days to post, which is much faster than a conventional check cycle.  

Providers participating in BCBSNC’s commercial PPO network can expect the following if enrolled in the BCBSNC EFT:

  • Accessibility to payment and claims information will continue via Blue e with EFT payments reflecting a “7” or “9” in front of the check number.
  • Electronic remittance (835) will have payment type indicator 835 as either “CHK” (check) or “ACH” (electronic payment).
  • As with all other lines of business, copies of the original EOP can be accessed via the Blue e-”Remittance Inquiry.”

BCBSNC EFT-participating providers are encouraged to share the expansion of EFT capabilities to include FEP business with any entity responsible for making claim status calls on behalf of your practice.  We also encourage you to select a primary contact and a back-up to be responsible for performing the EFT administration role on Blue e for your practice.  This person will enter the bank account and routing information when setting up your Blue e account, so he or she must be trusted with secure financial information.  Only designated EFT users have the capability to view or modify an EFT transaction on their Blue e home page.

BCBSNC offers EFT services free of charge and set-up can be completed within five business days from receipt of your set-up documentation by BCBSNC.  Providers are encouraged to verify with their financial institution if processing fees may apply.

Questions regarding EFT participation may be directed to BCBSNC Financial Processing at 919-765-2293.