Florida Blue billing and credentialing
Billing and credentialing for Florida Blue, the Blue Cross Blue Shield company in Florida.
Working with Florida Blue
Florida Blue is Florida’s Blue Cross Blue Shield plan, offering commercial, Marketplace and Medicare Advantage plans.
Plan types we bill:
- Commercial plans
- Marketplace plans
- Medicare Advantage
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It also processes BlueCard claims for out-of-state Blue members seen in Florida.
Credentialing and enrollment
Credentialing uses your CAQH ProView profile, which must be complete and re-attested every 120 days.
Prepare
Licenses, NPI, CAQH and group details checked and updated.
Apply
Application submitted for each provider and location.
Follow up
Status checked every 1 to 2 weeks until approval.
Confirm
Effective date and participation confirmed before billing.
Claims, eligibility and portals
Florida Blue uses Availity for eligibility, claims and authorizations.
Denials we prevent with Florida Blue
- Provider not credentialed or not linked to the group
- Out-of-area members not billed through BlueCard
- Missing prior authorization
- Coding and bundling edits under plan policy
- Late filing under the contract
Questions about Florida Blue
Do you credential with Florida Blue?
Yes, for physicians, NPs and behavioral health providers across Florida.
Trademarks belong to their owners. MedAi Billing Solutions is an independent billing company, not affiliated with any payer or government agency.
Get help with Florida Blue claims
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.