Blue cross of south carolina provider portal

General Inquiries

1-803-788-0222

Blue Cross and Blue Shield of South Carolina
4101 Percival Road
Columbia, SC 29229

P.O. Box 600601
Columbia, SC 29260

Care Management Programs

Asthma

Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Coronary Artery Disease
Diabetes
Hypertension
Hyperlipidemia
Prenatal

If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company.

If you are not yet enrolled in electronic funds transfer (EFT), this is a great time to sign up! Effective November 1, 2021, EnrollSafe is the EFT enrollment website for Healthy Blue providers with Blue Cross and Blue Shield of North Carolina. EnrollSafe is secure and available 24 hours a day. You’ll receive your payments up to seven days sooner than through the paper check method. It’s easy to sign up. Just visit EnrollSafe at https://enrollsafe.payeehub.org to enroll in EFT. Complete the registration, then follow the prompts through the EnrollSafe secure portal to the enrollment page, which will provide the required information to receive direct deposits. If you have any questions about EFT, please contact your Healthy Blue Provider Relations representative or call Provider Services at 844-594-5072 for more information.

Provider news

Known Issues Bulletin: November 11, 2022

The table provides information related to known issues impacting providers. This information will be updated weekly on Fridays.

  • Known Issues Bulletin: November 11, 2022

Availity Essentials is Experiencing Technical Issues

Healthy Blue is aware that providers are experiencing technical issues when attempting to log into the Availity Essentials portal.

  • Availity Essentials is Experiencing Technical Issues

Register Today: Continuing to Explore the Intersection of Race and Disability

Register today for the Exploring the Intersection of Race and Disability forum hosted for providers on September 21, 2022. We believe that continuing the discussion we started at our June 2022 event to deepen the conversation about the disability experience for people of color is critically important.

  • Register Today: Continuing to Explore the Intersection of Race and Disability

Home health and home therapy evaluation guide

Effective October 1, 2022, changes for Healthy Blue providers billing for home health and home therapy evaluation(s), re-evaluation(s), and/or services.

  • Home health and home therapy evaluation guidance

Update to Medicaid copays

Beginning July 1, 2022, the copayments for Medicaid services will be increasing from $3 per visit to $4 per visit per the table below. The increase is only applicable to Medicaid members and will not affect NC Health Choice members.

  • Update to Medicaid copays

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity you can:

Request Authorizations

Submit Claims

Confirm Eligibility

Receive Healthy Blue emails from Blue Cross and Blue Shield of North Carolina

Blue Cross and Blue Shield of North Carolina is now sending some Healthy Blue bulletins, policy change notifications, prior authorization update information, educational opportunities, and more to providers via email.


Blue cross of south carolina provider portal

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

View pharmacy information 

Blue cross of south carolina provider portal

Maternal Child Program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, a comprehensive, proactive care management and care coordination program for all expectant mothers and their newborns. We also support the state’s Care Management for High Risk Pregnancy (CMHRP) program.

Learn about the maternal child program 

Blue cross of south carolina provider portal

Behavioral health providers

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Learn more about Behavioral health resources 

Provider tools & resources

  • Log in to Availity
  • Learn about Availity
  • Prior authorization lookup tool
  • Prior authorization requirements
  • Claims overview
  • Member eligibility and pharmacy overview
  • Policies, Manuals and Guides
  • Referrals
  • Forms
  • Healthy Blue Training Academy
  • Pharmacy information
  • Electronic Data Interchange (EDI)

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality services to our members.

How do I contact BCBS of South Carolina?

Contact us with questions If you have questions about your plan or bill, you can: Call 855-404-6752 to speak with one of our customer service advocates. Visit at a South Carolina BLUESM retail center. Email [email protected].

How do I become a BCBS provider in SC?

New Provider Enrollment.
Use the checklist to find what forms you need..
Complete the forms and collect any required documentation..
Use this online form to request network contract pages..
Submit your completed application, including all required signatures and documentation to [email protected]..

Is BCBS South Carolina?

The only South Carolina-owned and operated health insurance carrier, BlueCross BlueShield of South Carolina comprises more than 20 companies involved in health insurance services, U.S. DoD health program and Medicare contracts, other insurance and employee benefits services, and a philanthropic foundation that funds ...

Who owns Blue Cross Blue Shield?

Blue Cross Blue Shield Association (BCBSA) The Association owns and manages the Blue Cross and Blue Shield trademarks and names in more than 170 countries around the world. The Association also grants licenses to independent companies to use the trademarks and names in exclusive geographic areas.