Coverage profile
How Substrate can help you with Healthy Blue South Carolina
Substrate can help practices and billers with the following claims tasks for Healthy Blue South Carolina.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Healthy Blue South Carolina.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Healthy Blue South Carolina.
Payer intelligence
Observed adjudication timing
How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.
Median time to payment
6 days- 10% of adjudications by
- 5 days
- 90% of adjudications by
- 11 days
- Applicable state coverage
- SC
- Current As Of
- May 2026
Five-month median trend
Days to 835 paymentA trend needs at least two qualified service months.
View chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | No qualified data | ||||
| May | 6 days | 5 days | 11 days | 232 | SC |
| Jun | No qualified data | ||||
| Jul | No qualified data | ||||
| Aug | No qualified data | ||||
Frequently asked questions
Healthy Blue South Carolina payer FAQs
How do I check claim status with Healthy Blue South Carolina?
Providers check Healthy Blue South Carolina via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Healthy Blue South Carolina?
The primary payer ID for Healthy Blue South Carolina is 00403. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Healthy Blue South Carolina?
The 837P and 837I payer ID for Healthy Blue South Carolina is 00403 via Stedi.
What is the 835 payer ID for Healthy Blue South Carolina?
The 835 payer ID for Healthy Blue South Carolina is 00403 via Stedi.
What is the 270 payer ID for Healthy Blue South Carolina?
The 270 payer ID for Healthy Blue South Carolina is 00403 via Stedi.
What is the 276 payer ID for Healthy Blue South Carolina?
The 276 payer ID for Healthy Blue South Carolina is 00403 via Stedi.
What state does Healthy Blue South Carolina operate in?
Healthy Blue South Carolina operates in SC.
Routing reference
Healthy Blue South Carolina payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Healthy Blue South CarolinaSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | SCSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 00403Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 00403Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 00403Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 00403Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 00403Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Healthy Blue South Carolina. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: BlueCross BlueShield of South Carolina. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Healthy Blue South Carolina phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Eligibility / benefits phone
- (800) 335-8289DELTA DENTAL OF VA
- Utilization management fax
(410) 781-7661UTILIZATION MANAGEMENT
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(410) 781-7661 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
fax(501) 379-1200 |
| ||
| phone(800) 335-8289 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 451-0287 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 676-2583 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(855) 820-6604 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 274-7767 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 773-2884 | Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital - Inpatient |
| phone(866) 325-1794 | PharmacyBenefit context: Benefit Description |
| Pharmacy |
| phone(602) 864-4320 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient |
| phone(800) 232-2345 | Other stated contextBenefit context: Benefit Description |
| Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient |
| phone(800) 244-6224 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(800) 678-9133 | Other stated contextBenefit context: Benefit Description |
| Chiropractic |
| phone(800) 827-4814 | Other stated contextBenefit context: Limitations |
| Hospital - Inpatient |
| phone(800) 972-4226 | Other stated contextBenefit context: Benefit Description |
| Chiropractic |
| phone(844) 465-5227 |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 00403
- 10504
- 14463
- 2121
- 57028
- 5953
- A0403
- SB885
- SC403
- Z1248
- BlueChoice HealthPlan Medicaid
- BlueCross BlueShield of South Carolina
- HEALTHYBLUESC
