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  • Group Echeck Submission Form - Capital Blue Cross

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Group eCheck Submission Form Capital BlueCross and its subsidiaries, Capital Advantage Insurance Company , Capital Advantage Assurance Company , and Keystone Health Plan Central, understand the countless.

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Payer NamePayer IDCommentsCAPITAL BLUE CROSS (PA)/CAIC23045Providers must contact Capital Blue Cross to enroll at (800) 874-8433 or by email at provider.automation@capbluecross.comCAPITAL DISTRICT PHYSICIANS HEALTH PLANSX065CAPITAL HEALTH PLAN95112CAPROCK HEALTH PLANSCAPHPEnroll for ERA under payer ID 58379.26 more rows

For a payment appeal, Capital Blue Cross has up to 60 calendar days to make a decision. Please remember, any time during the request for an appeal process, you can contact customer service, Monday through Friday, 8:00 AM to 8:00 PM, at 866.987. 4213 with extended hours October 1 through March 31.

Coordination of benefits applies when you or a family member have health care coverage under more than one benefit plan. Coordination of benefit rules set the order in which each benefit plan pays a claim for benefits. The plan that pays first is the primary plan.

Payer Name: Keystone Health Plan Central.

For electronic submissions, you can submit claims to Capital Blue Cross using Payer ID 01260.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232