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Payer Directory

Avalon Healthcare Solutions (Capital Blue Cross): payer ID and claims support

Avalon Healthcare Solutions (Capital Blue Cross) uses payer ID AVA03. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID AVA03

Avalon Healthcare Solutions (Capital Blue Cross) at a glance

What billers need before running a check.

Payer ID
AVA03
Also known as 8199
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
Not published
Payer website
www.avalonhcs.com

Supported transactions

What can be exchanged electronically with Avalon Healthcare Solutions (Capital Blue Cross) today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
NOT AVAILABLE
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Frequently asked questions

What is the payer ID for Avalon Healthcare Solutions (Capital Blue Cross)?+
Avalon Healthcare Solutions (Capital Blue Cross) uses payer ID AVA03. It also appears as 8199 in some systems.
Does Avalon Healthcare Solutions (Capital Blue Cross) support real-time eligibility verification?+
Not electronically today. Coverage for Avalon Healthcare Solutions (Capital Blue Cross) has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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