Electronic Solutions

Claims Filing Products and Services

Blue Cross & Blue Shield of Mississippi provides a wide range of electronic products and services to help healthcare providers work with us faster, more accurately, and at less cost.

myBlue Claims Direct is a free PC-based product that healthcare providers can use to enter claims and transmit them to us electronically. If you are a Network Provider who is signed up for myBlue, our secure provider web portal, you may download myBlue Claims Direct anytime from the Education & Downloads section of your myBlue account (instructions on installation and setup are included in the bundle). If you are a non-Network Provider interested in the myBlue Claims Direct product, please contact our Provider eSupport Services team at 601-664-4357.

The Blue Cross & Blue Shield of Mississippi Clearinghouse offers an inexpensive all-payer electronic claims clearinghouse that will get your claims to the right place quickly, efficiently and securely. If you are interested in our Blue Cross & Blue Shield of Mississippi Clearinghouse services, please contact our Provider eSupport Services team at 601-664-4357.

Also, MD On-Line provides a suite of electronic tools and services to help you file claims electronically to over 1,000 insurance companies nationwide, including Blue Cross & Blue Shield of Mississippi. For more information regarding this option, click here to go to MD On-Line.

Blue Cross & Blue Shield of Mississippi Electronic Claims Filing Resources

The following Electronic Claims Filing resources will help you handle the daily operations of efficient filing of HIPAA mandated X12 5010 electronic forms:

• 837 Claims Companion Guide (for all types of electronic claims)

• 837 Reject Reference Manual (for all types of electronic claims)

Electronic Filing Specifications

For Medical and Dental claims, Blue Cross & Blue Shield of Mississippi will accept X12 5010 electronic format as required under current regulations. For Pharmacy claims, Blue Cross & Blue Shield of Mississippi will accept NCPDP Version D.0 standard transactions.

For D.0 electronic submission details and requirements, please refer to the D.0 Payer Specifications Sheet. For more information about electronic submission of claims, please contact our Provider eSupport Services team at 601-664-4357.