For eligibility and benefits administration questions, please contact SHBP Member Services via email at [email protected] or by phone at 800-610-1863. SHBP Member Services Hours: Monday – Friday 8:30 a.m. to 5:00 p.m. ET.
For medical claims administration inquiries, including the processing, payment, and appeals of medical claims, please contact your Medical Claims Administrator at the number listed on the back of your insurance card or SHBP Member Services and select the appropriate option.
BCBS Customer Service
The Blue Cross Blue Shield (BCBS) system is made up of 34 independent and locally operated companies. Questions about your health insurance coverage, benefits or treatment? Call the toll-free number on the back of your member ID card for customer service or find your local BCBS company online.
Find My BCBS Company
Federal Employee Program® (FEP) members should visit the FEP website.
Shop for Insurance
Learn about insurance options for individuals and families or employer insurance information online. Or get connected to your local Blue Cross Blue Shield company to shop for insurance by calling 888.630.2583.
Please note that this number is used solely to receive calls from BCBS members seeking assistance and never to make calls to BCBS members. If you receive a call that appears to originate from this number, the call is likely fraudulent or malicious and you should not answer it, or hang up immediately after receiving it if you do answer the call initially.
Learn more about Healthcare Fraud.
Media Relations
For general press inquiries, please visit News to contact our media relations team.
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The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.
Where to Find Us
Our main address is:
BlueCross BlueShield of South Carolina
I-20 East at Alpine Rd.
Columbia, SC 29219
Our general phone number is:
803-788-0222
Toll-free: 800-288-2227
We also have South Carolina BLUE retail centers in Columbia, Greenville and Mount Pleasant where you can speak to us in person. Not near one? We also have mobile retail centers that travel across the state.
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Contact Information for Members
Have questions about what your plan covers? Want to check the status of your claims? Log into My Health Toolkit® to access information about your benefits. Once you log in, you also can send us a secure message if you still have questions.
The following contact information may also be helpful.
Claims
- Health Claims: 803-264-2215 in Columbia, or toll-free 888-410-2227
- Dental Claims: 803-264-3879 in Columbia, or toll-free 800-222-7156
Prescription Drugs
If you have BlueCross drug coverage:
- Prescription Drugs: 855-811-2218
- Specialty Drugs/BriovaRx: 877-259-9428
BriovaRx is a division of OptumRx. OptumRx is a Pharmacy Benefits Manager, an independent company that has been contracted to provider certain services related to your health plans prescription drug coverage.
South Carolina State Health/Dental/Vision Plans
For State of South Carolina: employees, retirees, and local government entities covered under these plans.
- Health Claims and Benefits: 803-736-1576 in Columbia, or toll-free 800-868-2520
- Dental Claims and Benefits: 803-264-7323 in Columbia, or toll-free 888-214-6230
- Pharmacy Claims and Benefits: 855-612-3128 (Express Scripts)
- Routine Vision Claims and Benefits: 877-735-9314 (EyeMed)
- Address Changes and Premiums: 888-260-9430 (PEBA)
Federal Employee Program
- South Carolina Midlands or Upstate: 800-444-0025
- South Carolina Charleston Area: 800-444-4325
- Out of State: Please call your local BlueCross or BlueShield Plan.
You can also contact us by mail. Please include the member's name, address and member ID. The address is:
BlueCross BlueShield of South Carolina
P.O. Box 100300
Columbia, SC 29202-3300
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Contact Information for Providers
The following table includes some common reasons providers contact us and options for each.
| File claims or check eligibility. | Log into My Insurance ManagerSM. |
| Submit electronic HIPAA transactions. | |
| Enroll your practice or billing service to get electronic data. | |
Get information on mental health benefits, providers or practices. | www.CompanionBenefitAlternatives.com |
| Get electronic funds transfer (EFT) and electronic remittance advice (ERA). | |
| Request prior authorization for advanced radiological procedures or radiation oncology. | www.RadMD.com 866-500-7664 |
| Join our network. Update your information. Or check your network status. | Provider Enrollment |
| Reset passwords for encrypted emails. Or troubleshoot STATchatSM functionality. | 855-229-5720 |
| Get help with technical issues on My Insurance Manager. | 855-229-5720 |
| Verify network participation for Blue Plans nationwide. | Go to the provider directory at www.bcbs.com. |
| Get educational support for BlueCross and BlueChoice® HealthPlan plans, not related to claims status. | Contact your provider advocate. |
| Get a copy of your 1099 tax form for BlueCross, BlueChoice®, TRICARE, Companion Life and others. Life insurance is offered by Companion Life. | 800-991-2701 |
Companion Benefits Alternatives (CBA) is a separate company that manages behavioral health and substance abuse benefits on behalf of BlueCross.
National Imaging Associates (NIA) is an independent company that provides radiology authorization services on behalf of BlueCross.
BlueChoice HealthPlan of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association.
Because Companion Life is a separate company from BlueCross, Companion Life will be responsible for all services related to life insurance.
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Contact Information for Agents
Are you an agent with questions about selling our plans?
Plans for Individuals, Families or Employer Groups With 2-50 Employees
- Get answers online. Log into My Business ManagerSM .
- Contact our Marketing department: 803-264-2328 in Columbia, or toll-free 800-288-2227, ext. 42328
Plans for Groups With 50+ Employees
- Contact your local regional office:
- Charleston: 800-476-8231 ext. 22103
- Columbia: 800-288-2227 ext. 42793
Greenville: 800-922-1185 ext. 21306
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Report Suspected Fraud
We appreciate you keeping us informed. Please complete this form.
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Careers at BlueCross
Please visit our Careers page.
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Subpoena or HIPAA-Compliant Information
To request records from us, we need either:
- A valid South Carolina or federal court subpoena
- OR a HIPAA-compliant authorization form
Out-of-state subpoenas aren’t valid in South Carolina. Please contact the Richland County Clerk of Court or a local South Carolina attorney about getting a South Carolina subpoena for an out-of-state action. You can also use a HIPAA-compliant authorization form found on our website to request certain records.
Health records available in the normal course of business include:
- Claim form. This is the Health Care Financing Administration (HCFA) form completed by the provider for services rendered.
- Claim summary report. This is a summary of claims processed for a certain period of time. It generally includes line item information, diagnosis code and provider information.
- Explanation of Benefits (EOBs). An EOB provides information about the benefits we paid for a particular claim.
We generally don’t have copies of medical records. Please request these directly from your provider.
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Need to reach us?
Your best BlueCross BlueShield of South Carolina phone number is on the back of your member ID card. That’s because we have dedicated call centers for our specific health plans. So you’ll more quickly and easily reach a representative who can access your records and benefits. Look for the Customer Service number listed first.