Florida Blue (Blue Cross and Blue Shield of Florida) Billing Guide
Get a Free Quote
Florida Blue is Florida's independent Blue Cross and Blue Shield licensee. It is not part of Anthem. Florida Blue calls itself and its HMO affiliate "independent Blue Cross and Blue Shield Association licensees" in a 2026 provider notice (Florida Blue provider news).
Checked 10/1/26.
Quick facts
| Provider website | floridablue.com/providers |
|---|---|
| Customer service | 800-727-2227 (quick reference guide) |
| Prior authorization / UM | 800-955-5692 |
| Provider support (billing and behavioral pages) | 1-800-352-2583 |
| Claims channel | Availity Essentials |
| Appeals address | Florida Blue, PO Box 1798, Jacksonville, FL 32231-0014 |
| State regulator | Florida Office of Insurance Regulation, consumer helpline (877) 693-5236 |
Private payer: claims
File through Availity. Service Facility NPI is required on professional claims (loop 2310C on the 837P, or boxes 32/32a/32b on the CMS-1500), except for Medicare crossover and Medicaid. Missing it causes rejection code AP0677 (Florida Blue provider notice above). Florida Blue's own provider pages do not print a payer ID or filing limit, so use your Availity enrollment and your contract.
Private payer: appeals
Start with a Provider Reconsideration, then an Administrative Appeal. Submit within one year of the remittance advice date (instructions form).
Private payer: behavioral health
Florida Blue's quick reference guide lists Lucet for psychiatric and substance use needs at (866) 730-5006. A 2023 notice says myBlue members are authorized through Lucet for inpatient, partial hospitalization, intensive outpatient and substance use rehab. Confirm the scope for other products with Florida Blue (Lucet notice). Florida Blue's behavioral health page lists virtual treatment (page).
Credentialing
Join through Availity's provider self-service flow (Availity join the network).
Medicare and state law
Florida Blue Medicare is a separate product. Florida insurance rules come from the OIR.
Frequently asked questions
Is Florida Blue the same as Anthem?
No. Florida Blue is Florida's independent Blue Cross and Blue Shield licensee and is not part of Anthem.
What is the Florida Blue Service Facility NPI rule?
Professional claims need a Service Facility NPI (loop 2310C on the 837P, or boxes 32/32a/32b on the CMS-1500). Without it the claim rejects with code AP0677. Medicare crossover and Medicaid are exempt.
Who handles Florida Blue behavioral health?
Florida Blue's quick reference guide lists Lucet for psychiatric and substance use needs at (866) 730-5006. Confirm the scope for your member's product with Florida Blue.
How MCM South helps with Florida Blue billing
MCM South bills Blue plans for psychotherapists and psychiatrists in the states we serve. We verify benefits, submit claims electronically, follow up on denials and appeals, and handle credentialing. Get a free quote. If a Florida Blue billing claim is denied or credentialing stalls, we follow up for you.
MCM South currently serves practices in GA, MA, CT, TX, FL, NY, CO, TN, NC and IL, and has worked in all 50 states. If your state is not on that list, ask us. This page is operational guidance for billing, not legal advice. For real financial or legal exposure, talk to your attorney or compliance officer.
Related: Blue Cross by State · How Blue Cross Blue Shield Works · Billing Terms Glossary · CPT and E/M Code Guide · Who We Serve.
This is the MCM South guide to Florida Blue billing for therapists and psychiatrists: where claims go, how appeals work, and what to check first.
Want a billing team that handles this for you? MCM South bills for psychotherapists and psychiatrists. Get a free quote.