New for 2021: New Provider Portal! Thanks to your recommendations, several new features and a more user-friendly navigation system will soon be part of your portal experience.
Tools & Support for Filing Claims
Quick Benefit Look Up
No login required! Simply verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Start by visiting the PAI Benefits Portal.
Claims & Payment
If you are filing claims as a BlueCross® BlueShield® of South Carolina Preferred Blue® provider, learn about preferred claim formats and filing procedures to ensure quick, accurate payments. PAI is a separate company that offers third party administration on behalf of BlueCross BlueShield of South Carolina, an independent licensee of the Blue Cross and Blue Shield Association. Visit the Provider Claims and Payment Center.
Prior Authorization Requirements
Find the required information you need to secure certification for your patients. View our precertification requirements.
You can request prior authorization for these services by calling 1-800-652-3076 or fax requests to 803-264-6552.
Verify Member Benefits*
Look up complete coverage information, including deductibles and patient payment responsibility.
*Providers must sign up for this service at the PAI Provider Portal.
Provider Address Changes
Fax an updated W-9 to (803) 264-9089, Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at firstname.lastname@example.org.