February 2019
Leverage the Availity® Provider Portal for Efficiencies and Cost Savings
Blue Cross and Blue Shield of Illinois (BCBSIL) offers free online training to help you and your staff learn more about existing and new tools on the Availity Portal.
BCBSIL Back to Basics: ‘Availity 101’
This general webinar is offered on an ongoing basis. Join us to learn how to use the Availity Portal to help verify patient information and check claim status. You’ll also get an overview of advanced tools, such as the Medical Attachments application for quality and risk adjustment, Claim Encounter Reconciliation Application (CERA) and the Clinical Quality Validation (CQV) tool. Refer to the Provider Learning Opportunities for dates and times of upcoming BCBSIL Back to Basics: Availity 101 training sessions. To register, refer to the Webinars page on our Provider website.
In-depth Training for New Data-Sharing Tools on the Availity Portal
To help you navigate more advanced tools, such as the new data-sharing tools listed below, helpful tip sheets and other information are available in the Provider Tools section of our website.
- Medical Attachments for Quality and Risk Adjustment Purposes
You can now receive and respond to quality and risk adjustment medical record requests electronically via Availity’s Medical Attachments tool. Learn more about Electronic Quality and Risk Adjustment Medical Records Requests.
- Clinical Quality Validation (CQV) Tool
Comply with Healthcare Effectiveness Data and Information Set (HEDIS®) measures using Availity’s new Clinical Quality Validation Tool. By using CQV you may document your patients’ care and assessments electronically, while closing quality HEDIS gaps. CQV also helps support the Centers for Medicare & Medicaid (CMS) STAR rating for Blue Cross Medicare Advantage (HMO)SM and Blue Cross Medicare Advantage (PPO)SM plans. Learn more about CQV.
- Claim Encounter Reconciliation Application (CERA)
CERA helps you respond to BCBSIL if potential risk adjustment gaps are identified, based on claims data for members with commercial and on/off-exchange health plans. Learn more about CERA.
Join us this month for a Clinical Data Exchange for Quality and Risk Adjustment webinar. Did you miss the notice in the News and Updates in January? There’s still time to sign up for an in-depth training session covering the Medical Attachments, CQV and CERA tools. Select a session date and time to register now: Feb. 5, 2019 – 2 to 3 p.m. |
Registered Availity users have access to many helpful tools and resources. Visit availity.com for more information, including an online application to become an Availity registered user, at no charge.
At this time, electronic medical record request and submission process are not available for medical record requests resulting from utilization review activities or the claims adjudication process.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third-party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.