December 2020
Physical Medicine Utilization Management Program Ends Dec. 31, 2020
The last date of service for the Physical Medicine Utilization Management (PMUM) prior authorization program for Indian Prairie School District (IPSD) group members is Dec. 31, 2020. Effective for dates of service on or after Jan. 1, 2021, prior authorization through OrthoNetTM will no longer be required for chiropractic services for members with IPSD group numbers OMC644, OMC645, P20174 or P40339.
Don’t forget: Always check eligibility and benefits first for all Blue Cross and Blue Shield of Illinois (BCBSIL) members prior to rendering services. This step will help you confirm prior authorization requirements and utilization management vendors, if applicable. If you have any questions on benefits, refer to the member’s ID card for the appropriate contact information.
OrthoNet is a registered trademark of OrthoNet LLC, an independent third party vendor that is solely responsible for its products and services. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by independent companies/third party vendors, such as OrthoNet. If you have any questions about the products or services they offer, you should contact the vendor(s) directly.
Checking eligibility and/or benefit information and/or the fact that a service has been prior authorized, is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered. If you have any questions, call the number on the member’s ID card.