December 2020
View Professional Provider Fee Schedule via Availity® – Now Available
In the November 2020 Blue Review, we announced the upcoming launch of a new electronic Fee Schedule viewer tool via the Availity Provider Portal. This new tool is now available for participating professional providers in our Preferred Provider Option (PPO) and Blue Choice PPOSM networks.
Fee schedules are a key component of your contractual relationship with Blue Cross and Blue Shield of Illinois (BCBSIL). Professional providers may use the Availity Fee Schedule Listing tool to electronically request a range of up to 20 procedure codes and immediately receive the contracted price allowance for the patient services you perform.
How to Access the Availity Fee Schedule Listing Tool:
- Log in to Availity
- Select Claims & Payments from the navigation menu
- Select Fee Schedule
Note: Availity Administrator must assign the ‘Provider Fee Schedule’ role for users to gain access to this tool.
How to Use the Availity Fee Schedule Listing Tool:
- Select BCBSIL as the payer
- Select your organization
- Select Tax ID number
- Enter the billing National Provider Identifier (NPI)
- Choose the related billing address
- Enter the procedure code(s) and modifier(s)
You must be registered with Availity to use the new Fee Schedule tool. You can sign up for free. For registration help, call Availity Client Services at 800-282-4548. If you don’t have online access, you may continue to fax and/or mail your requests using the Fee Schedule Request forms located on the Forms page of our website.
For More Information
Refer to the instructional Availity Fee Schedule Tool User Guide coming soon to the Provider Tools section of our website. If you need further help, you can email our Provider Education Consultants.
This information is not applicable to Medicare Advantage or Illinois Medicaid members.
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.