June 2020
Behavioral Health Providers: Take A Tour of Online Tools and Resources
Electronic options are available to help you streamline administrative functions in your office. Several examples are listed below, with links to our Provider website for details.
Your first step toward using these online options is to become a registered Availity® Provider Portal user. Go to Availity to sign up now at no cost. Or, if you’re already registered, check with your Availity administrator to gain access to online tools and resources in your account.
If you’d like an online tour of these options and more, join us for a BCBSIL Back to Basics ‘Availity 101’ training webinar. For dates, times and online registration, go to the Webinars and Workshops page on our Provider website. To request customized training, email our Provider Education Consultant team.
Express Entry |
Attention Availity Administrators: You’ll find this option in the My Providers menu once you log in to Availity. Express Entry allows you to add and manage provider information in your organization’s account – you can complete all provider information fields in one step on most transactions. |
Confirm patient coverage and check benefit details in real-time, 24 hours a day, seven days a week (with the exception of Sundays from 8 a.m. to noon). You’ll also get details on benefit preauthorization requirements and vendors, if applicable. |
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If the service requires benefit preauthorization through BCBSIL, you can use the Availity Authorizations tool for inpatient admissions and select outpatient services. (Note: This does not apply to benefit preauthorization requests for HMO members.) |
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Submit electronic claims one at a time or in batch and receive confirmation upon acceptance. Advantages include greater security and accuracy of data, with faster processing and payment. |
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This tool offers enhanced claim status for commercial claims. [Tips: Use the billing National Provider Identifier (NPI) submitted on the claim. Also make sure the date entered for the service period includes the actual date of service.] |
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This tool offers enhanced claim status information for government programs (Medicare Advantage and Medicaid) claims. |
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Electronic Claim Payment and Remittance – Online Enrollment |
You can enroll online to receive claim payments via 835 Electronic Funds Transfer (835 EFT) along with 835 Electronic Remittance Advice (835 ERA) files from BCBSIL. |
This tool offers providers and billing services a convenient way to view and help reconcile claim data provided by BCBSIL in the 835 ERA. |
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Use Reporting On-Demand to view, download or print duplicate copies of the provider claim summary. |
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Use this tool to request claim review for certain finalized commercial claims. (Note: This tool should not be used for appeals.) |
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Receive and respond online to overpayment recovery requests on commercial claims. |
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Receive and respond to quality and risk adjustment medical record requests electronically via Availity’s Medical Attachments application. |
*These tools are not applicable for government programs claims.
Checking eligibility and/or benefit information and/or the fact that a service has been preauthorized/pre-notified 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, please call the number on the member’s ID card.
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. 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.