Blue Review
A Provider Publication

December 2021

Provider Learning Opportunities

Blue Cross and Blue Shield of Illinois (BCBSIL) offers free workshops and webinars for the independently contracted providers who work with us. These trainings focus on electronic options and other helpful tools and resources. A preview of upcoming training sessions is included below. For more information, refer to our Webinars and Workshops page.

BCBSIL WEBINARS
To register now for a webinar on the list below, click on your preferred session date.

Descriptions:

Dates:

Session Times:

Availity® Authorizations Tool
We are hosting one-hour webinar sessions for providers to learn how to electronically submit inpatient and outpatient benefit preauthorization requests handled by BCBSIL using Availity’s Authorizations tool.

Dec. 8, 2021
Dec. 15, 2021
Dec. 22, 2021
Dec. 29, 2021

11 a.m. to noon
Availity Claim Status
We are hosting complimentary webinars for providers to learn how to verify detailed claim status online using Availity’s Claim Status tool.
Dec. 9, 2021
Dec. 16, 2021
11 to 11:30 a.m.
Availity Remittance Viewer and Reporting On-Demand
These online tools give providers and billing services a convenient way to view claim detail information from the 835 Electronic Remittance Advice (835 ERA) and the Provider Claim Summary (PCS). Attend a webinar to learn how to gain or grant access, conduct a search, view general and payer-specific information and save or print results.
Dec. 16, 2021 1 to 2 p.m.

BCBSIL Back to Basics: ‘Availity 101’
Join us for a review of electronic transactions, provider tools and helpful online resources.

Dec. 14, 2021
Dec. 21, 2021
Dec. 28, 2021

11 a.m. to noon

BCCHPSM and MMAI Required Provider Training Webinars
If you provide care and services to our Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and/or Blue Cross Community Health PlansSM (BCCHP) members, please join us for guided webinars that will review all the provider trainings required by the Centers for Medicare & Medicaid Service (CMS) and/or Illinois Department of Healthcare and Family Services (HFS).
Dec. 14, 2021 1 to 3 p.m.
Electronic Clinical Claim Appeal Requests via Availity Provider Portal
We’re hosting complimentary webinars for providers to learn how to use the new Dispute tool to electronically submit appeal requests for specific clinical claim denials and monitor the status through the Availity portal. This functionality is currently unavailable for Medicare Advantage, Medicaid and BlueCard® (out-of-area) claims.
Dec. 8, 2021
Dec. 10, 2021
Dec. 13, 2021
Dec. 15, 2021
Dec. 17, 2021
Dec. 20, 2021
Dec. 22, 2021
Dec. 27, 2021
Dec. 29, 2021
10 to 11 a.m.
10 to 11 a.m.
1 to 2 p.m.
10 to 11 a.m.
10 to 11 a.m.
1 to 2 p.m.
10 to 11 a.m.
1 to 2 p.m.
10 to 11 a.m.
Medicaid HEDIS® 101 Training
This training will cover a wide range of quality improvement topics and resources to help improve Healthcare Effectiveness Data and Information Set (HEDIS) rates.
Dec. 14, 2021
Noon to 1 p.m.
Medicaid HEDIS 102 Training
This training is designed for contracted providers working with new BCCHP and MMAI members. We’ll review HEDIS measure updates, discuss strategies to sharpen your knowledge of HEDIS measures, and cover the measure year (MY) 2020 and MY 2021 HEDIS technical specifications and general guidelines.
Dec. 8, 2021 Noon to 1 p.m.
Monthly Provider Hot Topics Webinar
These monthly webinars will be held through December 2021. They are customized for the BCBSIL contracted provider community. BCBSIL Provider Network Consultants (PNCs) will use this format to share upcoming initiatives, program changes and updates, as well as general network announcements.
Dec. 8, 2021
10 to 11 a.m.
Orientation Webinars for New MMAI and/or BCCHP Providers
These orientation webinars will give you the opportunity to ask the PNCs questions and will highlight topics such as network participation and benefits, claims, post-processing claim inquiries, supplemental resources, credentialing and contracting.
Dec. 14, 2021
10 to 11:30 a.m.
Orientation Webinars for New Commercial Providers
These orientation webinars will give you the opportunity to ask the PNCs questions and will highlight topics such as care coordination, third party vendors, claims, prior authorization and required provider training.
Dec. 15, 2021
10 to 11:30 a.m.