December 2022

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. Note: All times listed are Central Time (CT).

BCBSIL WEBINARS *To register now for a webinar on the list below, click on your preferred session date.*
Descriptions:	Dates:	Session Times:
Availity^® Essentials Authorizations Tool Learn how to electronically submit inpatient and outpatient prior authorization requests handled by BCBSIL.	Dec. 14, 2022 Dec. 21, 2022 Dec. 28, 2022	11 a.m. to noon
Availity Claim Status and Clinical Claim Appeals Learn how to verify detailed claim status and submit clinical claim appeals online using Availity’s Claim Status tool.	Dec. 15, 2022 Dec. 22, 2022 Dec. 29, 2022	11 a.m. to noon
Availity Orientation: Save Time and Go Online Join us for a review of electronic transactions, provider tools and helpful online resources.	Dec. 13, 2022 Dec. 20, 2022 Dec. 27, 2022	11 a.m. to noon
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. 15, 2022	1 to 2 p.m.
BlueApprovR^SM: Prior Authorization Process Enhancements via Availity Learn how to access and use BlueApprovR via Availity to submit and secure real-time approvals for specialty pharmacy drug and behavioral health clinical evaluation prior authorization requests for many BCBSIL commercial members.	Dec. 12, 2022 Dec. 14, 2022 Dec. 16, 2022 Dec. 19, 2022 Dec. 20, 2022	1 to 2 p.m. 11 a.m. to noon 1 to 2 p.m. 1 to 2 p.m. 1 to 2 p.m.
Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM Provider Orientation Effective *Jan. 1, 2023*, BCBSIL Medicare Advantage Plan is expanding to additional counties within the State of Illinois. These orientation webinars will give you the opportunity to ask the Provider Network Consultants (PNCs) questions and will highlight topics such as provider enrollment, eligibility and benefits, claim submission and review and additional resources.	Dec. 15, 2022	1 to 2:30 p.m.
Blue Cross Community Health Plans^SM (BCCHP^SM) and MMAI Required Provider Training Webinars If you provide care and services to our Blue Cross Community MMAI (Medicare-Medicaid Plan)^SM and/or BCCHP members, please join us for guided webinars that will review all the provider trainings required by the Centers for Medicare & Medicaid Services (CMS) and/or Illinois Department of Healthcare and Family Services (HFS).	Dec. 13, 2022	1 to 3 p.m.
HEDIS^® Changes in 2023 Register today to learn about the changes for Healthcare Effectiveness Data and Information Set in 2023 how it will affect providers. This session will highlight the use of HEDIS to move from measurement to improvement by emphasizing equitable care through the identification of health disparities and Social Determinants of Health.	Dec. 14, 2022	Noon to 1 p.m.
Orientation Webinars for New Commercial Providers Learn how we can best work together to improve the health of our members. Ask questions and engage with our PNCs on topics such as care coordination, third party vendors, claims, prior authorization and required provider training.	Dec. 14, 2022	3 to 4:30 p.m.
Orientation Webinars for New MMAI and/or BCCHP Providers Learn how we can best work together to improve the health of our members. Ask questions and engage with our PNCs on topics such as network participation and benefits, claims, post-processing claim inquiries, supplemental resources, credentialing and contracting.	Dec. 15, 2022	10 to 11:30 a.m.

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 and the products and services they offer.

HEDIS is a registered trademark of NCQA.

Checking eligibility and benefits and/or obtaining prior authorization is not a guarantee of payment of benefits. Payment of benefits is subject to several factors, including, but not limited to, eligibility at the time of service, payment of premiums/contributions, amounts allowable for services, supporting medical documentation, and other terms, conditions, limitations, and exclusions set forth in the member’s policy certificate and/or benefits booklet and or summary plan description. Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and the health care provider. If you have any questions, call the number on the member's BCBSIL ID card.