May 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.

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 Learn how to electronically submit inpatient and outpatient prior authorization requests handled by BCBSIL.	May 11, 2022 May 18, 2022 May 25, 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.	May 5, 2022 May 12, 2022 May 19, 2022 May 26, 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.	May 19, 2022	1 to 2 p.m.
Availity Orientation: Save Time and Go Online Join us for a review of electronic transactions, provider tools and helpful online resources.	May 10, 2022 May 17, 2022 May 24, 2022 May 31, 2022	11 a.m. to noon
Behavioral Health Webinar: Substance Abuse – Coordinating Care and Improving Follow-Up This introductory training focuses on addressing substance abuse in the primary care setting, with treatment options across various care settings. Those who attend will earn one continuing medical education credit (CME) or continuing education unit (CEU).	May 16, 2022 May 18, 2022	8 to 9 a.m. 10 to 11 a.m.
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 Blue Cross Community Health Plans^SM (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).	May 17, 2022	1 to 3 p.m.
Monthly Provider Hot Topics Webinar Stay up to date on the latest news from BCBSIL! Engage with our Provider Network Consultants (PNCs) learn about upcoming initiatives, program changes and updates, as well as general network announcements.	May 12, 2022	10 to 11:30 a.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.	May 25, 2022	10 to 11:30 a.m.
Orientation Webinars for New MMAI and/or BCCHP Providers Learn how we can best work together to improve the health of our member. 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.	May 26, 2022	3 to 4:30 p.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.

The New Mexico Osteopathic Medical Association (NMOMA) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. NMOMA designates this program for a maximum of 1 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician's participation.

Social Work CEUs Approved by NASW-NM. The Licensee must maintain proof of continuing education courses taken for the past four (4) years. The New Mexico Regulations and Licensing Department, Boards and Commissions, Social Work Licensing Board reserves the right to audit a licensee’s continuing education records as it deems necessary. This event has been approved for a total of 1 CEU.

Physicians, nurses, physician assistants, physical and occupational therapists, and psychologists can use AOA Cat 1-4 credit toward licensure. Social workers and mental health counselors (LPC, LCPC, LPCC) can use the Social Work CEU credit toward licensure.

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.