May 2023
BlueApprovRSM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization Requests – Attend a Training
Blue Cross and Blue Shield of Illinois continues to streamline the prior authorization process to reduce your workload with BlueApprovR. This new tool, accessible in Availity® Essentials, expedites approvals for some medical and surgical, pharmacy drug and behavioral health services for many of our commercial, non-HMO members.
Remember: Member benefits vary based on the service being rendered and individual and group policy elections. Always check eligibility and benefits first through Availity or your preferred web vendor. This step will confirm coverage and other important details, such as prior authorization requirements and utilization management vendors, if applicable.
BlueApprovR Tool Offers End-to-End Efficiencies
Registered Availity users have free, 24/7 access to BlueApprovR tool to:
- Request prior authorization for inpatient and outpatient medical surgical services, pharmacy drug and behavioral health services
- Get real-time prior authorization approvals for certain services
- Easily attach medical records
- Check approval status and view history
Provider Training
Join us for an instructor-led, free webinar to learn how to use BlueApprovR. To register to attend, select your preferred date and time from the list below. Times listed are Central Time:
- May 3, 2023 – 11 a.m. to noon
- May 4, 2023 – 10 to 11 a.m.
- May 10, 2023 – 11 a.m. to noon
- May 11, 2023 – 10 to 11 a.m.
- May 17, 2023 – 11 a.m. to noon
- May 18, 2023 – 10 to 11 a.m.
- May 24, 2023 – 11 a.m. to noon
- May 25, 2023 – 10 to 11 a.m.
- May 31, 2023 – 11 a.m. to noon
How To Access BlueApprovR via Availity Essentials To Submit Prior Authorization Requests
- In Availity, select Payer Spaces from the navigation menu, then BCBSIL
- On the BCBSIL Payer Spaces page, under the Applications tab, select BlueApprovR
- You’ll be redirected to BlueApprovR to complete your request online
Other Prior Authorization Request Methods
If you’re not a registered Availity user, sign up today on Availity.com. Otherwise, you may still request prior authorization by calling the number on the member’s BCBSIL ID card.
For More Information
Refer to our BlueApprovR page for a user guide and other provider resources. Continue to watch our News and Updates for future program updates and training opportunities.
BlueApprovR is currently unavailable for Federal Employee Program®, Medicare Advantage and Illinois Medicaid members. Please use your existing process for requesting prior authorization for these members.
Checking eligibility and/or benefit information and/or obtaining prior authorization 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, including, but not limited to, exclusions and limitations applicable on the date services were rendered. If you have any questions, 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. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding third part vendors and the products and services they offer.