Provider Learning Opportunities

October 2023

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^® Essentials Prior Authorizations and BlueApprovR^SM Tools Learn how to electronically submit inpatient and outpatient prior authorization handled by BCBSIL using the Availity Authorizations and BlueApprovR tools. You’ll also learn how to access and submit inpatient and/or outpatient medical/surgical, behavioral health and specialty pharmacy drug prior authorization requests online through BlueApprovR.	Oct. 4, 2023 Oct. 11, 2023 Oct. 18, 2023 Oct. 25, 2023	11 a.m. to 12:30 p.m.
Availity Claim Status, Clinical Claim Appeals and Message This Payer Learn how to verify claim status, submit and monitor clinical claim appeals online and Message This Payer using the Availity Essentials Portal.	Oct. 5, 2023 Oct. 12, 2023 Oct. 19, 2023 Oct. 26, 2023	11 a.m. to noon
Availity Essentials Instructor-Led Training Register for this session to better understand how electronic transactions can work for your organization. You’ll learn the importance of Manage My Organization, how to use the Patient ID Finder, instruction on the newly updated Eligibility and Benefits capability as well as the Electronic Predetermination process.	Oct. 17, 2023	11 a.m. to noon
Availity Remittance Viewer and Provider Claim Summary These online tools give providers and billing services a convenient way to view claim detail information from the 835 Electronic Remittance Advice and the Provider Claim Summary. 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.	Oct. 19, 2023	1 to 2 p.m.
BlueApprovR: Prior Authorization Process Learn how to access and use BlueApprovR via Availity Essentials to submit and secure real-time approvals for specialty pharmacy drug, behavioral health clinical evaluation and medical surgical prior authorization requests for many BCBSIL commercial members.	Oct. 5, 2023 Oct. 12, 2023 Oct. 19, 2023 Oct. 26, 2023	1 to 2 p.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 members, please join us for guided webinars that will review all the provider trainings required by the Centers for Medicare & Medicaid Services and/or Illinois Department of Healthcare and Family Services.	Oct. 10, 2023 Oct. 17, 2023	1 to 3 p.m. 10 a.m. to noon
Monthly Provider Hot Topics Webinar Stay up to date on the latest news from BCBSIL! Engage with our Provider Network Consultants to learn about upcoming initiatives, program changes and updates, as well as general network announcements.	Oct. 12, 2023	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.	Oct. 19, 2023	10 to 11 a.m.
Orientation Webinars for New BCCHP and/or MMAI 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.	Oct. 26, 2023	10 to 11 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.

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.

BLUE REVIEW^SM

for Providers