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What's New
ENH Changes Name
Electronic Payment Summary Technical Difficulties (Sept. 2008) - Update
NEW! Member ID Card Enhancements, Coming Soon... (Sept. 2008)
Availity Transition Delayed (September 2008)
Enterprise Data Center Transition (September 2008)
Discontinuance of Paper Provider Claim Summary (September 2008)
Availity Participating Provider Training Webinars -
September 2008
Pre-service Requirements
Urgent! Share all Billing NPI(s) Used for Medicare Claims
Recall of Digitek
September Blue Review Available Now!

Updates
Updated Policy and Procedures
ICD-9-CM Billing Update

Provider Update
Electronic Commerce
• Alerts
• Availity L.L.C.
• EDI Format Specifications
• EDI Transactions
• EFT/ERA Forms
• Electronic Funds Transfer (EFT)/Electronic Remittance Advice (ERA)
• FTP Membership
• HIPAA
• iExchange
• Nebo/NDAS Online
• RealMed
Pharmacy Management
• Drug Formulary/
Dispensing Limits
• Synagis Pre-Authorization Form (pdf - 34kb)
• Non-HMO Specialty Pharmacy program
• HMO Prior Authorization and Step Therapy Programs
• Over the Counter Equivalent Exclusion Program
• e-Prescribing Collaborative Program
• Medicare Part D Updates
Credentialing /
Contracting
• Credentialing
• Credentialing Updates
• Effective Dates: Appointment /
Reappointment Reports
• Forms
• Recredentialing Cycle
• Request a Contract Application
• Site Visits
• Update Demographic Information
Provider Library
• BlueCard Program
• BlueChoice/BlueChoice Select Reference Material Secured Lock
• Blue Medicare Private Fee-for-Service Terms and Conditions
• Blue Review
• CMS-1500 User Guide
(NPI-only Version)
Revised (05/08)
• Draft Medical Policies New
• Forms
• HIPAA Notice of Privacy Practices
• HMO ResourcesSecured Lock
• Interactive Voice Response System (IVR)
• ManualsSecured Lock
• Medical Policies
• Medicare Supplement Benefit Matrices:
New: 2008 Benefits
• Physician's Advisory Committee
• Privacy Statement
• Professional Provider Network Consultant List
Revised (08/08)
• Provider Network Consultant List (Ancillary Providers)
• Reference Guides
• Refund/Payment Recovery Program
• UB-04 User Guide
(NPI-only Version)
Revised (05/08)
 

 
UM/QI/Medical Management
• QI Order Forms
• Site Visits
• Quality Improvement
• HEDIS Report - HMO
• BlueChoice Tiering
• PPO Practitioner Profile
• Clinical Quality Indicators
• Patient Safety Physician Education Project
• 2008 Annual BCBSIL Hospital Profile New
• Pre-Service Requirements New

Provider Tools
• Blue Distinction New
• Radiology Quality Initiative (RQI)/American Imaging Management Inc. (AIM)
• Obesity Management Tool Kit Web Site
• Hospital Comparision Tool
• Blue StarSM Hospital Report
• Blue StarSM Medical Group/IPA Report
• Clear Claim Connection

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Blue Review
October 2008 Issue
Check the Archives

SID Tutorial!
SID Tutorial
View the Special Investigations Department Tutorial!

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