Claim Status and Adjudication
After submitting a claim, you can check the status online or via Provider Customer Service’s automated phone system. By checking claim status, you can verify if your claim has been received, pended or finalized. Additionally, you can verify the descriptions for any claim denials.
Note: If your claim did not process the way you anticipated, it is important that you do not submit a duplicate claim for the same patient. Duplicate claims typically result in additional denials.
You or your billing agent can obtain real-time results by checking claim status through the Availity® Claim Research Tool (CRT) or your preferred vendor. The Claim Research Tool provides the equivalent of an Explanation of Benefits (EOB), including line item breakdowns and detailed denial descriptions. All results are printable and can be used as a duplicate EOB for another insurance carrier when requested.
Checking via Telephone
If you cannot submit your claim status requests online, call our Interactive Voice Response (IVR) automated phone system at 800-972-8088, available Monday through Friday, 6 a.m. to 11:30 p.m., CT, and Saturday, 6 a.m. to 6 p.m., CT. For additional details, refer to the Claim Status IVR Caller Guide.
When running a claim status transaction, you may have additional questions if your claim did not process the way you expected. Post-processing inquiries can also be submitted online or by speaking to one of our agents.
Email our Provider Education Consultants. Be sure to include your name, direct contact information, tax ID or billing NPI.
Availity is a registered trademark of Availity, LLC. Availity is 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 offered by independent third party vendors. If you have any questions about the products or services offered by such vendors, you should contact the vendors directly.