Provider Finder®
Search for doctors, dentists, hospitals and other health care providers. (Note: See Medicaid page for BCCHP and MMAI Provider Finder links.)
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Important Dates and Reminders
Stay informed about recent implementations, upcoming changes and special events by checking the Important Dates and Reminders.
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- Blue Review
- 12/09/19 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2020 – Part 2
- 12/02/19 Medicaid Provider Alert: Mandatory Annual Training Must Be Completed by Dec. 31, 2019
- 12/01/19 Benefit Preauthorization Changes for Member ID Prefixes BBE, BHP, BNK, BRG and BYR Will Take Effect March 1, 2020
- 11/27/19 New Programs Help Members Lead Healthier Lives
- 11/26/19 Change to Medicare Severity Diagnosis Related Group Payment Methodology
- 11/22/19 Government Programs: Interpreting the 'PLB' Segment on the 835 Electronic Remittance Advice (ERA)
- 11/21/19 New Online Enrollment Process for 835 EFT/ERA through the Availity® Provider Portal
- 11/19/19 Update: City of Chicago Discontinuing Second Surgical Opinion Requirement Jan. 1, 2020
- 11/18/19 Government Programs: Electronic Payment Summary Now Available for 835 ERA Receivers
- 11/11/19 Update: Effective Oct. 1, 2019, Prescriptions for Medicaid Members Denied if Provider is Not Registered with IMPACT
- 11/07/19 Inappropriate Antibiotic Use in Outpatient Settings
- 11/06/19 HEDIS® Measure: Appropriate Testing for Children with Pharyngitis
- 11/05/19 Government Programs: New Claim Status Tool via Availity® Provider Portal
- 11/04/19 Update: New Addresses for Claim Overpayment Refunds and Contractual Allowances
- 11/01/19 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2020 – Part 1
- 11/01/19 New Names and ID Cards for Some Medicare Plans
- 10/30/19 Blue Cross Community Health PlansSM (BCCHPSM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM Appointment Availability Timeframes
- 10/30/19 Verify Benefit Preauthorization Requirements by Procedure Code via IVR Phone System
- 10/28/19 Be Covered – Increasing Coverage for the Uninsured and Underinsured
- 10/25/19 Behavioral Health Program Changes for AT&T Members, Effective Jan. 1, 2020
- 10/24/19 2020 Benefit Preauthorization Requirements, Reminders and Resources (PPO – Commercial and Government Programs)
- 10/23/19 Blue Cross Community Health PlansSM (BCCHPSM): New Program Notification: Opioid Diagnosis Code Required at Pharmacy
- 10/18/19 Availity® Remittance Viewer Tool Upgrade
- 10/15/19 Medicare Advantage Reminder: Additional Payment for Post-Discharge Medication Reconciliation
- 10/15/19 Enhanced Community Based Behavioral Health Services Request Form
- 10/14/19 eviCore Benefit Preauthorization Training for Advanced Imaging, Genomic Lab, Joint/Spine/Pain and Sleep Management Services
- 10/08/19 Time-Based Measurement Standard to Follow AMA: Physical Medicine Service Units Coding Change
- 10/04/19 Code Audit Denial Rationale and Additional Action(s): New Claim Research Tool Functionality
- 10/03/19 Medicare Advantage Updates to Provider Finder®
- 10/02/19 Benefit Preauthorization Changes for Some Custom Accounts Will Take Effect Jan. 1, 2020
- 10/02/19 Benefit Preauthorization for Fertility Services for Some Members Must Be Obtained Through WINFertility, Effective Jan. 1, 2020
- 10/02/19 2019 Annual HMO and PPO HEDIS® Reports
- 10/01/19 2020 Blue Cross Medicare Advantage (PPO)SM Prior Authorization Requirements Summary
- 10/01/19 2020 Medicaid Prior Authorization Requirements Summary
- 10/01/19 Specialty Pharmacy Benefit Preauthorization Requirement Changes for Some Commercial Members, Effective Jan. 1, 2020
- 09/30/19 Laboratory Benefit Level Change for Some Members
- 09/30/19 Update: Changes to Medicare Advantage Payment Models for Skilled Nursing Facility and Home Health Care Claims
- 09/27/19 Your Feedback is Important
- 09/26/19 Procedure Code and Fee Schedule Updates, Effective Jan. 1, 2020
- 09/26/19 Itemized Bills Required for BlueCard® Claims Over $200k
- 09/24/19 Attention Skilled Nursing Facility Providers: Changes to Custodial Claim Billing Requirements for Medicaid Members
- 09/24/19 Update: Post-payment Review for Implant Claims from Stand-alone Ambulatory Surgery Centers
- 09/20/19 FEP® Blue Focus Reminder
- 09/16/19 Attention Substance Use Prevention and Recovery (SUPR) Providers: Updated SUPR Services Billing Guidelines
- 09/12/19 HEDIS® Measure: Check and Document Body Mass Index
- 09/11/19 Update: Statewide HealthChoice Illinois MLTSS Implementation
- 09/09/19 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2019 – Part 2
- 09/03/19 Reminder: CMS Audit in Process/Submit Medical Records ASAP
- 08/30/19 Respond Electronically to Medical Record Requests for Quality and Risk Adjustment, and Soon Claims, via Availity® Provider Portal
- 08/29/19 Faulty Neulasta Onpro Devices: Billing and Reimbursement Reminders
- 08/28/19 The Provider Onboarding Form and User Guide
- 08/28/19 New Online Case and Credentialing Status Checkers
- 08/27/19 Reminder: Verify Procedure Code Benefit Preauthorization Requirements Online
- 08/26/19 Enhancement to Automated Phone System: Consolidated Benefit Response
- 08/26/19 New and Exciting Functionality Coming to the Claim Research Tool (CRT) via Availity® Provider Portal
- 08/26/19 Statewide HealthChoice Illinois MLTSS Implementation (September Webinars Added)
- 08/20/19 Update: Government Providers, Resubmit Claims Previously Incorrectly Rejected for Invalid NDCs
- 08/15/19 Update: Medicaid Dispute Request Forms: Which Form to Use and When
- 08/12/19 Update: Notice of Change in the Pre-service Appeals Process for Government Programs Effective Nov. 1, 2019
- 08/05/19 BCCHP Providers: What You Need to Know About Maternal and Child Health vs. Primary Care Physician Add-On Codes
- 08/01/19 Government Programs Update: Removal of Benefit Preauthorization Requirement for Cardiology and Specialty Therapy Services, Effective Sept. 1, 2019
- 08/01/19 Member letters have a new look!
- 07/30/19 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2019 – Part 1
- 07/30/19 Update: Preauthorization Requirements Change Periodically: Remember to Always Check Eligibility and Benefits
- 07/23/19 Reminder: Availity® Claim Research Tool Provides Claim Status Results
- 07/19/19 University of Chicago Retiree Transition to Anthem Medicare Advantage Plan
- 07/18/19 eviCore Benefit Preauthorization Training: Obstetric Ultrasounds
- 07/18/19 Automated Phone System Offers More Service Options for MMAI and Medicare Advantage
- 07/16/19 Update: Statewide HealthChoice Illinois MLTSS Implementation (August Webinars Added)
- 06/24/19 Clarification: Updates to Behavioral Health Claim Review Process
- 06/21/19 Changes to 2019 Specialty Pharmacy Select Infusion Drug List (Commercial)
- 06/20/19 Living365® 'Managing Your Asthma/COPD' Health Education Classes Available for Select BCBSIL Medicare and Medicaid Members
- 06/20/19 eviCore Process Reminder for Commercial PPO Benefit Preauthorization Requests
- 06/19/19 Update: Statewide HealthChoice Illinois MLTSS Implementation
- 06/14/19 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2019
- 06/07/19 Reporting On-Demand Application Now Available for Government Programs via Availity® Provider Portal
- 06/05/19 Out-of-State Provider Notification: Contact Your Local Blues Plan for Electronic Remittance Advice (835 ERA) Enrollment
- 05/28/19 Guidelines for Imaging in Low Back Pain
- 05/24/19 Starting in June: Monthly Virtual Provider Workshops
- 05/24/19 In-home Colorectal Cancer Screening Test Provided to Select Members
- 05/23/19 Rendering Provider Fee Schedule Reminder
- 05/22/19 Medicaid Providers: Benefit Preauthorization Tips and Peer-to-Peer Discussion Process
- 05/21/19 Statewide HealthChoice Illinois Managed Long Term Services and Supports Implementation
- 05/21/19 We're Conducting an Email Validation Survey
- 05/13/19 Attention Medicaid and MMAI Long-Term Care Providers: Custodial Care Services
- 05/01/19 May is Mental Health Month: Talk to Your Patients About Depression
- 04/30/19 Check Your Patients' Behavioral Health Benefit Preauthorization Requirements
- 04/29/19 BCBSIL Now Offers a Choice in Pharmacies for Specialty Medications
- 04/25/19 Save Time by Using the eviCore Web Portal for Benefit Preauthorization Requests
- 04/24/19 BCCHPSM and MMAI Providers: Utilization Management (UM) Reminders
- 04/23/19 Change in Reject Notification for Invalid National Drug Codes (NDCs) Used on Electronic Medicare Advantage Claims
- 04/23/19 The Department of Health and Human Services Risk Adjustment Data Validation (HHS-RADV) Program/Initial Validation Audit (IVA) Begins in June
- 04/11/19 Illinois Medicaid Primary Care Physician (PCP) Add-on Fee Payment Issue
- 04/01/19 eviCore Preauthorization Training – MSK Services and OB Ultrasound
- 03/28/19 Remind Your Patients About Safe Prescription Drug Disposal Options
- 03/25/19 Changes to the Three-Character Prefix on Member ID Cards
- 03/14/19 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2019
- 03/14/19 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2019
- 03/25/19 Changes to the Three-Character Prefix on Member ID Cards
- 03/14/19 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2019
- 03/14/19 Behavioral Health Providers: Complete Our Survey by March 31 to Help Improve Access to Care
- 03/06/19 Change in Reject Notification for Invalid National Drug Codes (NDCs) Used on Electronic Illinois Medicaid Claims
- 03/06/19 Change in Preferred Hepatitis C Medication for Select Illinois Medicaid Members, Effective March 1, 2019
- 03/04/19 Government Programs: Hospice Care Billing Requirement Updates
- 03/01/19 Illinois Medicaid Providers: Sign Up for Hypertension Webinar on March 7
- 02/28/19 Medicaid Providers: New IAMHP Comprehensive Billing Manual Available
- 02/26/19 Procedure Code and Fee Schedule Updates
- 02/25/19 Shared Decision-Making Aids
- 02/25/19 Government Programs: Verifying Claim Status in the Availity® Provider Portal
- 02/25/19 Health Equity Will be Discussed at the Next Blue UniversitySM Event
- 02/21/19 2019 Commercial PPO Benefit Preauthorization Requirements: New Tip Sheet
- 02/20/19 Submit Benefit Preauthorization Requests Online for Intensive Outpatient Program and Electroconvulsive Therapy Services
- 02/20/19 Recent Updates to BCBSIL's Payer Spaces Section in the Availity® Provider Portal
- 02/04/19 Updated: How to Navigate our Provider Finder®
- 02/01/19 Pharmacy Program Updates: Quarterly Pharmacy Changes
and Pharmacy Network Changes Effective Jan. 1, 2019
- 01/25/19 Radiology Quality Initiative (RQI) Program is Business as Usual
- 01/24/19 Updated: Tips to Help You Navigate Our New Provider Onboarding Form
- 01/23/19 Encourage Patients to Enter Faces of FearlessSM Contest
- 01/23/19 Behavioral Health Providers: We Need Your Help to Improve Access to Care
- 01/23/19 February Webinars Focus on New Availity® Provider Portal Tools
- 01/15/19 Attend Blue UniversitySM Follow-up Webinar February 15
- 01/10/19 Illinois Medicaid: Encounter Compliant Claim Submission Requirements and BCBSIL Edits
- 01/08/19 Hold Times and Yearly Eligibility Changes
- 01/07/19 Important Notice for IL Medicaid Electronic Funds Transfer (EFT) Recipients
- 01/07/19 New Opioid Drug Management Program for Medicare Members
- 01/04/19 Behavioral Health Benefit Preauthorizations for City of Chicago Employees
- 01/04/19 HEDIS® Results for Medicaid Childhood and Adolescent Immunization
- 01/03/19 2019 CAHPS Survey for Medicaid Members
- 01/02/19 New Professional Provider Network Relations Phone Number
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