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Fee Schedule

We value our business relationships with each and every one of the providers who are already participating in our Preferred Provider Option (PPO) and Blue Choice PPOSM networks. We are also pleased to welcome new providers on board.

Fee schedules—BCBSIL’s Schedule of Maximum Allowances—are a key component of your contractual relationship with BCBSIL, and we want to help ensure that you always have the most up-to-date information.

  • To review BCBSIL’s Schedule of Maximum Allowances for PPO and Blue Choice PPO providers, you must submit a Fee Schedule Request Form to BCBSIL via fax, along with a signed Confidentiality Agreement.
  • Significant changes to the physician fee schedules are included in the Blue Review provider newsletter.
  • Specific code changes and annual and quarterly fee schedule updates can be obtained by downloading and submitting a Fee Schedule Request Form.
  • Professional providers participating in our PPO and Blue Choice PPO networks may use the Fee Schedule Listing tool on the Availity® Provider Portal to submit electronic requests and receive the contracted price allowance for specific codes.

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 such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.