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Online Portal Applications Help Expedite Administrative Workflow

Posted October 12, 2016

Does your office or organization ever ask … “Is this patient eligible for Blue Cross and Blue Shield Illinois (BCBSIL) benefits?”, “Does this service require preauthorization?”, or “How did my claim process?” If so, these questions and so many more can be answered with a few key strokes, often in just a matter of seconds, using an online portal application, such as Availity™. 

Electronic options deliver near real-time resolutions, in many instances, helping you avoid disapproved services and optimizing your payment. You can confirm patient coverage, preauthorize services and post payments with a few simple clicks. 

Not only can you conduct HIPAA-compliant transactions online, using Availity, you can also:

  • Submit pre- and post-exam transactions
  • Conduct pre-service requests
  • Complete post-service reconciliation
  • Update provider demographics
  • Enroll for electronic remittance and fund transfer

If you have not registered and would like to learn more about Availity and our online benefit preauthorization tool iExchange®, we invite you to sign up now for a BCBSIL Back to Basics: ‘Availity 101’ Webinar. For upcoming webinar dates and times, visit the Webinars page. For more advanced training about online tools, email a Provider Education Consultant at PECS@bcbsil.com

Please note that the fact that a service has been preauthorized is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered. 

Availity is a trademark of Availity, L.L.C., 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 third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.