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Provider Claim Summary Paper-to-Electronic Conversion Coming March 1, 2017

Posted November 30, 2016

Blue Cross and Blue Shield of Illinois (BCBSIL) recognizes immediate access to the Provider Claim Summary (PCS) is vital for posting patient accounts and reconciling financials. Often times, providers who receive this information via postal mail are waiting on delivery, which delays administrative processes. 

As of Dec. 12, 2016, a new report viewer application will be available in the BCBSIL branded Payer Spaces section on the Availity™ Web portal. This new tool permits registered Availity users to readily view, download, save and/or print the PCS online, as often as needed. This report viewer offers you the opportunity to obtain claim outcome results for multiple patients, in one central location. 

Effective March 1, 2017, claim summary information will be delivered through this online report viewer application, rather than distribution via paper mailing. This online alternative is an additional offering to our other online electronic tools that may be accessed through Availity. If you currently rely on paper claim summaries, Availity registration is strongly recommended to gain access to the report viewer application. 

Providers who are already enrolled for the Electronic Remittance Advice (ERA) from BCBSIL will continue receiving their remittances electronically, but will have an additional opportunity to view, download, and/or print the claim summary using the report viewer as a complimentary option. 

Exceptions to continue receiving paper mailing may be considered for extenuating circumstances. To submit this type of exception or request training for online applications, contact PECS@bcbsil.com.

Otherwise, beginning March 1, 2017, claim summary information will be accessible exclusively through the report viewer application on Availity. Additionally, providers will be directed to make use of the BCBSIL report viewer application if an exception request is not received by Feb. 17, 2017. The exception review process may require up to five business days before a response is returned. 

BCBSIL supports an array of online tools for registered Availity users, including the report viewer, at no additional cost. To register, simply go to availity.com, select “Register,” and complete the online application today. 

Additional communications regarding the above-referenced change may be published in upcoming Blue Review editions, as well as on our Provider website.  

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.