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BCBSIL Medicaid: Error Response on Electronic Inquiries

Posted January 24, 2017

When conducting electronic eligibility and benefits (270) and claim status (276) transactions for Blue Cross and Blue Shield of Illinois (BCBSIL) Medicaid members using AvailityTM or your preferred vendor portal, the correct payer option to select is “Blue Cross Community OptionsSM.” This applies to the following BCBSIL Medicaid members:

  • Blue Cross Community MMAI (Medicare-Medicaid Plan)SM
  • Blue Cross Community Integrated Care Plan (ICP)SM
  • Blue Cross Community Family Health PlanSM (FHP)
  • Managed Long Term Supports and ServicesSM (MLTSS)

As noted above, Blue Cross Community Options is the correct payer option for online eligibility and benefits/claim status inquiries for MMAI, ICP, FHP and MLTSS members. However, due to a system issue, providers conducting these inquiries through the Availity Web portal between January 1 and 15 may have received the following error message: “Authorization/Access Restrictions – Please Correct and Resubmit.

The system issue producing the Authorization/Access Restrictions error response was resolved as of Jan. 16, 2017. Impacted providers may resume submitting electronic 270 and 276 inquiries through Availity for BCBSIL Medicaid members effective immediately. We appreciate your patience and apologize for any inconvenience that this issue may have caused your practice.

Checking eligibility and/or benefit information 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. If you have any questions, please call the number on the member’s ID card.

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 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.