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EFT and ERA Update for Non-Contracted Government Programs Providers

Posted July 21, 2017

Effective July 24, 2017, if you are an independently contracted provider who participates in commercial Blue Cross and Blue Shield of Illinois (BCBSIL) products and are enrolled to receive Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) files from BCBSIL, you will now also receive EFTs and ERAs for government programs member claims. You will receive EFTs and ERAs, even if you are a non-contracted BCBSIL government programs provider. Specifically, this information applies to claims submitted for any of the following BCBSIL government programs members:

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

This notice provides an update to a March 2017 announcement that specified delivery of paper checks and provider claim summaries to non-contracted government programs providers. Please continue to watch the News and Updates and Blue Review for additional information. 

If you are not currently enrolled to receive EFT and ERA from BCBSIL, we encourage you to enroll online through the Availity™ Web Portal , which also permits users to make any necessary set-up changes online, at no cost. To learn more about EFT and ERA enrollment, visit the Electronic Commerce page. If you have questions or need assistance with EFT and ERA enrollment through Availity, contact a BCBSIL Provider Education Consultant at ECommerceHotline@bcbsil.com or 800-746-4614. 

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.