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eviCore Benefit Preauthorization Training: Obstetric Ultrasounds

Posted July 18, 2019

Blue Cross and Blue Shield of Illinois (BCBSIL) is working with eviCore healthcare (eviCore), an independent specialty medical benefits management company, to offer provider orientation sessions, as noted below.

This web-based training will cover how to navigate the eviCore website to submit benefit preauthorization requests for obstetric ultrasounds (OBUS) when benefit preauthorization for this service is required for BCBSIL members. Even simple errors may lead to a denial. Submitting requests online helps reduce the chance of error.

In the training, you’ll learn how to electronically submit benefit preauthorization requests through eviCore. You’ll also learn how to access and locate required information on the eviCore website, as well as what clinical documentation you may need for the top requested services. 

Learn how to properly submit benefit preauthorization requests for OBUS services by enrolling for one of the sessions below. This is your chance to have your eviCore questions answered by the experts. Each training session is about an hour. The training is free, but registration is required. 

Training Schedule

OBUS 

Aug. 6, 2019

1 p.m., CST

OBUS

Aug. 13, 2019

9 a.m., CST

How to Register 

  1. Go to evicore.webex.com
  2. Click “WebEx Training” on the left side of the webpage. 
  3. Click the “Upcoming” tab to select which orientation training session you want to attend. (Note: Orientation training sessions are shown as “BCBSIL & BCBSTX OBUS Provider Orientation Session” under the “Topic” field.) 
  4. Click the “Register” box and enter all required information. 

You’ll get a confirmation email with your registration ID and a link to your selected training session.  

Training Documents 

If you’re unable to attend a training session, go to evicore.com/implementation  to download a PDF copy of the presentation or any additional documents. Adobe Acrobat Reader is available for download here

Reminder: Always Check Eligibility and Benefits First

Benefits will vary based on the service being rendered and individual and group policy elections. It’s critical to check eligibility and benefits for each patient to confirm coverage details. This step will also identify benefit preauthorization/pre-notification requirements and specify utilization management vendors that must be used, if applicable. Submit online eligibility and benefits requests (electronic 270 transactions) via the Availity® Provider Portal  or your preferred web vendor portal.

eviCore is an independent specialty medical benefits management company that provides utilization management services for BCBSIL. eviCore is wholly responsible for its own products and services. 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 eviCore and Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.

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