Government Programs: Electronic Payment Summary Now Available for 835 ERA Receivers

Posted November 18, 2019

This notice applies to providers submitting claims for the following Blue Cross and Blue Shield of Illinois (BCBSIL) government programs members:

  • Blue Cross Community Health PlansSM (BCCHPSM)
  • Blue Cross Community MMAI (Medicare-Medicaid Plan)SM
  • Blue Cross Medicare Advantage (HMO)SM
  • Blue Cross Medicare Advantage (PPO)SM

As of Nov. 18, 2019, for Medicare Advantage and Dec. 13, 2019, for Medicaid, if you are enrolled to receive the 835 Electronic Remittance Advice (ERA) from BCBSIL for the above-referenced government programs members, you will also receive an electronic provider claim summary (PCS), the electronic version of the remittance advice (RA), in conjunction with your 835 ERA. The ERA and electronic PCS/RA files are delivered to your designated clearinghouse or vendor. With this transition, ERA receivers will no longer receive paper remittance advices delivered by mail.

As an additional option, provider claim summary and/or remittance advice details are available online in the Reporting On-Demand application via the Availity® Provider Portal. This application allows you to view, download, save and/or print claim remittances for claims processed on or after April 12, 2019. For instructions on how to use this application, refer to the Reporting On-Demand tip sheet in the Provider Tools section of our website.

Not yet enrolled for ERA?
Online ERA enrollment is available to registered Availity users. If you need to register, visit Availity and complete the online guided process – at no charge. To learn more about ERA enrollment through Availity, refer to the Availity ERA tip sheet. For more information, refer to the Claim Payment and Remittance section of our Provider website.

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 Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.