March 30, 2022
Effective May 1, 2022, Blue Cross and Blue Shield of Illinois (BCBSIL) will implement its new claims program with Avalon Health Solutions (Avalon) for certain outpatient laboratory services provided to many of our commercial non-HMO members.*
There’s Still Time for Training
Attend free webinars on how to use the Avalon Trial Claim Advice Tool and learn more about the Laboratory Benefit Management Program. To register, select your preferred date and time from the list below:
Trial Claim Advice Tool Opens April 1, 2022
Beginning April 1, 2022, you can get free access to the Avalon Trial Claim Advice Tool by registering at Availity® Essentials. The self-service Trial Claim Advice Tool via Availity is available 24/7. It will allow you to input laboratory procedure and diagnosis codes to see, before submitting a claim, the potential outcome of your claim.
The Trial Claim Advice Tool doesn’t guarantee approval, coverage, or reimbursement for health care services. Potential claim outcomes provided by Avalon’s Trial Claim Advice Tool consider information entered into the tool for the date of service entered, historical claims finalized through the prior business day and may link to applicable policies and/or guidelines.
*This program doesn’t apply to government programs or any of our HMO members.
Avalon Health Solutions (Avalon) is an independent company that provide claims management services for members with coverage through BCBSIL. 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 third party vendors and the products and services they offer.