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Important Dates and Reminders

Check this page often for a quick snapshot of recent implementations, upcoming changes, special events, important deadlines and other reminders. This information is also included in our monthly Blue Review newsletter. We understand that provider offices are extremely busy and, while this information should not be interpreted as all-inclusive, we hope this abbreviated summary format is useful to you and your staff.


Confirmation of Recent Implementations

Topic

Brief Description

Date Implemented:

For More Information

Availity Remittance Viewer Tool Upgrade

The Availity Remittance Viewer tool has been upgraded with improved data response and viewing options for 835 ERA.

Oct. 18, 2019

Availity Remittance Viewer Tool Upgrade
(October 2019, News and Updates)

Verify Benefit Preauthorization Requirements by Procedure Code via IVR Phone System

Providers can now verify procedure code benefit preauthorization requirements for outpatient, office and home services when calling the IVR phone system for most BCBSIL members.

Oct. 21, 2019

Verify Benefit Preauthorization Requirements by Procedure Code via IVR Phone System
(October 2019, Blue Review)

Check status online for claims submitted to BCBSIL for BCCHP, MMAI and Medicare Advantage members

A new Availity Claim Status tool is available for you to check status online.

Oct. 31, 2019

Government Programs: New Claim Status Tool via Availity Provider Portal
(November 2019, Blue Review)

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

ERA receivers will no longer receive paper remittance advices delivered by mail.

Nov. 18, 2019

Government Programs: Electronic Payment Summary Now Available for 835 ERA Receivers
(November 2019, Blue Review)

Government Programs: Interpreting the 'PLB' Segment on the 835 Electronic Remittance Advice (ERA)

Information will change in the 835 ERA PLB segment for some BCBSIL government program members.

Dec. 5, 2019

Government Programs: Interpreting the 'PLB' Segment on the 835 Electronic Remittance Advice ERA
(December 2019, Blue Review)

 

Upcoming Changes to Watch For

Topic

Brief Description

Target Implementation Date:

For More Information

City of Chicago eliminating mandatory second surgical opinion

Update: City of Chicago Discontinuing Second Surgical Opinion Requirement Jan. 1, 2020

Effective Jan. 1, 2020

Update: City of Chicago Discontinuing Second Surgical Opinion Requirement Jan. 1, 2020
(November 2019, News and Updates)

BlueCard® Members: Itemized Bills Required for Claims Over $200k

The claim amount requiring itemization is changing from the $250,000 threshold in 2019, to $200,000.

Beginning Jan. 1, 2020

Itemized Bills Required for BlueCard® Claims Over $200k
(November 2019, News and Updates)

 

Special Events and Activities

Topic

Brief Description

Important Date(s)

For More Information

Monthly Virtual Provider Workshops

Our Provider Network Consultant team will be hosting one-hour online training sessions to help keep you informed of important BCBSIL updates and initiatives.

through December 2019

Watch the Provider Learning Opportunities or visit the Webinars and Workshops page for upcoming dates and online registration.

 

Deadlines and Other Reminders

Topic

Brief Description

Important Dates

For More Information

Email Validation Survey

If you’re on our Blue Review distribution list, you may receive an email validation survey from BCBSIL.

Ongoing through 2019

We’re Conducting an Email Validation Survey
(May 2019, News and Updates)

Remind your Medicare and Medicaid patients to schedule their annual wellness visits.

Providers may increase Star ratings by promoting preventive care; participating members could receive $50 gift cards.

Before Dec. 31, 2019

CMS Star Ratings Matter: Encourage Members to Schedule Annual Wellness Visits
(September 2019, Blue Review)