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Important Dates and Reminders

Check here each month for a quick snapshot of recent implementations, upcoming changes, special events, important deadlines and other reminders from
Blue Cross and Blue Shield of Illinois (BCBSIL). We know you're busy. While this list isn't all-inclusive, we hope this summary is useful.


COVID-19 Related Information

For updates to assist you during the crisis transition, refer to our listing of important dates and reminders related to COVID-19.

 

Confirmation of Recent Implementations

Topic

Brief Description

Important Date(s)

For More Information

New online tool for submission of predetermination of benefits requests

BCBSIL is pleased to introduce an electronic predetermination of benefits request process via the Availity® Provider Portal using the new Attachments tool.

July 30, 2020

Submit Predetermination of Benefits Requests via the Availity Provider Portal
(July 2020, News and Updates)

Topic

Brief Description

Important Date(s)

For More Information

New process for Medicare Advantage and Illinois Medicaid claim overpayments less than $5

Request for refund letters will not be generated or mailed, and no balances will be recouped, when the original overpayment is below the threshold.

July 31, 2020

Recoupment Letter Threshold for Government Programs Claims, Effective July 31, 2020
(May 2020, News and Updates)

 

Upcoming Changes to Watch For

Topic

Brief Description

Target Implementation Date:

For More Information

iExchange® Deactivation

BCBSIL’s electronic benefit preauthorization tool, iExchange, will be deactivated on Aug. 17, 2020. All electronic benefit preauthorization and predetermination of benefits requests handled by BCBSIL should be submitted online via the Availity Provider Portal.

Aug. 17, 2020

iExchange Will Be Deactivated on Aug. 17, 2020
(July 2020, News and Updates)

 

Special Events and Activities

Topic

Brief Description

Important Date(s)

For More Information

Monthly Hot Topics Webinar for Providers

Each month, our Provider Network Consultants (PNCs) will be hosting a Hot Topics webinar to help keep you up-to-date on important information you need to know to do business with us. You'll also get a chance to ask the PNCs questions.

This month's webinar will be on August 12, 2020. Register today!

See the Webinars and Workshops page on our Provider website for upcoming dates, times and online registration.

Indices Data Reporting Tool

Indices is a BCBSIL reporting platform offering 24/7 online access to a range of insights about BCBSIL members including quality, risk and efficiency metrics. Indices is designed for care coordinators, population health managers, clinical quality professionals, physician champions and others who focus on closing care gaps and improving quality. Register for a webinar to learn more.

Register today

See the Webinars and Workshops page on our Provider website for upcoming dates, times and online registration.

 

Deadlines and Other Reminders

Topic

Brief Description

Important Dates

For More Information

High-tech Imaging Provider Reminder

If you bill BCBSIL for the technical component of Computed Tomography (CT/CTA), Magnetic Resonance Imaging (MRI/MRA), Nuclear Cardiology or Positron Emission Tomography (PET), it is very important that you complete the OptiNet® assessment.

Ongoing

Imaging Providers: Gain Visibility with OptiNet
(April 2020, Blue Review)

New ICD-10 Z codes for Social Determinants of Health

To better track and address the social needs of our members, BCBSIL invites you to incorporate Social Determinants of Health (SDoH) ICD-10 Z codes on the claims you submit to us.

Ongoing

Use ICD-10 Z Codes to Document Social Determinants of Health Needs
(March 2020, Blue Review)



Checking eligibility and benefits and/or obtaining preauthorization is not a guarantee of payment of benefits. Payment of benefits is subject to several factors, including, but not limited to, eligibility at the time of service, payment of premiums/contributions, amounts allowable for services, supporting medical documentation, and other terms, conditions, limitations, and exclusions set forth in the member's policy certificate and/or benefits booklet and or summary plan description. Regardless of any preauthorization or benefit determination, the final decision regarding any treatment or service is between the patient and their health care provider.


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. iExchange is a trademark of Medecision, Inc., a separate company that provides collaborative health care management solutions for payers and providers. ClaimsXten is a trademark of Change Healthcare, an independent company providing coding software to BCBSIL. Change Healthcare is solely responsible for the software and all the contents. AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent third party vendor that is solely responsible for its products and services. OptiNet is a registered trademark of AIM. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity, Medecision, Change Healthcare or AIM. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.