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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

Blue High Performance NetworkSM (Blue HPNSM)

Blue HPN is a new national high-performance network for large commercial employer groups. In Illinois, Blue HPN will be available in Chicago, Naperville-Elgin and East St. Louis.

January 2021

Blue High Performance Network (Blue HPN) to Launch in January 2021
(October 2020, Blue Review)

Commercial Prior Authorization Update: Utilization Management Vendor Change

Prior authorization requests for some commercial, non-HMO members that are currently required to be submitted through eviCore healthcare (eviCore) will transition to prior authorization through AIM Specialty Health® (AIM). This is an administrative change only.

Jan. 1, 2021

Prior Authorization for Some Commercial Members Will Transition from eviCore to AIM, Effective Jan. 1, 2021
(October 2020, Blue Review)

City of Chicago Benefit Change, Effective Jan. 1, 2021

Required prior authorization requests for physical therapy services for City of Chicago employees with three-character BCBSIL member ID prefix CTY and group numbers 189421 and 189422 must be submitted through Telligen instead of OrthoNetTM.

Jan. 1, 2021

City of Chicago Benefit Change, Effective Jan. 1, 2021
(October 2020, Blue Review)

Blue Choice Select PPO plan expansion

The Blue Choice Select PPO plan will be available in all Illinois counties except Sangamon, Lawrence, and Wabash.

Jan. 1, 2021

Blue Choice Select PPOSM Plan Expanding Throughout Illinois
(January 2021, Blue Review)

 

Upcoming Changes to Watch For

Topic

Brief Description

Important Date(s)

For More Information

Check this section next month for upcoming changes.

 

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 January 13, 2021. 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

Online solution helps expedite claim submission process

The Availity Claim Submission tool is available for registered users to submit electronic Professional and Institutional claims (ANSI 837P and 837I transactions) to BCBSIL.

Ongoing

Submit Electronic Professional and Facility Claims via the Availity Provider Portal
(October 2020, News and Updates)

New ICD-10 Z codes for Social Determinants of Health (SDoH)

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)

Add a Medication Assisted Therapy (MAT) Designation to Your Listing in Our Online Provider Finder

If you offer opioid addiction or withdrawal treatment, you can use our Demographic Change Form to share your information and ensure the MAT designation is added to your Provider Finder listing

Ongoing

Medication Assisted Treatment Providers: Help Our Members Find You
(September 2020, Blue Review)



Checking eligibility and/or benefits and/or obtaining prior authorization/pre-notification 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 prior authorization 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 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. 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. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity, eviCore or AIM. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.


Telligen is an independent company that provides Utilization Review/Case Management/Disease Management/Maternity Management to BCBSIL. Telligen is wholly responsible for its own products and services. OrthoNet is a registered trademark of OrthoNet LLC, an independent third party vendor that is solely responsible for its products and services. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by independent companies/third party vendors, such as Telligen and OrthoNet. If you have any questions about the products or services they offer, you should contact the vendor(s) directly.