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Important Dates and Reminders

We know you're busy, so 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). 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.

 

Upcoming Changes to Watch For

Topic

Brief Description

Important Date(s)

For More Information

BCCHP peer-to-peer discussion process

Providers can no longer submit clinical information for BCCHP members in addition to doing a peer-to-peer call after the adverse determination.

May 1, 2021

Medicaid Providers: Updated Prior Authorization Tips and Peer-to-Peer Discussion Process (One Change Effective May 1, 2021)
(February 2021, News and Updates)

Single Online Access Point for EFT and ERA Enrollments, Effective May 3, 2021

As of this date, faxed or mailed EFT or ERA enrollment applications, including change/cancel requests, will be returned and redirected to the electronic option.

May 3, 2021

Single Online Access Point for EFT and ERA Enrollments, Effective May 3, 2021
(April 2021, Blue Review)

Payment Policy

BCBSIL will begin additional reviews of claims after payment to make sure they adhere to our reimbursement policy for multiple surgical procedures.

June 1, 2021

Overpayment Recovery for Multiple Surgical Procedures
(February 2021, Blue Review)

 

Special Events and Activities

Topic

Brief Description

Important Date(s)

For More Information

Blue UniversitySM: What is Vaccine Confidence? and Implementation Science: A Discussion on Vaccine Process Improvement

Join us for two webinars hosted by Dr. Suzanne R. White, M.D., MBA, FACEP, FACMT, a Regional Medical Director employed by Merck & Co., and conversations will include Implementation Science as it relates to vaccination practice and some key determinants of vaccine confidence.

April 2021

BCBSIL Providers: Free Vaccine Confidence and Process Improvement Webinars
(March 2021, News and Updates)

Tell Your Patients About Free National Minority Health Month Events

BCBSIL members and non-members are welcome to attend our Ask A Doc events to ask questions about health and COVID.

Throughout the month of April 2021

Free Minority Health Programs Next Month at Blue Door Neighborhood Center
(March 2021, Blue Review)

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 April 14, 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

Medicaid Medical Record Data Collection

BCBSIL or a contracted vendor may be contacting you for patient medical records for Medicaid HEDIS Medical Record Data Collection

Through April 2021

BCBSIL Medical Record Retrieval Summary
(February 2021, Blue Review)

Medicare Advantage Medical Record Data Collection

BCBSIL or a contracted vendor may be contacting you for patient medical records for Medicare Advantage HEDIS Medical Record Data Collection

Through April 2021

BCBSIL Medical Record Retrieval Summary
(February 2021, Blue Review)

Commercial and Retail PPO and HMO

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

Through April 2021

BCBSIL Medical Record Retrieval Summary
(February 2021, Blue Review)

Federal Employee Program® (FEP®)

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

Through April 2021

BCBSIL Medical Record Retrieval Summary
(February 2021, Blue Review)

ACA-compliant individual and small group plans

BCBSIL or a contracted vendor may be contacting you for patient medical records for 2019 Health and Human Services Risk Adjustment Data Validation (HHS-RADV)/ Initial Validation Audit (IVA)

January – September 2021

BCBSIL Medical Record Retrieval Summary
(February 2021, Blue Review)

ACA-compliant individual and small group plans

BCBSIL or a contracted vendor may be contacting you for patient medical records for 2020 HHS-RADV/ IVA

May 2021 – January 2022

BCBSIL Medical Record Retrieval Summary
(February 2021, Blue Review)

HMO

BCBSIL or a contracted vendor may be contacting you for patient medical records for Quality Improvement (QI) Project

June – December 2021

BCBSIL Medical Record Retrieval Summary
(February 2021, 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.