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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

Provider Finder® is Redesigned

The new Provider Finder is easier for our members to navigate with a streamlined menu and filter options. A step-by-step guide for providers is available.

Oct. 1, 2020

Provider Finder Gets an Upgrade
(October 2020, Blue Review)

 

Upcoming Changes to Watch For

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 HealthSM (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)

 

Special Events and Activities

Topic

Brief Description

Important Date(s)

For More Information

Blue Review Readership Survey: We Value Your Feedback

We're conducting a survey to collect your ratings and input on the Blue Review.

Through Nov. 30, 2020

Complete our survey now!

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 Oct. 14, 2020. Register today!

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

Diabetes course for your patients

Our Blue Door Neighborhood CenterSM (BDNCSM) offers a no-cost, six-week Diabetes Empowerment Education Program (DEEP), open to members and non-members.

See the BDNC calendar for DEEP dates, times and locations

Free Diabetes Program Begins in November, Just in Time for National Diabetes Month
(October 2020, Blue Review)

In-home Test Kits for your Patients with Diabetes

Home Access Health Corporation is sending out two different kits to members who have not received the recommended testing to help close care gaps: hemoglobin A1c test kits and microalbumin urine test kits.

Program begins in October 2020

In-Home Test Kits for Blue Choice Preferred PPO Members with Diabetes
(October 2020, Blue Review)

 

Deadlines and Other Reminders

Topic

Brief Description

Important Dates

For More Information

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)

Mandatory Annual Training

Annual completion of all required training modules is mandatory for all MMAI and BCCHP contracted providers.

Dec. 31, 2020

BCCHP and MMAI Provider Alert: Mandatory Annual Training Must Be Completed by Dec. 31, 2020
(July 2020, News and Updates)



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.