May 2017
iExchange® Adds Blue Cross Community Integrated Care Plan (ICP)SM and Blue Cross Community Family Health PlanSM (FHP) Requests
We are pleased to announce that benefit preauthorization requests for ICP and FHP members can now be initiated through iExchange. This is in addition to benefit preauthorization requests for Blue Cross Medicare Advantage (PPO)SM and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM members.
iExchange supports online submission and electronic approval of benefits for inpatient admissions, as well as select outpatient and pharmacy services 24 hours a day, 7 days a week.* For behavioral health services, you should use the current fax and telephone benefit preauthorization methods. iExchange also offers you an alternative to calling to request the status of your benefit preauthorization requests.
REMEMBER TO CHECK ELIGIBILITY AND BENEFITS – FIRST
To determine if a benefit preauthorization is needed, confirm member eligibility and benefits first through AvailityTM, or your preferred online vendor portal. As always, questions also may be directed to the Customer Service number on the member’s ID card.
We have scheduled webinars through June 2017 to provide iExchange users with an overview of this online benefit preauthorization tool. For upcoming dates and times and to register online, visit the Webinars page in the Education and Reference Center on our website at bcbsil.com/provider.
For more information about iExchange, including how to gain access if you are not a current user, visit the Education and Reference Center/Provider Tools section of our Provider website.
*With the exception of the third Sunday of the month from 11 a.m. to 2 p.m.
Checking eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered. If you have questions, please call the number on the member’s ID card.
iExchange is a trademark of Medecision, Inc., a separate company that offers collaborative health care management solutions for payers and providers. BCBSIL makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Medecision. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.
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. BCBSIL makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.
Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.