| May 7, 2015 Claim Status Availability to Change in Automated Phone System
Effective July 13, 2015, claim status requests will no longer be available within the Blue Cross and Blue Shield of Oklahoma (BCBSOK) Interactive Voice Response (IVR) phone system. You may continue to use the IVR phone system to obtain eligibility and benefits information, and Customer Advocates will remain available for other inquiries, such as claim adjustments. Electronic transactions are available to help you streamline administrative processes and minimize time spent by your staff on unnecessary phone calls. You will need to direct claim status requests electronically through your Web vendor of choice. The AvailityTM Claim Research Tool provides enhanced claim status at no cost. Additional information regarding the above-referenced change will be published in upcoming issues of the Blue Review, as well as on our provider website.
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, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered.
Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSOK. BCBSOK makes no endorsement, representations or warranties regarding any products or services offered by independent 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. |
