Sept. 3, 2015

Online Resources Available for Claim Status

As a reminder, claim status is no longer available through the Blue Cross and Blue Shield of Oklahoma (BCBSOK) Interactive Voice Response (IVR) phone system. This change became effective July 13, 2015.

While our Customer Advocates remain available to discuss claim adjustments and other inquiries, BCBSOK supports electronic options as the most convenient, efficient and secure choice for requesting claim status information.

When conducting online transactions, you will need to use an electronic vendor portal. Some electronic vendors, such as Availity^™ offer online tools for enhanced claim status, payment and remittance information. Following are two online tools available to registered Availity users:

• Claim Research Tool offers enhanced, real-time claim status functionality to help you manage and resolve your BCBSOK claims. This online tool allows you to search for claims by Member ID, group number or Document Control Number (DCN). You can customize your search to view claims according to status (paid, pended or denied) or by a particular date range and obtain detailed line item information (amount paid, ineligible reason code and description for each service line). It also enables you to check the status of multiple claims in one view.

• Remittance Viewer offers providers and billing services a convenient way to view and help reconcile claim data provided by BCBSOK in the 835 Electronic Remittance Advice (ERA).

For more information on these and other electronic options available to BCBSOK independently contracted providers, visit the Education and Reference Center/Provider Tools page on our website at bcbsok.com/provider.

For answers to frequently asked questions (FAQs) concerning the above-referenced change, refer to the IVR Claim Status Change FAQs in the Claims and Eligibility/Claim Adjudication section of our website at bcbsok.com/provider. A Claims Caller Guide also is available to assist you with navigating menu options on the IVR system.

If you would like to schedule a training webinar to learn more about online resources for claim status and other requests, email our Provider Education Consultants at pecs@bcbsok.com.

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 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.