BlueCross BlueShield of Illinois’s Preferred Method for Prior Authorization RequestsOur electronic prior authorization (ePA) solution provides a safety net to ensure the right information needed for a determination gets to patients' health plans as fast as possible. Show
Improving efficiencies without sacrificing the essentials
How it worksThree Easy steps to completing requests electronically
Want to learn more? Join a webinar. “ No hold times. We know PA requests are complex. That's why we have a team of experts and a variety of help resources to make requests faster and easier. LET’s GET STARTED
1 - CoverMyMeds Provider Survey, 2019 2 - Express Scripts data on file, 2019 Does BCBS of Illinois require prior authorization?Prior authorization is required for some members/services/drugs before services are rendered to confirm medical necessity as defined by the member's health benefit plan. A prior authorization is not a guarantee of benefits or payment.
How do I contact Blue Cross Blue Shield of Illinois?How to Contact Us. Member Services. 1-877-860-2837 (TTY/TDD: 711) Call to ask about your plan benefits, help finding a provider, to change your PCP, and much more. ... . 24/7 Nurseline. 1-888-343-2697 (TTY/TDD: 711) ... . By Mail. Blue Cross Community Health Plans.. Does Illinois Medicaid require prior authorization?Some prescriptions and over-the-counter medicines require prior authorization for Medicaid reimbursement. Depending upon the drug, either the prescribing physician or the dispensing pharmacist may submit the request.
What is the timely filing limit for BCBS of Illinois?BCBSIL Facility Providers
Claims must be filed with BCBSIL on or before December 31 of the calendar year following the year in which the services were rendered.
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Bcbs of illinois prior authorization form pdf
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