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What's New
October Blue Review Available Now!
ENH Changes Name
Electronic Payment Summary Technical Difficulties (Sept. 2008) - Update
NEW! Member ID Card Enhancements, Coming Soon... (Sept. 2008)
Enterprise Data Center Transition (September 2008)
Discontinuance of Paper Provider Claim Summary (September 2008)
Availity Participating Provider Training Webinars -
September 2008
Urgent! Share all Billing NPI(s) Used for Medicare Claims

Updates
Updated Policy and Procedures
ICD-9-CM Billing Update

Provider Update
Electronic Commerce
• Alerts
• Availity L.L.C.
• EDI Format Specifications
• EDI Transactions
• EFT/ERA Forms
• Electronic Funds Transfer (EFT)/Electronic Remittance Advice (ERA)
• FTP Membership
• HIPAA
• iExchange
• Nebo/NDAS Online
• RealMed
Pharmacy Management
• Drug Formulary/
Dispensing Limits
• Synagis Pre-Authorization Form (pdf - 34kb)
• Non-HMO Specialty Pharmacy program
• HMO Prior Authorization and Step Therapy Programs
• Over the Counter Equivalent Exclusion Program
• e-Prescribing Collaborative Program
• Medicare Part D Updates
Credentialing /
Contracting
• Credentialing
• Credentialing Updates
• Effective Dates: Appointment /
Reappointment Reports
• Forms
• Recredentialing Cycle
• Request a Contract Application
• Site Visits
• Update Demographic Information
Provider Library
• BlueCard Program
• BlueChoice/BlueChoice Select Reference Material Secured Lock
• Blue Medicare Private Fee-for-Service Terms and Conditions
• Blue Review
• CMS-1500 User Guide
(NPI-only Version)
Revised (05/08)
• Draft Medical Policies New
• Forms
• HIPAA Notice of Privacy Practices
• HMO ResourcesSecured Lock
• Interactive Voice Response System (IVR)
• ManualsSecured Lock
• Medical Policies
• Medicare Supplement Benefit Matrices:
New: 2008 Benefits
• Physician's Advisory Committee
• Privacy Statement
• Professional Provider Network Consultant List
Revised (08/08)
• Provider Network Consultant List (Ancillary Providers)
• Reference Guides
• Refund/Payment Recovery Program
• UB-04 User Guide
(NPI-only Version)
Revised (05/08)
 

 
UM/QI/Medical Management
• QI Order Forms
• Site Visits
• Quality Improvement
• HEDIS Report - HMO
• BlueChoice Tiering
• PPO Practitioner Profile
• Clinical Quality Indicators
• Patient Safety Physician Education Project
• 2008 Annual BCBSIL Hospital Profile New
• Pre-Service Requirements New

Provider Tools
• Blue Distinction New
• Radiology Quality Initiative (RQI)/American Imaging Management Inc. (AIM)
• Obesity Management Tool Kit Web Site
• Hospital Comparision Tool
• Blue StarSM Hospital Report
• Blue StarSM Medical Group/IPA Report
• Clear Claim Connection

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Blue Review
October 2008 Issue
Check the Archives

SID Tutorial!
SID Tutorial
View the Special Investigations Department Tutorial!

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