July 30, 2024
Effective July 2, 2024, we temporarily paused the post-pay itemized bill reviews with EXL Service. This allows us to review important aspects of the program. All open and in-progress reviews have been closed. No action is needed on these items.
The post-pay itemized bill review is intended for acute care facilities and for claims that are reimbursed at percent of charges. We will cancel finalized post-pay itemized bill reviews on claims other then percent-of-charge reimbursement. Any recoupments applied on claims related to the canceled reviews will be adjusted.
Not changing: We’ll continue the pre-pay itemized bill review for claims greater than $100,000. We’ll also continue the post-pay diagnosis-related group claims.
More information: We’ll notify you when a date is set for resuming these reviews. Watch News and Updates for updates.
If you have questions, contact your Provider Network Consultant.
EXL Services, LLC is an independent company that has contracted with Blue Cross and Blue Shield of Illinois to provide claims administration.