The Availity®Essentials Claim Status tool offers enhanced, real-time claim status functionality to help you manage and resolve claims processed by BCBSIL forallof our members. This includes government programs (Medicare Advantage and Illinois Medicaid), commercial,Individual Family Markets and Federal Employee Program®(FEP®) members.
The Claim Status tool is found in the Claims & Payment menu in AvailityEssentials. You can search for claims byMember IDor specificClaim Number. Claim status results provide more detailed information than the HIPAA-standard claim status 276/277 transaction.
Enhanced claim status responses include the following details (if applicable):
- Patient and provider data submitted on claims
- In-network and out-of-network patient liability breakdown
- Billing and rendering provider name and National Provider Identifier (NPI)
- Check number, check date and payee name
- Other carrier payment amount
- Ineligible reason codes and associated descriptions
- Transaction ID reference numbers
- Save and View Saved Searches
This tool is accessible to registered AvailityEssentialsusers. If you are not registered, go toAvailityand select ”Get Started” to complete the online guided process – at no charge.
For additionalinstructions, refer to theClaim Status Tool user guide.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsem*nt, representations or warranties regarding third party vendors and the products and services they offer.
