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BlueCross BlueShield of Texas
   
         
     
 
What's New
Availity Participating Provider Training Webinars - September 2010
NPI-related Errors to Result in Electronic Claim Rejection as of Sept 6, 2010
Pharmacy Updates - August 2010
EFT ERA EPS: Beyond the Basics, Part 2
2010/2011 Synagis Process
Electronic Refund Management (eRM) - September Webinars
Behavioral Health Program Changes Eff 01/2011 FAQs
IVR Claim Status Menu Changes in July
Overpayment Reconciliations Simplified
EFT ERA EPS: Beyond the Basics, Part 1
Hospital Acquired Conditions and Never Events
Surgical Procedures Performed in the Physician's/Professional Provider's Office
BCBSTX Offers New Solution for Credentialing
CareCost Estimator (CCE)
Untimed Billing Procedure CPT Codes - Update


IVR Claim Status Menu Changes in July

Beginning July 19, 2010, you will notice the following changes when you call Provider Customer Service to obtain basic claim status information via our automated Interactive Voice Response (IVR) phone system:

  • If the IVR system identifies that your claim is pended (still being processed), and your claim is aged less than 21 days, you will be advised that additional time is needed to process your claim.
  • The system will remind you to utilize online claim status options, such as the Availity®' Claim Research Tool (CRT), or other enhanced claim status tools offered by your preferred vendor portal.
  • You will no longer have the option to speak with a Customer Advocate (CA) for claim status on pended claims, since those claims are still in process and additional information is not yet available via the IVR system or the CA.


Registered Availity users can use the CRT at no charge for up-to-the-minute electronic transactions that are secure, unlimited and printable. By utilizing the Availity CRT, or other online claim status tools provided by your preferred vendor portal, you help keep our CAs available to assist you when you have claim issues beyond basic claim status requests.

For more information refer to the CRT Tip Sheet and other self-service resources in the Electronic Commerce section of our website. We encourage you to take advantage of all available electronic options before, during and after your claim is processed!

 

Availity®' is a registered trademark of Availity, L.L.C., an independent third party vendor that is solely responsible for its products and services.

posted 07/2010


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a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
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