Get Bcbs Fee Schedule Request Form

Fee schedules are used to define the fees for the form processing and printing services you provide to your clients.

Certified in Total - Indicates that the precertification is completed to the certified/review date. This will be a certification of admission only or a certification of medical necessity. If the precertification information is approved, a length of stay will be assigned.

Availity automatically sends your updates to payers who are working with us on their directories. The app shares data with our new credentialing app, which many payers are using to simplify the credentialing and recredentialing process for providers.

Claims may be submitted one-at-a-time by entering information directly into an online claim form on the vendor portal; or batch claims may be submitted via your Practice Management System (check with your software vendor to ensure compatibility).

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis.

Links to these fee schedules are available in Availity by selecting the Claims & Payments menu, Fee Schedule Listing, and then choose the appropriate Additional Fee Schedules for Medicare and/or Medicaid. They can also be found via the Resources tab in the BCBSIL-branded Payer Spaces section in the Availity portal .

How to access and use Availity Authorizations: Log in to Availity. Select Patient Registration menu option, choose Authorizations & Referrals, then Authorizations. Select Payer BCBSIL, then choose your organization. Select a Request Type and start request. Review and submit your request.