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Reminder: Phone System Update for Eligibility and Benefits

November 1, 2016

Several benefit categories have been evaluated in the Blue Cross and Blue Shield of Oklahoma (BCBSOK) Interactive Voice Response (IVR) phone system. This validation determined that the IVR adequately quotes the same level of information as a Customer Advocates would provide. As a result, beginning Dec. 12, 2016, the option for Customer Advocate assistance will be removed from the call flow for common benefit categories.

Verification of patient information is highly recommended and having quick access to this data is imperative. The fastest and most efficient way to obtain eligibility and benefits is electronically through Availity. Taking advantage of electronic options allows retrieval of needed information at your convenience.

If eligibility and benefits are unable to be verified online, the same information is often readily accessible through our IVR. In addition, a confirmation number will be provided for your records, after the phone system has completed the quote.

To learn more about obtaining Eligibility and Benefits electronically, join us for a complimentary Back to Basics: “Availity 101” Webinar Learn more about third-party links . Visit the Education and Reference Center/Workshops and Webinars page of our provider website to view upcoming dates and registration links.

For more advanced training on online tools and resources, email our Provider Education Consultant team at PECS@bcbsok.com

Checking eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered. If you have questions, please call the number on the member’s ID card.

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSOK. BCBSOK makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.