BCBS - Claim Status through Chatting and Secure Messaging on Availity portal
Claim status for BCBS insurance can be obtained from the Availity portal but most of the time Availity does not provide all the required information and need to make a call to insurance for additional information. But the hold time for BCBS is too long, so there are 2 more ways to obtain a complete status or ask for additional information through chatting and secure messaging through Availity. In both ways, it is necessary to choose the correct state of Availity to obtain accurate information.
Secure Messaging :
- To send a secure message, first, need to pull the claim status, and once claim pulls up, it shows the icon for "Secure Messaging".
- After clicking on "Secure Messaging", just need to accept the terms and conditions then it shows the window where need to select one of the options from "Detailed Question" and type the message to send to the payer.
- Once a message sends, it takes 3-4 days for the response.
- To check the response, need to visit the same page after following all the steps.
Chatting:
- To chat with a live representative, first need to log in to Availity then click on the "Payer Spaces" option where you can find the list of payers. Click on "Anthem BCBS".
- After selecting the payer, accept the terms and conditions then click on the "Chat with Payer" option from the list.
- Then enter provider and patient information, and click on "Continue" to start chatting.
wow
ReplyDeleteWhat message we can send status is finalized but no payment received yet i need specific body matter.example.thank you
ReplyDeleteYou can make a specific message format that can be used to inquire additional details. Below is one of the example format, you can also make the changes as per your requirement.
DeleteHi Team,
I checked the status of the claim and the status is showing as "claim is finalized but no payment received yet". Can you please provide an additional details such as What is the allowed amount, paid amount, patient responsibility, check number and has check cleared?
Thanks,
Your Name
Based on the status, you can make changes into the above message.
Hey You Lovely People I need help as you have replied on this.I want secure msg format's as above you have mentioned example & as per all denial regarding got denied for COB denied for primary EOB,duplicate,Non covered charges ,invalid auth,prior auth,invalid modifier,invalid procedure code,inconsistent,global surgery,hospice,,Claims lack info,max benefit,received EOB while getting connected its headache to BCBS. i want to make my production every day from BCBS I want to learn my senior people are doing easily as i m new to hospital billing not used to Availity i want you guys to send a body format i want to learn this method.for all denial secure msg..without calling getting production done.Or else you may drop me a mail to my personal mail its trueheart.1251@gmail.com you can send me a mail regarding Availity secure msg formats pls i need your help guys.I ll be waiting for your mail or i ll see comment here both way for personal if you send that is going to help me in a long way.Thank you
Deletehaha i think u should Help this person he can learn.
DeleteWe don't think that it would be much helpful because you may come across a denial scenario which is not mentioned in the above list or anywhere. So, instead you should learn how to create such format. Just go through with below post,
Deletehttps://www.arlearningonline.com/2021/06/ar-analyst-process.html
On this post, you will learn what are the questions need to be asked for a specific denial. You can mention the same questions in the secure message to request additional details.
For some claims their is no option for Secure Message what's the reason for that?
ReplyDeleteOne possible reason could be, if you have not selected the correct state as shown above in the first step. The service render state and Availity state selection must be same.
ReplyDeleteBut we have also observed that in some cases even if we select the correct state then also it does not give the secure message option. For such claims, you cannot do anything. You will need to connect with insurance rep and get the clarification.