Blue Cross Community Health Plans Provider Orientation for Illinois Public Health Association

Blue Cross Community Health Plans Provider Orientation for Illinois Public Health Association

Blue Cross Community Health Plans cordially invites you to a Provider Orientation for Public Health Departments. We are one of the MCO’s that will be serving the Medicaid population Statewide. As we are adding new providers to our Network, it is important to provide an Orientation on how to work directly with us as an MCO. Our Orientation topics will cover:

• An overview of the Medicaid Products
• Member Enrollment Process
• Program Philosophy/Delivery of Care
• Care Coordination
• Transition of Care
• Member Eligibility
• Benefits
• Prior Authorizations
• Claim Submission (Paper and Electronic)
• Claim Disputes
• IMPACT
• Provider Training
• Appeals and Grievances
• How to Report Critical Incidents
• Provider Duties and Responsibilities

PRESENTATION SLIDES: BCBS Medicaid Provider Orientation 2018.pdf