Dec. 13, 2024
If your billing agency requests claim reviews using our claim review form or through Availity® Essentials, please remind them of the following key requirements.
Tips for submitting forms for previously adjudicated claims
- Remember, as previously communicated earlier this year, we return incomplete submissions without conducting the claim review.
- Reference the claim number in the appropriate field on the claim review form, rather than attaching the original claim to the form. Complete the form in its entirety.
- To submit a corrected claim, use our corrected claim form, not the claim review form.
- To respond to an additional information request, use our additional information form, not the claim review form.
- If you submit the claim review form as a request for a second review, you must provide information not previously submitted for the review to be eligible.
Electronic submission: For faster processing, use Availity Essentials. No claim form is needed. Follow these steps:
- Perform a Claim Status search using the Member or Claim tab in Availity Essentials<
- Use the Dispute Claim or Message This Payer option to request a claim review
For more information, refer to our claim review and appeal page.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to Blue Cross and Blue Shield of Montana. BCBSMT makes no endorsement, representations, or warranties regarding third party vendors and the products and services they offer.