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Provider Webinars

Our provider webinars are available for contracted providers wanting a basic introduction to doing business with BCBSAZ. They are designed for staff of newly contracted providers, new staff members of contracted providers, and others who want a refresher or have questions about a particular webinar topic. Facilitators do not address specific specialties and coding.

Webinars are facilitated by experienced BCBSAZ staff who have developed comprehensive expertise in the provider network arena. A short Q&A is included.

Upcoming webinars:

BCBSAZ Products, Networks and ID Cards (Length: 60 minutes)
Next date TBD

Topics include:

  • Types of BCBSAZ products and benefit plans
  • Overview of provider networks
  • BCBSAZ member ID prefixes
  • Overview and samples of member ID cards
  • Provider portal resources

Claims (Length: 60 minutes)
Thursday, April 20, 9-10 a.m.

Topics include:

  • Avoiding claim rejections and processing delays
  • Submitting claims: guidelines and resources
  • Checking claim status: quick online search
  • Filing electronic claim adjustments, grievances, and notice of excess payment
  • Responding to records requests
  • Remittance

Eligibility and Benefits (Length: 60 minutes)
Next date TBD

Topics include:

  • Checking important information on the member ID card
  • Online tools for eligibility and benefits
  • BCBSAZ precertification resources and tools
  • Coordination of benefits (COB) and limited waiver of restriction agreements
  • Three-month grace period for subsidized members
  • Patient experience – why it’s becoming more important

Provider Portal Resources (Length: 60 minutes)
Next date TBD

Topics include:

  • Overview of what’s available on azblue.com/providers
  • Eligibility & Benefits – includes how to use the Eligibility & Benefits Inquiry tool
  • Precertification resources
  • Claims – includes “how to” instructions for using the Claim Status tool, getting online remits, and using the C3 Code Edit Transparency tool and the Fee Schedule search tool
  • New tools and resources for the 2017 Neighborhood HMO benefit plans for individuals and families

Neighborhood HMO Benefit Plans (Length: 60 minutes)
Next date TBD

Topics include:

  • 2017 Changes – for individuals and families with ACA plans (Exchange)
  • 2017 Neighborhood Network – and the associated HMO benefit plans
    • Designated PCPs
    • Expanded precert requirements
    • Referrals required for most specialist office visits
    • Member ID cards
  • Tools and Resources – for Neighborhood Network providers

Questions? Please contact:

Debbie Murphy
Phone: (602) 864-5754 or (800) 232-2345, ext. 5754
Fax: (602) 864-3110
Email: ProvNetRSVP@azblue.com

eLearning Modules

The eLearning library is perfect for contracted providers wanting to learn at their own pace, on their own schedule. Each module provides a downloadable PDF with embedded notes and tips. Additional modules will be available over time. Suggestions for new topics are welcome.

Available modules:

BCBSAZ Products, Networks and ID Cards - 2017

Details:

  • Types of products and benefit plans (includes Neighborhood HMO benefit plans)
  • Overview of provider networks
  • BCBSAZ member ID prefixes
  • Overview and samples of member ID cards
  • Provider portal resources
Launch Now


Eligibility and Benefits

Details:

  • Are you in-network for the member’s plan?
  • Helpful online tools
  • Precertification resources
  • More tools
  • 3-Month Grace Period
  • Patient experience
Launch Now


Claims

Details:

  • Avoiding claim rejections and processing delays
  • Submitting claims: guidelines and resources
  • Checking claim status: quick online search
  • Filing electronic claim adjustments, grievances, and notice of excess payment
  • Responding to records requests
  • Remittance
Launch Now


Provider Portal Resources

Details:

  • Overview of what’s available on azblue.com/providers
  • Eligibility & Benefits – includes how to use the Eligibility & Benefits Inquiry tool
  • Precertification resources
  • Claims – includes “how to” instructions for using the Claim Status tool, getting online remits, and using the C3 Code Edit Transparency tool and the Fee Schedule search tool
  • New tools and resources for the 2017 Neighborhood HMO benefit plans for individuals and families
Launch Now


Provider Directory

Details:

  • Using the directory to find out which plans list you as an in-network provider
  • Reviewing your listings for accuracy
  • How to update BCBSAZ with any changes
  • Ensure your referrals are in network for the member’s specific benefit plan
Launch Now


2017 Neighborhood HMO Benefit Plans

Details:

  • 2017 Changes – for individuals and families with ACA plans (Exchange)
  • 2017 Neighborhood Network – and the associated HMO benefit plans
    • Designated PCPs
    • Expanded precert requirements
    • Referrals required for most specialist office visits
    • Member ID cards
  • Tools and Resources – for Neighborhood Network providers
Launch Now


Online Tool for Referrals and Precertifications – User Guide for Neighborhood Network Providers

Details:

  • Mini User Guide for the online Submit/View Referrals and Precertifications tool (for Neighborhood Network providers)
    • Where to find it
    • How to use it
    • What to expect
Launch Now

Population Health eLearning Modules

The Population Health eLearning modules cover topics related to the overall quality of health outcomes for our member population. Each module provides an interactive experience with embedded notes and learning activities.

Available modules:

HEDIS: Improving Quality through Healthcare Measures
Looks at how BCBSAZ uses HEDIS as a leadership strategy to increase quality outcomes and the implications for providers.

Launch Now


Increasing Healthcare Quality through Care Coordination
Considers positive impact of care coordination and how BCBSAZ supports providers.

Launch Now


Leveraging Documentation and Coding for High Quality Coordinated Care
Examines the role of quality data in improving patient outcomes and the need for diagnostic persistency.

Launch Now