Iexchange bcbs texas

Availity provides administrative services to BCBSTX. iExchange is a trademark of Medecision, Inc., a separate company that provides collaborative health care management solutions for payers and providers. eviCore is an independent specialty medical benefits management company that provides utilization management services for BCBSTX. eviCore is wholly responsible for its own products and services.

iExchange is a revolutionary timeshare exchange company. We boast a massive inventory pool consisting of 130 Local and 4000+ International Resorts. We offer Low Exchange Fees & Exclusive Rental Rates. There are no membership fees or hidden costs. Medecision On Dec. 24, 2019, Blue Cross and Blue Shield of Texas (BCBSTX) announced the implementation of Availity Authorizations for submitting BCBSTX prior authorizations and referrals as of Jan. 30, 2020. We also indicated that our current electronic prior authorization tool, iExchange ® , will be deactivated April 15, 2020 . As a BCBS broker, it's your job to help your clients find the best health insurance.

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The iEXCHANGE System requires minimal clinical information. • iEXCHANGE ID – Provided by BCBS Texas • Password * – Case sensitive – Expires every 30 days – You will be prompted to change • Certain words are restricted – you will get a prompt – After 3 invalid entries – you will be revoked and wait 5 minutes to login again iEXCHANGE through the Availity Web portal for the first time. After logging into iEXCHANGE, users can access Frequen. tly used payers from the Starting point menu.

1 Jan 2021 Our current electronic prior authorization submission tool, iExchange, requests handled by Blue Cross and Blue Shield of Texas (BCBSTX)

Get your free quote today. Utilization management is at the heart of how we can help members continue to access the right care, at the right place and at the right time. In this section, we will review the different types of reviews – Prior Authorization, Predetermination and Post-Service Review. What is Utilization Management Review iExchangeWeb is an any-to-any data transformation and secure transport service in an open computing environment that does not require any software installation, configuration or management.

To set up a new iEXCHANGE account, you must be a contracted physician, professional provider or facility within BCBSOK. Non-Availity Users: If your office is new to iEXCHANGE, you will need to set up an initial administrator account. To set up a new account, you must be a contracted physician, professional provider or facility within BCBSOK.

iEXCHANGE improves your access and promotes a paperless environment.

1. * Many outpatient services do not require precertification. To Blue Cross and Blue Shield of Texas (BCBSTX) has upgraded our automated preauthorization tools, and the upgrade is scheduled to go live mid-September 2012. iEXCHANGE ®’ , a Web-based application, can be used to submit transaction requests for inpatient admissions and extensions, treatment searches, provider / member searches, referral Password Resets — If you are a new employee in an office that currently uses iEXCHANGE, or you have forgotten your iEXCHANGE password, please contact your office's iEXCHANGE administrator. Registration Inquiries — For any registration inquiries, your office's iEXCHANGE Administrator should contact the Blue Cross and Blue Shield Oklahoma Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Texas. File is in portable document format (PDF).

The iExchange® Web tool supports direct submission and provides online approval of benefits for preauthorization requests. On Dec. 24, 2019, Blue Cross and Blue Shield of Texas (BCBSTX) announced the implementation of . Availity Authorizations for submitting BCBSTX prior authorizations and referrals as of Jan. 30, 2020. We also indicated that our current electronic prior authorization tool, iExchange For further information about what we can do for you, contact your Blue Cross and Blue Shield account representative. When it comes to staying ahead in today's changing environment, Blue Access for Employers is there to help you and your company move at the speed of business.

Extension requests should be submitted prior to the expiration of the Alert: iExchange ® Deactivation Extended . In response to COVID-19, the iExchange deactivation planned for April 15, has been temporarily suspended to allow you additional time to convert to the Availity ® Authorizations & Referrals tool during this pandemic. The following is information that Blue Cross and Blue Shield of Texas (BCBSTX) is required to provide in all published correspondence with physicians, professional providers, and facility and ancillary providers. It includes a collection of also check the status of your submitted request via iExchange After logging into iExchange, users can access Frequently used payers from the Starting point menu. From the payer list, users can select Blue Cross Blue Shield of Texas. This will activate the iExchange toolbar.

Utilization management review requirements and recommendations are in place to help ensure our members get the right care, at the right time, in the right setting. Types of utilization management review that may be conducted before services are rendered include prior authorization, predetermination and pre-notification. Note: The Illinois iEXCHANGE Help Desk will e-mail your Account Administrator your iEXCHANGE ID, User ID and temporary password. Please allow 10 business days for processing. The iExchange ® Web tool supports direct submission and provides online approval of benefits for preauthorization requests. Listed below are the steps for submitting an inpatient benefit preauthorization extension request to Blue Cross and Blue Shield of Texas (BCBSTX). Extension requests should be submitted prior to the expiration of the Alert: iExchange ® Deactivation Extended .

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iEXCHANGE is the Blue Cross and Blue Shield of Texas interactive voice response (IVR) referral and certification system. iEXCHANGE improves your access and promotes a paperless environment. The system will decrease the amount of information needed for each referral and precertification. The iEXCHANGE System requires minimal clinical information.

In this section, we will review the different types of reviews – Prior Authorization, Predetermination and Post-Service Review.

Jan 17, 2011 · iEXCHANGE is our automated pre-certification tool that supports direct submission, processing and online approval of inpatient medical/surgical procedures and referral notifications 24 hours a day, seven days a week. iEXCHANGE is accessible to network physicians, professional providers and facilities within Texas via a Web-based application.

The following is information that Blue Cross and Blue Shield of Texas (BCBSTX) is required to provide in all published correspondence with physicians, professional providers, and facility and ancillary providers.

tly used payers from the Starting point menu. HealthSelect of Texas ® (administered by Blue Cross and Blue Shield of Texas) PO Box 660044 Dallas, TX 75266-0044. Mental health claims for HealthSelect of Texas (in state and non-Medicare) and Consumer Directed HealthSelect. Magellan Health Services P.O. Box 1289 Maryland Heights, MO 63043 Blue Cross and Blue Shield of Texas (BCBSTX). iExchange is available 24 hours a day, 7 days a week – with the exception of every third Sunday of the month when the system will be unavailable from 11 a.m. to 3 p.m.