Tag: orthonet

BCBSIL Modifies Some Preauthorization Requirements

BCBSIL Modifies Some Preauthorization Requirements

As you may have noticed in the December 2020 BlueReview, Blue Cross and Blue Shield of Illinois (BCBSIL) announced changes to the City of Chicago and Indian Prairie School District plans. In response to ICS’ inquiry, BCBSIL has confirmed that, beginning on January 1, 2021, Orthonet will no longer handle preauthorization for any BCBSIL plans. Read the article to learn more!

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OrthoNet Preauthorization FAQs

OrthoNet Preauthorization FAQs

As ICS members are probably aware, Blue Cross Blue Shield of Illinois (BCBSIL) has begun implementation of its utilization management program requiring many providers to obtain preauthorization for physical medicine services. BCBSIL has classified providers into “tiers” requiring various levels of preauthorization and has contracted with OrthoNet to review provider requests for preauthorization.

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