Dec. 13, 2024
If your billing agency requests claim reviews with our claim review form or through Availity® Essentials, we encourage you to share the following submission tips with them.
Tips for submitting forms for previously adjudicated claims
- Remember, 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 status 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 Oklahoma. BCBSOK makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.