CommercialAdministrativeMedium impact
Network News - 4th Quarter 2017
Blue Cross and Blue Shield of Louisiana·LA·Provider News
Effective date
Mar 1, 2018
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield of Louisiana is implementing a Provider Self-serve Initiative requiring providers to use online tools for member eligibility, claim status, allowable charges, and medical policy searches before calling customer service. The policy also includes updates to select provider networks, billing guidelines for third-party liability cases, and secondary claims processing requirements.
Action Required
Before March 1, 2018: All staff must begin using iLinkBlue portal, IVR system (1-800-922-8866), or HIPAA 27x transactions for member eligibility checks, claim status inquiries, professional allowable charge searches, and medical policy searches before calling customer service. Train front desk and billing staff on these self-service tools now. Update workflow procedures to require self-service tool usage verification before phone calls. For third-party liability cases, ensure staff do not require members to guarantee payment of entire billed charges or pay full amounts upfront for copayment products.