Blue Cross/Blue Shield of Illinois


Submitted by Karen Cannella on Thu, 2020-12-31 14:03
Description

#IPA Site 505, Loyola Physician Partners (LPP)
#In network with Loyola, Gottlieb, MacNeal
#Site 505 will be used for Loyola, Gottlieb, MacNeal
# Effective 01/01/2021

Insurer Category:
Plan Type

HMO

Card Identifiers (Options)

#HMOI
#Blue Precision
#Blue Advantage
#IPA Site 505 Loyola Physician Partners (LPP)

What You Should Know (Who Patient Can See with Current Coverage)

PCP,Spec,Hosp

Register As (Epic Plan Name)

#BCBS IL LPP HMO IL - use 200118 for HMOI
#BCBS IL LPP Blue Precision HMO - use 200119 for Blue Precision
#BCBS IL LPP Blue Adv HMO - use 200117 for Blue Advantage

Inform Patient

# Referrals and authorizations are not required for Radiology and Specialist Services within the IPA.
# Authorization may be required depending on the services.
# Patients may choose any PCP located in Loyola, Gottlieb, MacNeal as long as they have chosen Site 505, Loyola Physician Partners

Document in Epic

Verify that IPA Site 505 populates in the IPA field in the registration

EEV/NDAS Tips

EEV Payor

Registration Tips

# Collect copay for specialty if patient has site 505 and for patients outside of site 505 who present with an insurance authorized referral
#Collect copay for PCP visits if patient has site 505 only
#Referrals and authorizations are not required for Radiology and Specialist Services within IPA 505.
#Patients can choose any PCP located in MacNeal, Loyola or Gottlieb as long as they have chosen the. Site 505 Loyola Physician Partners

Exclude from "Insurance Info" page