AvailityTM Claim Research Tool Offers Enhanced Claim Status Results

Mar. 13, 2018

One of the most convenient, efficient and secure method of requesting detailed claim status from Blue Cross and Blue Shield of Montana (BCBSMT) is by using an online option such as the Availity Claim Research Tool (CRT).*

The CRT allows registered Availity users to search for claims by Member ID, Group Number and Date of Service, or by National Provider Identifier (NPI) and specific claim number, also known as a Document Control Number (DCN). The CRT also enables users to check the status of multiple claims in one view to obtain near real-time claim status, with easy-to-read denial descriptions.

The search results page now delivers the rendering provider ID and name submitted on the claim. Additionally, the claim status service line break-down returns:

  • Diagnosis Code
  • Copay
  • Coinsurance
  • Deductible
  • Modifier
  • Unit or Time or Mile

This important information is available within a few clicks, lessening the need to speak with a Customer Advocate. For additional information, refer to the CRT tip sheet in the Education and Reference Center/Provider Tools section of our website at bcbsmt.com/provider. As a reminder, you must be registered with Availity to utilize the CRT. For registration information, visit availity.com , or contact Availity Client Services at 800-282-4548.

Join us for a webinar! BCBSMT hosts complimentary Back to Basics: ‘Availity 101’ Webinars for providers to learn how to use the CRT and other electronic tools to the fullest potential. You do not need to be an existing Availity user to attend a webinar. To register online now for an upcoming webinar, visit the Training page in the Education and Reference Center section of our Provider website.

*The CRT is not available for government programs claims. To check claim status in the Availity web portal for government programs (Medicare Advantage and Montana Medicaid) claims, providers should use the Claim Status Inquiry tool, instead of the CRT. The Availity Claim Status Inquiry tool is located under the Claims & Payments tab on the Availity home 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 BCBSMT. BCBSMT makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.