So, how do we get auth now? Do we call BCBS provider helpdesk or do we do the request online like we have to do for people who are not on a waiver program?

Terisa Vig
Patient Account Representative
RiverView Health Home Care
tvig@riverviewhealth.org
218-281-9240

From: Anna Sanderson <asanderson@interimhcmn.com>
Sent: Wednesday, August 6, 2025 5:14 PM
To: billers <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] BCBS Medicare Advantage plans - XZL
 
Scratch that! I went to do my auths today and in evicore it said I was not authorized. Availity allows me to search old auths but when trying to update the auth I am blocked. I got ahold of my contact at Evicore and apparently, they were told Monday that BCBS completely pulled out. Evicore is no longer an option. I was told to contact provider services for issues. 



Anna Sanderson
Billing Specialist
Interim HealthCare of the Twin Cities
Main Office Number: 651-917-3634
Desk: +16512947979 | Fax: 651-259-4215.

From: Alicia Schmidt <Alicia.Schmidt@vivie.org>
Sent: Wednesday, August 6, 2025 9:41 AM
To: billers <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] BCBS Medicare Advantage plans - XZL
 
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Thank you for that information!  Now to see if billing goes smoothly or if this will be the next hiccup in BCBS processing claims....

Thanks again!

Vivie website

Alicia Schmidt

Manager of Revenue Cycle

Direct:

 

320‑759‑3340

Fax:

 

320‑759‑1275

2715 State Hwy 29 S Ste 103

,

 

Alexandria

,

 

MN

56308

vivie.org

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From: Anna Sanderson <asanderson@interimhcmn.com>
Sent: Wednesday, August 6, 2025 9:32 AM
To: billers <billers@list.mnhomecare.org>
Subject: Re: [EXTERNAL] BCBS Medicare Advantage plans - XZL
 
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As of 8/1 Evicore was discontinued and all new auths should go through Availity. This is for all plans. There was a bulitin for the Medicaid products but according to both our contact at Evicore and our rep this includes all plans. Poor planning on Blue's side again. Evicore however will remain accessible for 180 days and will allow updates to auths that were already opened through them for that timeframe. 



Anna Sanderson
Billing Specialist
Interim HealthCare of the Twin Cities
Main Office Number: 651-917-3634
Desk: +16512947979 | Fax: 651-259-4215.

From: Alicia Schmidt <Alicia.Schmidt@vivie.org>
Sent: Wednesday, August 6, 2025 9:25 AM
To: billers <billers@list.mnhomecare.org>
Subject: [EXTERNAL] BCBS Medicare Advantage plans - XZL
 
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CAUTION: External Email Sender. Do not click on links or open attachments unless it's a trusted and expected source.

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Has one heard any update or received any information from BCBS on authorization for the Med Advantage plans that used to be thru Evicore?  My auth team is not able to do anything more on the Evicore site and has been able to request some auth through Availity, but looking for more information if anyone has heard about the extension authorization for continued services, etc.  Last time we called BCBS they said to do it through Evicore.  So, we are trying to call again, but they never seem to know much!  🙂

Thanks!

Vivie website

Alicia Schmidt

Manager of Revenue Cycle

Direct:

 

320‑759‑3340

Fax:

 

320‑759‑1275

2715 State Hwy 29 S Ste 103

,

 

Alexandria

,

 

MN

56308

vivie.org

Confidentiality Statement

This message is intended for the sole use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended addressee, nor authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, disclose or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete the message. Thank you.

 

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