BCBS CIR Cheat Sheet

“The Claim Inquiry Resolution (CIR) tool within the Electronic Refund Management (eRM) portal accessed via Availity® Essentials only accepts inquiry submissions related to High-Dollar, Pre-Pay Review requests for most Host (BlueCard® out-of-area) claims (Medical Records and/or Itemized Bills). The other inquiry options that were available via CIR have transitioned to the Availity Claim Status Tool’s Dispute Claim or Message This Payer features.” Per BCBS Provider Education. 

WHAT CAN BE DOWNLOADED TO eRM?

See Example Below —

Author: Seymore Bones

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