Independence Blue Cross (IBX) has received an increase in provider calls requesting information on multiple claims. As a reminder, access to the Provider Engagement, Analytics & Reporting (PEAR) portal is required for our participating providers.
Provider Customer Service will redirect these inbound calls to the PEAR portal, which provides easy access to the information you need.
Note: If circumstances require a call,
a limited
number of claims
can be
addressed during a single call. This will enhance the quality of each call, enabling our agents to handle them more efficiently. In addition, providers will experience shorter wait times due to faster call resolution.
Self-service requirements
As stated in our manuals,
all participating providers, facilities, and third-party organizations that support our provider organizations are
required to complete these tasks in the Practice Management application:
-
Verify member eligibility. Use the
Eligibility & Benefits transaction to view detailed information about a member's eligibility.
-
Check claim status. Check the progress of your accepted claim submissions (up to 18 months old) using the
Claim Search transaction.
-
Submit claim adjustments and inquiries. Use the
Claim Search transaction and simply click the
Create New Investigation button for finalized claims (within 18 months of finalization).
-
Submit authorizations. Most authorization requests can be submitted using the
Authorization Submission transaction.*
Not signed up for the PEAR portal? Learn
how to register your practice or organization today!
Need help using the portal? Call PEAR support at 1-833-444-PEAR (1-833-444-7327).
*Some authorizations must be submitted via Carelon Medical Benefits Management (Carelon) or eviCore, independent companies. Access the Carelon and eviCore transactions in Practice Management to submit your request.
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