Bcbs illinois phone number. Contact Information for Blue Cross and Blue Shield of Illinois. Outside the United States *Select Blue Cross Blue Shield Global™ or GeoBlue if you have additional international coverage and need to find care outside the United States. 2048) or visit www. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association requesting preauthorization via phone. Mail: Blue Cross and Blue Shield of Illinois (BCBSIL) Behavioral Health Unit PO Box 660240 Dallas, TX 75266-0240. We believe Texas consumers and employers deserve the best of both worlds: access to affordable, quality health care and top-notch service from a company that focuses solely on customers, not shareholders. E. Check out the changes and updates to our plan in 2024. Member Services . 3807; There are many ways you can get information from Blue Cross and Shield of Illinois (BCBSIL). Blue Cross and Blue Shield of Illinois (BCBSIL) offers Blue Cross Community Health Plans SM (BCCHP SM) which includes a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support (LTSS) and other Pay your monthly bill online, by phone, through mail or in person. You can search for claims by Member ID or specific Claim Number. Virgin Islands. S. Earlier this year, the Advocate Aurora Health Employee Benefit Plan made some prior authorization-related changes for its employees and covered dependents with Blue Cross and Blue Shield of Illinois (BCBSIL) coverage. Blue Cross and Blue Shield of Illinois is the trade name of Dearborn Life Insurance Company, an independent licensee of the Blue Cross and Blue Shield Association. But if you have a complaint about how we handle any services provided to you, you can file a grievance or an appeal. ) 888-206-0244 (outside the U. Or contact your Field Service Representative. 800-972-8088. IL1557_ENG_20240215 bcbsil. These strategies include: Blue Cross and Blue Shield of Illinois contracts with Prime Therapeutics to provide pharmacy benefit management and other related services. Behavioral Health Unit (Government Programs) Phone: Find a doctor or hospital in Illinois quickly and easily using the Blue Cross Blue Shield of Illinois Provider Finder. O. Our Ancillary Provider Network Consultants (PNCs) focus specifically on the services provided by commercial skilled and intermediate nursing facilities, supportive living facilities, home health agencies, hospice, home infusion therapy, durable medical Blue Cross Community Health Plans SM. You can also find providers by contacting the Boeing Worklife Care Team at 1-866-473-2016. September 19: Member Advisory Board (MAB) meeting – Your voice matters! Join us to share your thoughts and learn about your plan. For Federal Employee Program members, fax each completed Predetermination Request Form to 888-368-3406. ,ET. The BCBSIL ID card for Advocate Aurora Health members shows three-character prefix EAD and group Contact lens insurance; Low vision aids; Laser vision correction; To learn more about vision benefits, check your Member Handbook. – Fri. The Blue Access ® Internet Help Desk at 888 1-866-412-8795. Blue Cross and Blue Shield of Illinois will guide you in the right direction. Box 660603 Dallas, TX 75266-0603: View PDF. Log in to your account to access your health plan information: Your care coordinator will contact you to set up your first meeting and conduct a comprehensive Health Risk Screening (HRS) to help us find out your health care needs. Phone: 1-800-367-6401 IL 60148. Claim Number: (For multiple claims, provide the additional claim number below) Date(s) of Service: Total Billed Amount: Provider Name: NPI: Contact Person: Phone Number: Additional Information requested: REMINDERS • Mail inquiries to: Blue Cross and Blue Shield of Illinois P. Federal Employee Program ® (FEP ®) - 1-800-779-4602 FAX: 1-877-361-7656. Choose your state below so that we can provide you with the most relevant information. Mail. Necesito enviar un correo por una reclamación: Blue Cross and Blue Shield of Illinois P. Title IL Precert Telephone Number Author: U022971 Created Date: 2/18/2008 12:00:00 AM Two (2) oral exams per year Two (2) teeth cleanings per year One (1) set of preventive x-rays per year Emergency dental Services Fillings Contact Us; Language Assistance; Policy Documents. By working together, we can help keep health care costs in check. If you have prescription drug coverage through Blue Cross and Blue Shield of Illinois (BCBSIL), this information can help you and your doctor get the most from your prescription drug coverage. Enter the Blue Cross Community Health Plans SM – 877-860-2837; Blue Cross Community MMAI (Medicare-Medicaid Plan) SM – 877-723-7702; Blue Cross Medicare Advantage SM – 877-774-8592; Reminder: Don’t Submit Duplicate Claims If your claim didn’t process the way you anticipated, it’s important that you don’t submit a duplicate claim for the The phone number on your BCBSIL member ID card; an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Illinois. The relationship between Express Scripts® Pharmacy and Blue Cross and Blue Shield of Illinois is that of independent contractors. If you aren't sure, contact customer service at the number on the back of your member ID card before you go. 486. To report fraud, you can call: Member Services at 1-877-860-2837 (TTY/TDD: 711) Blue Cross Community Health Plans Special Investigation Department (SID) at 1-800-543-0867. 2024 Illinois Policy Documents. For more efficient service, please have your member ID number handy - it can be found on the back of your card. to 6 p. Review benefits, account balances, claims status and more. Find phone numbers and online resources for various BCBSIL services and programs, such as eligibility, benefits, claims, prior authorization, pharmacy, behavioral Product and Program Contact Information. We would like to show you a description here but the site won’t allow us. Human Resources Inquiries: 866-977-7378: Supplier Registration Call the number on the back of your insurance card to speak with a case manager. Phone Number Email Address Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 237540. We can help you find the plan that’s the right fit for your group client, and the right choice for their workforce. Nurse on call 24 hours a day 1-800-521-6007: Mental Health/Substance Abuse Magellan Healthcare, Inc. Phone Number. 9 Blue Access for Members (BAM. Customer Service Representatives are available 8 a. please call the number on your member ID card. Blue Cross and Blue Shield of Illinois P. Box 211778 Kansas City, MO 64121-1778 Behavioral health services can help those facing mental health conditions, substance abuse or a behavioral health crisis. Our Blue Cross and Blue Shield of Illinois sales team will work with your representatives* to present health insurance solutions to your organization. Additional Provider ID HEADER INFORMATION 1. Phone: PPO – 800-851-7498. Mail: Blue Cross and Blue Shield of Illinois (BCBSIL) Behavioral Health Unit PO Box 660240 Dallas, TX 75266-0240 . 2024 QHP Small Group Actual Policy Documents; 2024 Pre-Affordable Care Act; Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield BlueCard is a national program that enables members of one Blue Cross and Blue Shield (BCBS) Plan to obtain health care services while traveling or living in another BCBS Plan’s service area. – 8 p. Language Assistance Update your preferences and contact information today. You do not need a referral for a provider Out-of-area (BlueCard ® Program) members: In addition to BCBSIL, other Blue Cross and Blue Shield (BCBS) Plans may have radiology management programs that are tied to member benefits. 9920. Blue Cross and Blue Shield of Illinois (BCBSIL) contracts with physicians, facilities and other health care professionals to form our provider networks, which are essential for delivering quality, accessible and cost-effective health care services to our members. Blue Cross and Blue Shield of Illinois 800-617-5997; Blue Cross and Blue Shield of New Mexico 800-634-3144; Blue Cross and Blue Shield of Texas 800-633-6196; Blue Cross and Blue Shield of Oklahoma – 800. *In addition to staying in network, you or your doctor may need to get benefit approval or “prior authorization” before you get treatment for certain services for them to be covered. 5 %âãÏÓ 28 0 obj > endobj 54 0 obj >/Filter/FlateDecode/ID[]/Index[28 55]/Info 27 0 R/Length 122/Prev 142211/Root 29 0 R/Size 83/Type/XRef/W[1 3 1]>>stream By Phone: Call the number on the back of the member’s ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. This review process helps confirm that the proposed services are in alignment with BCBSIL Medical Policy, American Society of Addiction Medicine (ASAM) or MCG TM Care Guidelines To apply for the Blue Cross and Blue Shield of Illinois products and to request an application choose your product below. Find the phone numbers, mailing addresses and fax numbers for different types of Medicare plans offered by Blue Cross and Blue Shield of Illinois. Mail MoneyGram is not affiliated with or related to Blue Cross and Blue Shield of Illinois or the Blue Cross and Blue Phone number: - - If you provide a phone number, an agent may call you to make sure you received the information and to answer any questions you might have. Shop Plans. BlueCard provider customer services: Find phone numbers and addresses for claims, the EDI help desk, and member appeals and grievances. com 098 1467534032 098; 1467534032 Physicians Care Network, INC. 2024 QHP Small Group Actual Policy Documents; 2024 Pre-Affordable Care Act; 2023 Policy Documents. In January 2021, Blue Cross and Blue Shield of Illinois (BCBSIL) is launching Blue HPN, a new national high-performance network for large commercial employer groups. You might take your Blue Cross and Blue Shield of Illinois (BCBSIL) member ID card for granted from time to time, but don’t forget it contains a wealth of information you need. You should use in-network providers. TeamCare A Central States Health Plan. That’s why Blue Cross and Blue Shield of Illinois offers health care coverage with a wide variety of options across a range of price levels. Learn more about BCBSIL and Provider Finder®. Human Resources Inquiries: 866-977-7378: Supplier Registration You can call the number listed on the letter, or go to Equian to answer the questions. Email Address Please enter a valid email Address. Medical Billing Process. Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. We offer individual, family and Medicare supplement plans for your health care needs, so get your free quote today!. caqh. To direct your call, please say: Medical or press 1 phone number to call for Preauthorization Number. , Monday – Friday. They should also be entered in ### -###-#### format Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. I need to send mail for a claim: Important Phone Numbers . As a reminder, AIM Specialty Health ® administers the RQI Program for Blue Cross and Blue Shield of Illinois (BCBSIL) for most groups. This link will take you to a new site not affiliated with BCBSIL. These tools and services can help you use your Blue Cross and Blue Shield of Illinois (BCBSIL) membership. Find a Provider Near You. Phone Number ( ) - 52a. If there are questions regarding prescription benefit coverage, please call the phone number on the back of the member’s BCBSIL ID card. This is called prior authorization, Member Services. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. In FY 2022, HFS held contracts with a total of five (four statewide, plus one Cook County only) qualified, experienced, and financially sound Managed Care plans to serve the HCI population, including: Let's find the right person to answer your question. When online options don’t answer your question, give us a call. 2024 QHP Small Group Actual Policy Documents; 2024 Pre-Affordable Care Act; Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois has what you need to successfully sell to and service your clients: Quality health care plans and networks across group, Medicare, and individual markets; A service and technology infrastructure built to Following this change, Blue Cross and Blue Shield of Illinois (BCBSIL) will be making updates on our website to our utilization management page and related resources. You can opt in to receive your mail digitally, find a doctor and review your coverage. BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama (800) 248-2342 Phone: PPO - 1-800-851-7498. We offer options to suit a variety of communication preferences. Box 3004 Naperville, IL 60566-9747. Dental Provider Directory . We want to make sure you get the care you Helpful Contact Numbers. Box 660603 Dallas, TX 75266-0603 • Claim Review requests: ©1996-2024 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association. Blue Cross Blue Shield of Illinois is committed to providing the best resources for health care providers. Blue Cross and Blue Shield of Illinois (BCBSIL) offers Blue Cross Community Health Plans (BCCHP) which includes a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support (LTSS) and other health care To see a provider who is outside our provider network without special authorization from Blue Cross and Blue Shield of Illinois (BCBSIL). With this program, you and your family can save money on health care products — and services — that are most often not covered by your health plan. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Sometimes you may need to get approval from Blue Cross and Blue Shield of Illinois before we will cover certain inpatient, outpatient and home health care services and prescription drugs. Prime Therapeutics, our pharmacy benefit manager, conducts all reviews of PA and ST requests from physicians for Blue Cross and Blue Shield of Illinois (BCBSIL) members with prescription drug coverage. Top Contacts for Existing Group Business. in more than 200 countries around the world through BCBS Global TM Core; BlueCard coverage varies for each BCBS Plan. Learn more about BCBSIL and what we offer today. Search for doctors, dentists, hospitals and other health care providers. Blue Cross and Blue Shield of Illinois (BCBSIL) offers both HMO and PPO, individual and How do I qualify for the Blue Cross Community MMAI (Medicare-Medicaid Plan) SM LTSS program? You must be eligible for a Home and Community Based Service (HCBS) waiver program or the Nursing Facility program. Note: Fax numbers can be entered by touch tone or spoken. call the number on the member’s BCBSIL ID card. 1-877-831-3148, TTY/TDD: 1-866-288-3133. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and The fastest way to conduct business with BCBSIL throughout the entire claims process is via Electronic Data Interchange (EDI) – the computer-to-computer transmission of standardized information. Blue Cross Community Health Plans • c/o Member Services • P. Find the phone number and other contact information for BCBSIL members, enrollees and employers. Do you have questions or need information? As your business partner, we’re here to help you. com . Please fill out the form below and a Blue Cross and Blue Shield of Illinois authorized agent will contact you within 1 to 2 business days. Each Blue Cross and Blue Shield company is responsible for the information it provides. For your ease, we have a new phone line. medicare. – 5 p. bcbsil. Blue Cross and Blue Shield of Texas 4444 Corona, Suite 148 Corpus Christi, TX 78411-4375 1-361-878-1623 Fax: 361-852-0624 Contact Name Contact Address 1: Contact Address 2 Contact City: St Zip: Contact Phone Ext: Contact Fax Email Address: 052 1366489049; 052; 1366489049 Franciscan PHO Northern IN Hammond; Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, What's New for 2024. Member Identification (ID) Card The plan covers members who live in the state of Illinois. Your employees are your most valuable assets. ) Online. to 5:00 p. 1-877-860-2837, TTY/TDD: 711. You will continue to follow your normal processes, use the same phone numbers and web addresses, including the AIM ProviderPortal, that you currently use BlueEdge Benefits. Prime Therapeutics LLC (Prime) 1 now manages your prescription drug benefits for your Boeing-sponsored medical plan, administered by BCBSIL. Billing questions close to a payment due date, pharmacy refill requests, health Tax Credit Estimator Event Registration Convenient Ways to Pay Your Bill Making an Impact Highlights Blue Cross and Blue Shield of Illinois Questions? Call 888-809-2810 Find an in-network doctor, hospital or other provider. Members can call the Behavioral Health number listed on their ID card for prior authorization, questions or for urgent health issues 24/7. I need to send mail about my membership: Blue Cross and Blue Shield of Illinois PO Box 650713 Dallas, TX 75265-0713. Title: Each Claim Review Form must include the BCBSIL claim number (the Document Control Number, or DCN), along with the key data elements specified on the forms. Membership and Claims Mailing Addresses. If you need registration assistance, contact Availity Client Services at 800-282-4548. If you provide a phone number, an agent may call you to make sure that you received the information and to answer any questions that you might have. Type of Transaction (Mark all applicable boxes) IL Dental Claim Form Created Date: 20200729154118Z Contact Us; Language Assistance; Policy Documents. Groups with 2 - 99 members, please call 800-548-1687. SSN or TIN 52. Order or print a replacement member ID card. Contact Us. For help with these documents, please call 1-800-972-8382. Please enter a valid phone number. We're here to help you get a health If you do not have online access, use our automated phone system for eligibility and benefits and other self-service requests. Blue Cross and Blue Shield of Each Blue Cross and Blue Shield company is responsible for the information it provides. (Central Time). The pages in this section are designed to follow the claim cycle – from the moment a BCBSIL member walks into your office, through Report by Phone 1-800-543-0867 (Hotline for BCBSIL) 1-800-337-8440 (Hotline for Federal Employee Program) Or let us know if you want to be contacted. Whatever the size of your business, health plans from Blue Cross and Blue Shield of Illinois (BCBSIL) can help you create a healthier and more productive workplace that attracts and retains top talent. To Press the number key containing the desired letter (e. Log in to Blue Access for Members SM (BAM SM) for: Secure Messaging: Send and receive Blue Cross and Blue Shield of Illinois offers individual health plans for you and your family, Medicare and Medicaid plans for those who qualify and other health plan options to best Step-by-Step Guide for Provider Finder ®. The following numbers are for our employer customers BCBSIL employs a number of industry-standard management strategies to ensure appropriate drug utilization and the use of cost-effective drug therapies. Groups with 100 or more If you have an urgent request, call customer service at the number on your ID card. Claim Providers who are not yet registered with Availity, can sign up today at Availity, at no charge. Blue Cross and Blue Shield of Illinois, a Division of Find a doctor or hospital throughout the United States — more than 90% of all hospitals and doctors in the U. Blue Cross Community Health Plans Special Investigation Department (SID) 1-800-543-0867 . Blue Cross and Blue Shield of Alabama – 800. By providing a telephone number and/or email address; I am giving Blue Cross and Blue Shield of Illinois (BCBSIL) consent to have an authorized BCBSIL representative or licensed agent contact me by phone, email or text to offer additional information or answer questions about its Medicare products, health plan benefits and By providing a telephone number and/or email address; I am giving Blue Cross and Blue Shield of Illinois (BCBSIL) consent to have an authorized BCBSIL representative or licensed agent contact me by phone, email or text to offer additional information or answer questions about its Medicare products, health plan benefits and Phone Number; BCCHP Member Services. Behavioral Health Unit (Government Programs) Phone: Contact Customer Support by phone or Live Chat. Originally published 10/25/2018, Revised 2019, 2022, 2024. Blue Cross Community MMAI Provider Manual – Updated December 2021 1 Blue Cross and Blue Shield of Illinois Provider Manual Blue Cross Community MMAI (Medicare-Medicaid Plan)SM 2022 Blue Cross Community MMAI (Medicare-Medicaid Plan) is provided by Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), For government programs member information, the provider customer service and eligibility verification phone numbers are as follows: Blue Cross Community Health Plans SM (BCCHP) – 877-860-2837. " With both of these phone scams: The calls are not from us. Human Resources Inquiries: 866-977-7378: Supplier Registration 1-877-860-2837 (TTY/TDD: 711) We are available 24 hours a day, seven (7) days a week. For more information about Medicare, including a complete list of plans available in your area, please contact the Medicare program at 1. Medicare Advantage – 877-774-8592. Your card provides: Phone numbers you, your doctors and other health care providers will find helpful – including numbers to call and verify your coverage before Group Health Insurance Plans Built for Business. Pay your bill. Blue Cross Medicare Advantage SM plans offer all the coverage of Original Medicare — plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options. However, we understand at times you may need to contact Provider Network Relations by phone for other inquiries. Fax: 877-361-7656. Calls are always confidential. Enroll today. I have questions about enrolling in a new plan: 1-800-531-4456. CT Call Customer Service at the number listed on your member ID card. Medical Group Name Contact Type: Contact Name Contact Address 1: Contact Address 2 Contact City: St Zip: Contact Phone Ext: Contact Fax Email Address: Downers Grove IL; 60517 (630) 324-2923; BCBSComplaintsandAppeals@duly. 300 East Randolph Street. Individual and Family Plans Contact Information; ACA (Health Reform) Education Hotline (888) 809-2810: New Enrollment (800) 531-4456: Member Customer Service (888) 697-0683: Blue Cross and Blue Shield of Illinois P. illinois. ) Step 3 This section presents an introduction to doing business with Blue Cross and Blue Shield of Illinois, along with an overview of options and resources that may help you maximize administrative efficiencies in your office. BlueEdge SM gives your employees freedom of choice, flexibility, a broad range of benefits and the largest contracting provider network in Illinois. The type of service you might need depends on your personal situation call Member Services at 1-877-860-2837 (TTY/TDD: 711) and we can help you find out what services are covered. Please have your BCBSIL member ID number, bank routing number and bank account number ready. Additional Provider ID 57. Health & Contact Us; Language Assistance; Policy Documents. BlueCard links participating health care providers with the independent BCBS Plans across the country, and in more than 200 countries and territories worldwide, • Utilize your keypad when possible • Avoid using cell phones • Minimize background noise • Mute your phone when you are not speaking Claims IVR Caller Guide 1 of 2 1) Getting Started Welcome to the Blue Cross Blue Shield of Illinois Provider Services Line. Blue Cross and Blue Shield of Illinois (BCBSIL) has partnered with H. The predetermination process is a service Blue Cross and Blue Shield of Illinois (BCBSIL) offers so you can submit your claims with confidence that the proposed services are in alignment with BCBSIL Medical Policy and/or medical necessity as specified by the member’s benefit plan. Our Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Print Blue Cross Community Health Plans SM. Chicago, Illinois 60601-5099. After listening to “Thank you for calling the BCBSIL Provider Telecommunication Center” Blue Cross and Blue Shield of Illinois has learned about two types of scam calls targeting some of our members. Box 660071 Dallas, TX 75266-0071 This page may have documents that can’t be read by screen reader software. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, Out-of-state provider notification: You should specifically contact your local Blue Cross and Blue Shield (BCBS) Plan for 835 ERA enrollment. If you believe we have failed to provide a service, or think we have discriminated in another way, contact us to file a grievance. We currently provide health coverage to over 7 million existing members, and our contracting provider network includes over 92% of Illinois hospitals, over 91% of Illinois Contact Us; Language Assistance; Policy Documents. If you have any questions about the products or services provided by such vendors, you should contact the Blue Cross Blue Shield of Illinois - Health Insurance Illinois. Get started. Randolph Chicago, IL 60601-5099 Phone: 800-420-8774 Dearborn National 1020 West 31 st Street Downers Grove, IL 60515 Phone: 800-348-4512 Dental Network of America P. Groups with 2 - 99 members, please call 800-548-1687 Information for Blue Cross and Blue Shield of Illinois members is found on By phone – Call the prior authorization number on the member’s ID card. 1-877-860-2837 (TTY/TDD: 711) Call to ask about your plan benefits, help finding a provider, to change your PCP, and much more. Contact Us; Language Assistance; Policy Documents. EDI transactions are often identified by numbers assigned by the American National Standards Institute (ANSI). g. This program helps deliver specialty medications directly to physicians or to members that include injectable and infused therapies used to treat complex medical conditions such as growth hormone deficiency, hepatitis C, immune deficiency, hemophilia, multiple sclerosis and rheumatoid arthritis. Additional Contact Information; Pharmacy Program: 800-423-1973: Membership Address: Blue Cross and Blue Shield of Illinois P. General Mailing Address. Chicago, IL 60631. (RQI) number. We provide health insurance in Michigan. 2024 QHP Small Group Actual Policy Documents; 2024 Pre-Affordable Care Act; Blue Cross and Blue Shield of Illinois has served the people of Illinois since 1936. 8647 W. Get a free instant rate quote and apply online today for Illinois health insurance plans including individual and family health insurance, Medicare supplement, short term health insurance and health savings account (HSA) compatible plans at www. A case manager can help you get treatment and follow-up with you. Learn more about these payment options and frequently asked questions. Get claims contact information. An authorized Blue Cross and Blue Shield of Illinois agent will contact you. Guidelines and resources contacts Buy health insurance from BCBSIL. aimspecialtyhealth. Non-Emergency Medical Transportation. Utilization management review requirements and recommendations are in place to help ensure our members get the right care, at the right time, in the right setting. Monday - Friday 8 a. Bronze Plans . Machine Readable Files for Transparency in Coverage; Blue Cross and Blue Shield of Illinois (BCBSIL) can help you get care and learn about your BCBSIL contracts with more than 2,000 independent ancillary providers in Illinois and Northwest Indiana. Effective Date: 04/01/2022 . Box 650713 Dallas, TX 75265-0713. , press 2 for This includes government programs (Medicare Advantage and Illinois Medicaid), commercial, Individual Family Markets and Federal Employee Program ® (FEP ®) members. 8 . Log in to your account to access your health plan information: Federal Employee Program | Blue Cross and Blue Shield of Illinois. Office of Civil Rights Coordinator Phone: 855-664-7270 (voicemail) Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association requesting preauthorization via phone. gov, click Manage My Case to find your renewal due date and verify your mailing address. Your client's health insurance needs are as unique as their business. For non-emergencies, some HMO plans allow you to get health care services from a Blue Cross and Blue Shield affiliated doctor or hospital when you are traveling. The call is free. ) %PDF-1. For government programs member information, the provider customer service and eligibility verification phone numbers are as follows: Blue Cross Community Health Plans SM (BCCHP) – 877-860-2837; Blue Cross Community MMAI (Medicare-Medicaid Plan) SM – 877-723-7702; Blue Cross Medicare Advantage SM – 877-774-8592 To learn more about our products and services, contact your agent, broker or consultant. STEP 2 – Submit a The provider may contact the Behavioral Health Outpatient Team at any time for clarification of the process at the Behavioral Health Call Center number listed above. License Number 51. You can If you want to know more about this process or how decisions are made about your care, contact Member Services at 1-877-860-2837 (TTY/TDD: 711). 390. File is in portable document format (PDF). to provide resource information and aftercare support. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent February 2019 Radiology Quality Initiative (RQI) Program is Business as Usual. May 26, 2021. markets. For other language assistance or translation services, please call 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376 Search online for Blue Cross and Blue Shield of Illinois doctors, dentists, hospitals, medical groups and other health care providers using the Provider Finder tool. To identify your Availity Administrator(s), select My Account, under My Account Dashboard. Choose from individual, family, Medicare, Medicaid and employer/group plans. Always check eligibility and benefits first through the Availity ® Essentials or your preferred web vendor portal to confirm coverage and other important details, including IHP Patients/Members Contact Information: Guidehealth Customer Service email: Managedcaresupport@guidehealth. Prescriptions of up to a 90-day supply, or the most amount allowed by the benefit plan. Print. Blue Cross Community Health Plans Provider Manual Rev 2024 09 3 Overview The Blue Cross Community Health Plans (BCCHP) is a program developed and administered by Blue Cross and Blue Shield of Illinois (BCBSIL) intended to support delivery of integrated and quality managed Blue Cross Blue Shield of Illinois - Health Insurance Illinois. Blue Access for Members SM is a powerful tool for managing your Blue Cross and Blue Shield of Illinois health plan benefits. Blue Cross Medicare Advantage Member Services. To have your update processed, contact your local Plan. 877. Find When an overpayment is identified by BCBSIL, a refund request is sent to the provider (payee) explaining the reason for the request. In the United States, Puerto Rico and U. If you choose to see a doctor who is not part of our network, you may have to pay for the services. With HealthChoice Illinois, you have a health plan partner to turn to for help. , Suite 100 Richardson, TX 75081. . Visit with a contracted doctor. Report by U. To view this file, you may need to install a PDF reader program. Originally published 10/23/2014; Revised 2015-2024 Use these numbers for claims and other inquiries for Blue Cross Community Health Plans SM (BCCHP SM), Blue Cross Community MMAI (Medicare-Medicaid Plan) SM and Blue Cross Medicare Advantage SM (HMO and PPO). Commercial. 2024 QHP Small Group Actual Policy Documents; 2024 Pre-Affordable Care Act; Stephen Harris was appointed president of Blue Cross and Blue Shield of Illinois (BCBSIL) in March 2022. If you are a BCBSIL member, log in to Blue Access for Members SM (BAM SM ) to check your drug list and learn more about your prescription drug benefits. Customer Service and Precertification 24 hours a day, 7 days a week: 1-800-688-1911 If you are unable to access eRM from BCBSIL-branded Payer Spaces, please contact your Availity Administrator. 24 hours a day, 7 days a week. Search for a doctor by name, location or specialty to find a doctor in your area to meet your health care needs. Phone Number Please enter a valid Phone Number * ZIP Code Please enter a valid ZIP Code *Required. Blue Cross and Blue Shield of Illinois is committed to promoting health and wellness of its members and communities through accessible, cost-effective, quality health care. 300 East Randolph Street Call the dedicated pharmacy program phone number listed on your member ID card. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association These providers are contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) to provide medical services to members. Log in to find contact information specific to your area and plan. 1-800-ASK-BLUE (or 1-800-275-2583) (TTY/TDD:711) Shopping assistance. Learn more at bcbsglobal. com shawna. to 8 p. Consider Blue Cross and Blue Shield for your company medical insurance. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent IL_BCCHP_DentalDir21 Filed 04082021 . - 11:30 BCBS Customer Service. gov . Fax Number: 1-847-518-9738. Randolph Street, 35th Floor Chicago, Illinois 60601 Additional Contact Information; Pharmacy Program: 800-423-1973: Membership Address: Blue Cross and Blue Shield of Illinois P. 888-802-8776 (inside the U. Member Service Representatives are available Monday-Friday, 8 a. Enter your BEMS ID and Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Report by Phone. Our staff is available 8 a. They will schedule an appointment at a time and Print Blue Cross Community MMAI (Medicare-Medicaid Plan) SM The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Managed Care Organizations (MCO) to implement MMAI. org At Blue Cross and Blue Shield of Illinois (BCSBIL), we take great pride in ensuring that you receive the care you need. P. CT to answer your questions. Live doctor visits by mobile app, online video or phone. , 8 a. Claims Address: Blue Cross and Blue Shield of Illinois P. National Poison Control Center For Blue Shield Promise providers. Due to special storage requirements and high cost, injectable Important Pharmacy Benefits Update. Get insurance delivered through your local BCBS agency. Across the country, PPO networks are linked through the BlueCard ® PPO program so it should be easy for employees to find a doctor or hospital when traveling, living, working or studying Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Blue Cross and Blue MMAI Members: Get ready to renew your Medicaid! Start at abe. MG# Medical Group Name Contact City St Zip Contact Phone 458 Access Community Health Network Chicago IL 60606 (312) 526-2098 118 Advanced Physician's Association Chicago IL 60617 (773) 374-9292 a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Page 2 of 2. contact your local Plan. Federal Employee Program ® (FEP ®) – 800-779-4602. Call the toll-free number on the back of your member ID card for BCBS customer service. This page may have documents that can’t be read by screen reader software. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex Contact Us; Language Assistance; Policy Documents. Additional Resources CAQH Contact Information Help Desk : 888-599-1771: Online Application System URL: CAQH website: Help Desk Email Address: providerhelp@proview. As health care evolves across the nation, our dedication to our members won't change. 866-455-8415 . Or you can use our online form to update your preferences using your member ID number. Grievance (Complaint): 1-877-831-3148 (TTY/TDD: 1-866-288-3133) Call at least 3 days before you need a ride. MEDICARE (TTY users should call 1. Contact Last Name: Telephone Number: Ordering Physician Ordering Physician 1 Source: Network360 ® Analytics Suite, May 2022 2 Discount data based on the 2020 Dental Actuarial Analytics Dental PPO Network Study 3 Blue Cross and Blue Shield of Illinois Medical Dental Integration Study, November 2019 4 Based on member satisfaction post-call surveys for our five plan states (Illinois, Montana, New Mexico, Oklahoma and Blue Cross and Blue Shield (BCBS) members can search for doctors, hospitals and dentists. Box 805107 Chicago, IL 60680-4112. Find a Doctor, Hospital or Pharmacy. 2024 QHP Small Group Actual Policy Documents; 2024 Pre-Affordable Care Act; Please be aware of persons posing as Blue Cross and Blue Shield of Illinois employees. Fax Number: 1-800-338-2227. COVID-19 Vaccines and Boosters - COVID-19 | Blue Cross and Blue Shield of Illinois. Always check eligibility and benefits for all BCBS members prior to rendering services to confirm details, including utilization management vendors that BCBSIL Provider Manual — Reviewed November 2021 6 State of Illinois Recredentialing Single Cycle Note: Based on last digit of physician’s Social Security Number 23128. Corpus Christi and The Valley. MMAI – 877-723-7702. Note: You must provide services in Illinois or Lake County, Indiana in order to apply. Blue365 is just one more advantage of being a Blue Cross and Blue Shield of Illinois (BCBSIL) member*. 10. If you are a member with a question about your coverage, please contact Customer Service or a specific department listed on this Send us a question or request more information by reaching out to the Blue Cross and Blue Shield of Illinois (BCBSIL) customer service team. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield The Blue Cross Blue Shield Global Core Service Center is available 24 hours a day, 7 days a week at 800-810-BLUE (2583) or by calling collect at 804-673-1177. We look forward to hearing from you! Originally published 1/8/2015; Revised 2023. Phone Number: 1-877-774-8592 (TTY 711) Calendar of Community Events: A list of fairs, festivals and events for members and the public. Higgins Road. Box 805107 Chicago, IL 60680-4112 Phone: 800-541-2767 Blue Cross and Blue Shield of Illinois 300 E. Phone Number ( ) - 58. Phone: (800) 468-9935 . Grievance (Complaint): Make a one-time payment over the phone by calling Customer Service at 800-538-8833 and select Make a Payment. com Health care coverage is important for everyone. How to Spot a Job Scam: Blue Cross and Blue Shield of Texas 1001 E Lookout Drive Richardson, TX 75082-4144 1-361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions. To avoid cancellation, provide overnight express tracking number to Financial Services at 1-800-414-7147. contact your company’s benefits administrator or call BCBSIL Customer Service at the number listed on your member ID Illinois Health Partners, LLC is a wholly owned division of Edward-Elmhurst Health, providing patients with outstanding medical care while working to continually improve their health care experience. 216. To check the status of your Provider Onboarding Form application, use the Case Status Checker. If you have questions that can’t be answered through online options, call 217-862-5410, provide the following information, and we will respond to your inquiry within 24 hours: Provider name This page may have documents that can’t be read by screen reader software. By Fax or by Phone: You may file an expedited appeal in writing by sending a fax. We are available 24 hours a day, seven The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Blue Cross and Blue Shield of Illinois (BCBSIL) offers Blue Cross Community Health Plans SM (BCCHP SM) which includes a network of independently contracted providers Phone. Monday – Friday: 8 a. NPI 50. BlueCard program. • Medicaid iD number • effective date of coverage • Member Services phone number and TTY line • PCP’s name and phone number • Blue Cross Community Family Health Plan name and claims address • The toll-free number for the 24/7 nurseline You Will geT a neW Plan iD CarD iF: • You change your PCP • Your PCP’s address or phone Blue Cross and Blue Shield of Illinois (BCBSIL) offers wellbeing programs, and other chronic conditions–is available via phone or secure messaging. 49. com Call Guidehealth Customer Service: 888-851-4905 Prompt #3 – Illinois Health Pa If you provide a phone number, an agent may call you to make sure that you received the information and to answer any questions that you might have. September 22, 2020. 1023 1. This is the customer service number for questions about your Our customer service number is on your member ID card. In an emergency, go directly to the nearest hospital. Please note: for Health Claims, Claims Appeals, Short Term Disability Claims, Life Insurance, or to update your Personal Information, The resources on this page are intended to help you navigate prior authorization requirements for Blue Cross and Blue Shield of Illinois commercial non-HMO fully insured members. 0124. The resources on this page are specific to your state. Human Resources Inquiries: 866-977-7378: Supplier Registration We would like to show you a description here but the site won’t allow us. Florida Combined Life Insurance Company P. Log in to Blue Access for Members SM (BAM SM). L. SM) . There is also a Contact Us page on our website with numbers listed by plan type. 2024 QHP Small Group Actual At Blue Cross and Blue Shield of Illinois (BCSBIL), we take great pride in ensuring that you receive the care you need. Learn how to contact If you can’t register or log in to Blue Access for Members, call: The phone number on your BCBSIL member ID card. Please refer to your benefit booklet or call the customer service number on the back Call 1-800-972-8088 You will then be transferred to our Automated Inquiry System. Learn More Blue Cross Blue Shield of Illinois is committed to providing the best resources for health care providers. Please feel free to contact us by mail or phone. Blue Cross Medicare Advantage SM – 877-774-8592 Wondering how to find a doctor who is nearby and provides excellent care? Start your search with Provider Finder. If a response is not received from the payee, a follow-up letter is sent. Wellmark health insurance plan: Call the toll-free number 800-524-9242 800-524-9242 (TTY: 888-781-4262), Monday through Friday from 7:30 a. Members who have medical coverage under Independence Blue Cross can contact Customer Service with any questions. Member Services. There is also a Contact Us page on Blue Cross and Blue Shield of Illinois. com. The first type of scam call is known as "spoofing. You can remain anonymous or let us know if you want to be contacted. Please contact Customer Service at Blue Cross and Blue Shield of Illinois. If an existing enrollment is already on file with the local BCBS Plan, then ERA files for services provided to BCBSIL members will be transmitted electronically to you under the Blue Cross Blue Shield You MUST submit the predetermination to the Blue Cross and Blue Shield Plan that issues or administers the patient’s Chicago, IL, 60680-3625. Illinois Health Partners provides high quality, efficient and accessible services for its members throughout the region. 8672. contract with Blue Cross and Blue Shield (BCBS) Find a doctor or hospital outside the U. Members who participate in a meeting will get a $25 gift card. Blue Cross and Blue Shield of Illinois 300 East Randolph Street Chicago, Illinois 60601-5099. 9 . Box 650774 Dallas, TX 75265 Blue Cross and Blue Shield of Illinois makes no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them. (Note: See for BCCHP and MMAI Provider Finder links. 800. AmeriHealth – 800. Blue HPN will provide additional access to quality and affordable health care in more than 55 major U. For commercial prior authorization requests handled by Carelon Medical Benefits Management: The recommended clinical review (predetermination) process is a service Blue Cross and Blue Shield of Illinois offers so you can submit your claims with confidence. They should also be entered in ### -###-#### format Welcome to the Blue Cross Blue Shield of IL Provider Services Line. For help with these documents, please call 1-877-774-8592. Mail Blue Cross and Blue Shield of Illinois Special Investigations Department 300 E. Blue Cross Community MMAI (Medicare-Medicaid Plan) SM – 877-723-7702. I have a question about PPO/POS/Indemnity Plans: 1-800-521-2227 Blue Cross and Blue Shield of Texas You can call the customer service number listed on the back of your Blue Cross and Blue Shield of Illinois member ID card to make sure the right email and mobile number is linked to your account or to change your contact preferences. BCCHP – 877-860-2837. Please Select Your State. No thanks, I'm still looking. If you need a ride to the doctor, call Member Services at 1-877-723-7702 (TTY: If you need a ride to the doctor, contact Member Services at 1-877-723-7702 (TTY: 711) at least 72 hours before your Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Contact Information for Blue Cross and Blue Shield of Illinois. Box 3418 • Scranton, PA 18505 Schedule an appointment bally cing the doctor or the medical group at the phone number listed! 1-877-860-2837 (TTY/TDD: 711) We are available 24 hours a day, seven (7) days a week. m. Blue Cross Medicare Advantage c/o Expedited Appeals. Box 23059 Belleville, IL By completing this form and providing your telephone number and/or email address, you agree an authorized representative or licensed agent from Blue Cross and Blue Shield of Illinois may call you on your landline (home phone), call or text your cellular phone, or email you to answer questions and provide additional information about Medicare If you have an urgent request, call customer service at the number on your ID card. Request for claim refund letters include a remittance form and return envelope. fox taylor@duly. Individuals and families. Provider Demographic Updates Additional Contact Information; Pharmacy Program: 800-423-1973: Membership Address: Blue Cross and Blue Shield of Illinois P. 693. Get access to health plans for businesses big and small that covers employees across the U. You may also file an expedited appeal by phone. The Claim Status tool is found in the Claims & Payment menu in Availity Essentials. Blue Cross and Blue Shield of Illinois ATTN: 650615 1501 North Plano Rd. Express Scripts® Pharmacy is a pharmacy that is contracted to provide mail pharmacy services to members of Illinois. Health insurance policy number: Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. If you have any questions about the products or services provided by such vendors, you should contact the 24-hour contact center. An RQI number must be obtained through AIM prior to ordering CT/CTA scans, MRI/MRA scans, Nuclear Cardiology studies, and PET Blue Cross and Blue Shield of Texas is a statewide, customer-owned health insurer. 1-855-453-5941 * First Name Please enter a First Name * Last Name Please enter a Last Name. For questions, call Boeing Member Services at 888-802-8776. ; If a telephone or written response is not received, or if the amount of We would like to show you a description here but the site won’t allow us. For help with these documents, please call 1-800-975-6314. Independence Blue Cross and Highmark Blue Shield Caring Foundation Hotline: 1-800-464-5437: Keystone First Hours: Mon. Billing questions close to a payment due date, pharmacy refill requests, health concerns and similar issues are best resolved with a phone call. As president, he is responsible for the overall financial Review the Individual and Family Contact Guide. Incentives and Blue Points SM. Types of utilization management review that may be conducted before services are rendered include prior authorization, recommended clinical review (predetermination), and pre-notification. jzenukl mesl eujxvjl mptgo emioqr emys lbdaj mhevk xtsuk zif