If you are a provider who is contracted to provide care and services to our Blue Cross Community Health PlansSM (BCCHPSM) and/or Blue Cross Community MMAI (Medicare-Medicaid Plan)SM members, you are likely familiar with our provider claims dispute process. For your
convenience, we’d like to provide a reminder overview here. Claim Dispute/Complaint Process:
Unique Tracking ID
Number/Reference Number
Note: More information on the use of the unique tracking ID in relation to the Healthcare and Family Services (HFS) Provider Complaint Portal can be found on the HFS website. The reference number described above must be used to submit any complaints regarding claims to the HFS portal. The process described above must be followed for the issue to be accepted by HFS. Submission of any other ticket type to the HFS portal is not appropriate. Response to a Submitted Claims Dispute Other Requests
Service Authorization Disputes – Service authorization disputes cover the following non-claims scenarios and should be filed by using the Provider Service Authorization Dispute Resolution Request form.
For more detail on the difference between a claims dispute and a service authorization dispute refer to the News and Updates on our website. Appeals – The BCBSIL appeal process is used for services that require an authorization and the request has been denied.
How do I contact BCBS of Illinois?1-877-860-2837 (TTY/TDD: 711)
We are available 24 hours a day, seven (7) days a week. The call is free. A live agent can be reached from 8 a.m. to 5 p.m. Central Time, Monday through Friday. Self-service or a voicemail can be used 24/7, including weekends and holidays.
What is the customer service number for Blue Cross Blue Shield?1 (888) 630-2583Blue Cross Blue Shield Association / Customer servicenull
How do I reach a representative at BCBS Illinois?Contact Us
If you have questions or need to obtain information on quotes, please contact Blue Cross and Blue Shield of Illinois (BCBSIL) at 1-630-824-5500.
Is Blue Shield of Illinois the same as Blue Cross Blue Shield?Blue Cross and Blue Shield of Illinois (BCBSIL) has served the people of Illinois since 1936. While health care evolves rapidly across the nation, our dedication to the people and Illinois communities we serve won't change. We are your friends, your families, and your neighbors.
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