Provider phone number for blue cross blue shield of illinois

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You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Your local company can help you to:

  • Change your coverage
  • Estimate the cost of a medical procedure
  • File or check on claim
  • Replace your member ID card
  • Review your balance
  • View your plan details


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Learn about insurance options for Individuals & Families or Employers.

Save on products and services that enhance your health and wellness.

Changing Coverage?

If you are moving to a new state, changing jobs, out of work, getting ready to retire, or your employer has stopped offering insurance, Blue Cross Blue Shield can help.

Global Coverage

Blue Cross Blue Shield companies provide a best-in-class, comprehensive suite of international products and services for people who live, work and travel internationally, giving them confidence that quality care can be accessed wherever and whenever they need it.

Blue Cross Blue Shield Global™

Current Members

Blue Cross Blue Shield members have access to medical assistance services, doctors and hospitals in most countries around the world. To learn more about your international coverage visit BCBS Global® Core or contact your local BCBS company.

An Expanded Portfolio of International Solutions

Blue Cross Blue Shield offers enhanced coverage and service through its broader portfolio of international health insurance products to meet the unique needs of globally mobile individuals and businesses worldwide. International healthcare coverage is available for employers, individuals and students, providing peace of mind for everyone from short-term travelers to long-term expatriates, for destinations around the world.

Whether you or your business reside inside or outside the U.S., we offer international healthcare products that deliver the security and stability you have come to expect from Blue Cross Blue Shield.

Visit Blue Cross Blue Shield Global to learn more about our full range of international products and services.  

The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.

February 2021

The Availity Portal helps providers and Blue Cross and Blue Shield of Illinois (BCBSIL) to securely share information easily and efficiently. As a registered Availity user, you may quickly check our members’ eligibility and benefits, confirm prior authorization requirements, submit prior authorization requests, check claim status, obtain provider claim summaries and more online, without having to call BCBSIL.

Why use Availity?
Here are some of the advantages of using Availity:

  • Accessible 24/7
  • HIPAA-compliant
  • Multi-payer solution
  • Real-time search results
  • No-cost transactions
  • Printable results
  • Online “Help” features

What electronic tools are available?
See below for examples of the growing list of free self-service tools that are accessible through Availity to help you accomplish multiple tasks and gain information when providing care and services to our members.

Pre-service Tools

Description

Eligibility and Benefits Inquiry

Verify real-time patient activity, obtain an image of the BCBSIL member ID card, check coverage details and determine prior authorization requirements

Patient Care Summary

Consolidated view of a patient’s health care history

Patient Cost Estimator*

View an estimate of a patient’s potential out-of-pocket costs

Patient ID Finder

Obtain the BCBSIL patient ID and group number

Authorizations tool

Submit prior authorization requests handled by BCBSIL, if applicable (does not apply to HMO)

Attachments* tool

Submit voluntary predetermination requests handled by BCBSIL, if applicable (does not apply to HMO)

Post-service Tools

Description

Altruista Health’s GuidingCareTM (single sign-on access)

Monitor rendered services, activities, quality measures and care plans for Illinois Medicaid members

Claim Status

Check detailed, real-time claim status

Research Procedure Code Edits (Clear Claim ConnectionTM)*

Determine how coding combinations on a specific claim may be evaluated during the adjudication process

Reporting On-Demand

View, download, save and/or print the Provider Claim Summary (PCS) for finalized claims

Remittance Viewer

Offers providers and billing services a convenient way to view and help reconcile claim data in the 835 Electronic Remittance Advice (ERA)

Electronic Refund Management (eRM)*

Reconcile claim overpayments and manage refund requests

Claim Inquiry Resolution (CIR)*

Submit a claim reconsideration request for certain finalized claims

Medical Attachment tool
(Electronic Quality and Risk Adjustment Medical Records Requests)

Receive and electronically respond to medical record requests for quality and risk adjustment

Clinical Quality Validation (CQV) tool

Comply with Healthcare Effectiveness Data and Information Set (HEDIS®) measures by electronically documenting the patient’s care and assessment

*Not available for Illinois Medicaid or Medicare Advantage members.

Not registered with Availity?
There’s no charge to register, and it’s quick and easy to sign up online for Availity. For registration help, contact Availity Client Services at 800-282-4548. 

For More Information
Refer to the Provider Tools section of our website for details, such as user guides for the Availity offerings listed above. Also visit our Webinars and Workshops page to register for upcoming online training sessions.

Questions? Need customized training?
Email our Provider Education Consultants for help.

Checking eligibility and/or benefit information and/or obtaining prior authorization or pre-notification is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. If you have any questions, call the number on the member's ID card.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. GuidingCare is a trademark of Altruista Health, a separate company that offers collaborative health care management solutions for payers and providers. Clear Claim Connection is a trademark of Change Healthcare, an independent company providing coding software to BCBSIL. Change Healthcare is solely responsible for the software and all the contents. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity, GuidingCare or Change Healthcare. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.

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.

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.

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.

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