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 Blue Cross Blue Shield of Illinois?How to Contact Us. Member Services. 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. ... . 24/7 Nurseline. 1-888-343-2697 (TTY/TDD: 711) ... . By Mail. Blue Cross Community Health Plans.. What is BCBS provider phone number?1 (888) 630-2583Blue Cross Blue Shield Association / Customer servicenull
What kind of insurance is Blue Cross Blue Shield of Illinois?Blue Cross and Blue Shield of Illinois (BCBSIL) is a customer-owned health insurance company serving Illinois residents. The company offers individuals and families healthcare and prescription drug coverage through its Blue Choice Preferred PPO, Blue Precision HMO, and BlueCare Direct HMO plans.
Does Illinois have Blue Cross Blue Shield?About Blue Cross and Blue Shield of Illinois
Blue Cross and Blue Shield of Illinois (BCBSIL) is committed to expanding access to quality, cost-effective health care to as many people as possible in Illinois.
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