Blue cross blue shield of illinois claims phone number

General Inquiries

1-312-653-6000

Table of Contents Show

General Inquiries
Claims/Customer Service
Disease/Care Management Programs
BCBS Customer Service
How do I contact BCBS of Illinois?
Where do I send my claim for Blue Cross Blue Shield of Illinois?
Is Blue Shield of Illinois the same as Blue Cross Blue Shield?
Is Blue Cross Blue Shield of Illinois Medicaid?

Blue Cross and Blue Shield of Illinois
300 E. Randolph Street
Chicago, IL 60601-5099

FEP Service
4002 Loop 322
Abilene, TX 79602

Claims/Customer Service

Blue Cross and Blue Shield of Illinois
P.O. Box 805107
Chicago, IL 60680-3625

Disease/Care Management Programs

Asthma

Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Coronary Artery Disease
Diabetes

If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company.

BCBS Customer Service

The Blue Cross Blue Shield (BCBS) system is made up of 34 independent and locally operated companies. Questions about your health insurance coverage, benefits or treatment? Call the toll-free number on the back of your member ID card for customer service or find your local BCBS company online.

Find My BCBS Company

Federal Employee Program® (FEP) members should visit the FEP website.

Shop for Insurance

Learn about insurance options for individuals and families or employer insurance information online. Or get connected to your local Blue Cross Blue Shield company to shop for insurance by calling 888.630.2583.

Please note that this number is used solely to receive calls from BCBS members seeking assistance and never to make calls to BCBS members. If you receive a call that appears to originate from this number, the call is likely fraudulent or malicious and you should not answer it, or hang up immediately after receiving it if you do answer the call initially.

Learn more about Healthcare Fraud.

Media Relations

For general press inquiries, please visit News to contact our media relations team.

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

July 2020

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:
As you know, when you bill for the services rendered, the claims are sent to the Blue Cross and Blue Shield of Illinois (BCBSIL) claims department for processing. After processing, the claim will be paid, partially denied or denied. If you feel the claim was incorrectly paid or denied, you can file a claim dispute. BCBSIL gives in-network and out-of-network providers at least sixty (60) days to dispute a claim after the Plan has partially paid or denied it. Note: If you believe a claim was processed incorrectly due to incomplete, incorrect or unclear information, you should submit a corrected/replacement claim through the claim submission process instead of a claims dispute.

How to File a Claims Dispute
You may file a claims dispute by calling Customer Service or faxing/mailing a form.

Phone:

File the dispute by calling Customer Service at 877-860-2837.
You must indicate that you want to file a claims dispute.
The Customer Service representative will provide you a reference number, which can be used to track the dispute.

Fax and Mail:

Complete the Provider Claims Inquiry or Dispute Request Form.
Include all requested information on the form.
Fax or mail the form to the contact information on the form.
For status updates, call Customer Service at 877-860-2837 and ask for a reference number for your dispute.

Unique Tracking ID Number/Reference Number
All BCBSIL claim disputes are associated with a 12-digit number, which will appear in the following format: 193450004656

First two digits are the year BCBSIL received the dispute: 19
Next 3 digits are the date or the calendar day BCBSIL received the dispute, for example, 345 represents December 11 (the 345th day of the year)
The remaining digits uniquely identify the dispute in the BCBSIL system

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
Upon completion of its review, BCBSIL will send a response letter to the submitter detailing the results of the review. The letter will include the reference number, claim number, and describe whether the claim outcome was upheld or overturned along with a reason for this outcome. Note: If the dispute is not resolved to your satisfaction, you may contact your Provider Network Consultant (PNC).

Other Requests
Claims Inquiries – Claims inquiries can be submitted to BCBSIL Customer Service by phone (877-860-2837), fax or mail using the same form as the claims dispute form found here. Claims inquires do not result in a claim outcome review and are intended to address the following:

Claim status question
Denial reason clarification
Reissue of a check

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.

Authorization denial, or
A reduction, suspension or termination of a previously authorized service

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.

Members can file an appeal or can appoint a representative to file on their behalf
Providers may file an appeal to have a physician review the determination with an Authorized Representative Designation Form (AOR)
More information on appeals can be found by referencing our provider manual found here.

How do I contact BCBS of Illinois?

Member Services representatives are available at 1-877-723-7702 (TTY: 711). We are available seven (7) days a week. Our call center is open Monday-Friday 8:00 a.m. – 8:00 p.m. Central time. On weekends and Federal holidays, voice messaging is available.

Where do I send my claim for Blue Cross Blue Shield of Illinois?

Mail original claims to BCBSIL, P.O. Box 805107, Chicago, IL 60680-4112.

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.

Is Blue Cross Blue Shield of Illinois Medicaid?

Blue Cross and Blue Shield of Illinois (BCBSIL), a Division of Health Care Service Corporation, is contracted with IHFS as an MCO and operates a Medicaid plan, the Blue Cross Community Health Plan (BCCHP) in the state of Illinois.