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Contact NamePhone/E-mail/URL

American Imaging Management (AIM)

To obtain or confirm a Radiology Quality Initiative (RQI) number for high-tech imaging studies.

www.americanimaging.net  

866-455-8415

 

AvailityTM Client Services

Vendor portal for electronic transactions, such as verifying member eligibility and benefits and/or checking claim status.

www.availity.com 
800-AVAILITY (282-4548)

Behavioral Health Unit

(Includes preauthorization)

800-851-7498
FEP: 800-779-4602

Fax: 877-361-7656


BCBSIL BH Unit
PO Box 660240
Dallas, TX 75266-0240

BlueCard® Eligibility Hotline

Telephone hotline to check eligibility and benefits for out-of-state Blue Cross and Blue Shield members.
800-676-BLUE (2583)

Blue Cross Community (ICP)SM

Provider Network Services
888-657-1211
Fax: 855-297-7280

Blue Cross Community MMAI (Medicare-Medicaid Plan)SM 

Provider Network Services
877-723-7702
Fax: 855-674-9193

Care Management Programs

855-462-1781

CAQH* Universal Provider Datasource (UPD)Telephone

To submit, review or attest your credentialing/recredentialing data, or obtain application process assistance.

UPD Database 

Help Desk: 888-599-1771 or caqh.updhelp@acsgs.com 

Electronic Commerce (E-Commerce) Center

For information and assistance with Electronic Data Interchange (EDI) transactions.
800-746-4614

Federal Employee Program (FEP)

To verify eligibility and benefits and/or check claim status for FEP members.
800-972-8382

Fraud Hotline

To report concerns to the BCBSIL Special Investigations Department (SID)

Fraud website 

877-272-9741

NDAS Online (eCare®)

Vendor portal for electronic transactions, such as verifying member eligibility and benefits and/or checking claim status.

Nebo Systems website 

Sign Up now!

Medical Management Correspondence for Marketplace Members

Fax: 866-589-8254

Blue Cross Blue Shield of Illinois
Medical Care Management
P. O. Box 660829
Dallas, TX 75266-0829

Preauthorization of Medical Services for Marketplace Members

855-462-1786

Fax: 866-589-8253

Provider Network Consultant

For information on BCBSIL products and initiatives, how to use online tools, provider education opportunities and personalized office visits.

View Provider Network Consultant Assignments

Provider Network Operations

For status of your professional contract application, or if you have questions/need to make changes to an existing contract

312-653-6555

Email requests to: netops_provider_update@bcbsil.com

Fax request to: 312-540-8609

Provider Telecommunications Center (PTC)

Automated Interactive Voice Response (IVR) phone system for eligibility, benefits and to adjust a claim.

800-972-8088

 

*CAQH is the Council for Affordable Quality Healthcare, Inc., a not-for-profit collaborative alliance of the nation’s leading health plans and networks. The mission of the CAQH is to improve health care access and quality for patients and reduce administrative requirements for physicians and other health care providers and their office staffs. 

Verification of eligibility and/or benefit information 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 applicable on the date services were rendered. 

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. eCare is the registered trademark of Nebo Systems, a division of Passport Health Communications, Inc. (Passport/Nebo Systems offers the NDAS Online product to independently contracted BCBSIL providers). Passport/Nebo Systems is an independent third party vendor and is solely responsible for its products and services. BCBSIL makes no endorsement, representations or warranties regarding any products or services offered by third party vendors such as Availity and Passport/Nebo Systems. If you have any questions about the products or services offered by such vendors, you should contact the vendor(s) directly.