Claim Status Availability to Change in Automated Phone System

Posted April 15, 2015

Effective July 13, 2015, claim status requests will no longer be available within the Blue Cross and Blue Shield of Illinois (BCBSIL) Interactive Voice Response (IVR) phone system. BCBSIL supports a number of online tools to help providers streamline administrative processes and minimize time spent by your staff on unnecessary phone calls. As of the effective date of the change, providers will need to direct claim status requests electronically through their Web vendor of choice. 

Providers may continue to use the IVR phone system to obtain eligibility and benefits information and Customer Advocates will remain available for other inquiries, such as claim adjustments. 

Additional information regarding the above-referenced change will be published in upcoming issues of the Blue Review as well as on our Provider website.

Checking 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, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered.