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Attention Professional Providers: New Professional Network Consultants Contact Information

Posted January 16, 2018

Our Professional Provider Network Consultants (PNCs) serve as liaisons between BCBSIL and our independently contracted provider community, developing and maintaining cooperative working relationships with Professional providers in our network throughout Illinois and northwest Indiana. 

Professional PNCs are assigned by region and are available to meet with you on a routine basis to educate your staff on BCBSIL procedures, help ensure provider contract compliance and work with you to resolve any operational issues. This dedicated staff has a thorough knowledge of the BCBSIL products, and will help keep you informed of BCBSIL programs and initiatives. 

Effective Monday, Jan. 15, 2018, please use the email addresses listed below for inquiries instead of directly emailing your assigned PNC. These addresses are managed by a dedicated PNC team who will monitor inquiries throughout the day. In addition to supporting your critical issues, these individuals have a thorough knowledge of all BCBSIL networks and will help keep you informed of future programs and initiatives. This new process will allow BCBSIL to support your needs with dedicated teams for your region, enabled by new technology recently implemented to help resolve your questions. Moving forward, inquiries sent to formerly assigned PNCs will be routed to the shared email address for the applicable state region. 

As a general reminder, please make sure your inquiries include all necessary information. This includes call reference number or Claim Inquiry Resolution (CIR) Tracking ID. For inquiries related to credentialing, please include the Tax ID, Billing NPI, Rendering Provider Name, License Number, Rendering NPI and CAQH Number.  

For assistance identifying your region, refer to our Illinois County Assignment Map. 

If you have questions about your assigned PNC, please email us at  ProviderNetworkRelations@bcbsil.com

Please note that this contact information applies only to professional providers in BCBSIL’s commercial networks. Government, Facility and Ancillary providers should continue to contact their assigned PNCs.

IL TERRITORY BREAKDOWN  

Northern

Chicago Metro

Metro South

  • Counties: 6, 27, 32, 38, 46, 47, 50, 53, 57, 62, 78, 99, 102 and Northwest IN
  • Email: MetroSouth@bcbsil.com

Western

  • Counties: 1, 5, 9, 29, 34, 36, 37, 48, 55, 63, 66, 69, 75, 81, 85, 86, 88 and 94
  • Email: WestIL@bcbsil.com

Central-Eastern

  • Counties: 10, 11, 12, 15, 18, 20, 21, 23, 54, 58, 65, 70, 72, 74, 84, 87, 90 and 92
  • Email: CentralIL@bcbsil.com

Southern

  • Counties: 2, 3, 7, 13, 14, 17, 24, 25, 26, 28, 30, 31, 33, 35, 39, 40, 41, 42, 44, 51, 59, 60, 61, 64, 67, 68, 73, 76, 77, 79, 80, 82, 83, 91, 93, 95, 96, 97 and 100
  • Email: SouthernIL@bcbsil.com