Claims Processing to Change for Blue Cross Community Health PlansSM, Effective No Sooner Than July 1, 2025

May 1, 2025

We’re changing how we process claims for members with BCCHPSM. These changes don’t apply to claims for Blue Cross Community MMAI (Medicare-Medicaid Plan)SM.   

What will be new no sooner than July 1, 2025

  • Use Payer ID 66012 when you submit an electronic claim.
  • The mailing address for paper claims with attachments is changing. Mail claims with attachments and dates of service on or after July 1, 2025, to this new address: 
    Blue Cross and Blue Shield of Illinois 
    PO Box 650712 
    Dallas, TX 75265-0712
  • You may see updated processing explanation codes on your payment remittance, based on new system configuration.

Billing reminders

  • Submit claims with appropriate taxonomy and frequency codes, aligning with Illinois Medicaid billing requirements.
  • Add-on services will be paid according to provider eligibility.
  • Multiple laboratory panels billed on a single date of service will be reimbursed using the practitioner fee schedule, in conjunction with lab panel rates sheet, up to the maximum lab panel amount.

 
To submit electronically: Continue to submit claims that don’t require attachments for processing electronically. Use Availity® Essentials  to submit electronic professional and institutional claims (ANSI 837P and 837I transactions) to us. 

For vendor options and information, refer to electronic commerce information.

To submit claims inquiries, disputes and service authorization disputes for BCCHP: Call 877-860-2837 to submit a provider claim inquiry or dispute by phone. Updated inquiry or dispute forms will be available on our website. 
 
Watch News and Updates for information on ongoing changes to our program for BCCHP. Contact our Provider Network team if you have questions or need assistance.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. 

BCBSIL makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.