Our provider relations representatives serve as the liaison between Blue Cross and Blue Shield of Illinois and our independently contracted provider community, developing and maintaining working relationships with their assigned providers.
Among other services, your assigned representative can:
- Help keep you up to date on our products, programs, and initiatives.
- Alert you of training opportunities.
- Help ensure adherence to financial requirements and contractual compliance.
- Provide education on administration and delivery of managed health care, such as quality improvement and utilization management programs, the implementation of legislative requirements, and preventive care and wellness initiatives.
If you have a claim issue or inquiry: Check claim status online or contact Provider Customer Service. See our claim status and adjudication page for details.
Provider Relations Representative Contact Information
Our representatives are available to help address any special needs or concerns you’ve been unable to resolve.
Dedicated representatives: Certain providers may be assigned to a dedicated representative. To find your designated point of contact, refer to the Field Representative Assignment List.
Dedicated representatives teams: Other providers may be assigned to a dedicated group of representatives. For most inquiries, you may reach the dedicated representatives team via email, according to your practice location:
Government Programs representatives: If you work with members of Blue Cross Community Health PlansSM or Blue Cross Medicare AdvantageSM, email our Government Programs Provider Relations team for assistance.
HMO Medical Groups/Independent Practice Association representatives: HMO Medical Groups in the HMO Illinois®, Blue Advantage HMOSM, BlueCare DirectSM and Blue Precision HMOSM networks may refer to the HMO MG/IPA PNC List.