Contact Us


Availity^® Essentials Register with Availity at no cost to conduct secure online transactions, such as checking eligibility and benefits, submitting prior authorization requests handled by Blue Cross and Blue Shield of Illinois, obtaining claim status, viewing provider claim summaries and more.	Learn more, register or log on: Availity Essentials Availity Client Services: 800-282-4548
Behavioral Health Program BCBSIL manages BH services for all commercial non-HMO members who have BH benefits through group and retail products. Similar BH programs are implemented across product lines but may differ by product.	View behavioral health program contacts and other information
BlueCard Eligibility^® Line Call for out-of-state Blue Cross and Blue Shield member eligibility and benefits	800-676-2583
Carelon Medical Benefits Management For prior authorization requests handled by Carelon for members with commercial non-HMO and Blue Cross Community Health Plans^SM.	Carelon Provider Portal (available 24x7) Carelon Contact Center: 866-455-8415 Commercial hours: Monday through Friday, 6 a.m. to 6 p.m. CT; and 9 a.m. to noon CT on weekends and holidays Medicaid (BCCHP^SM) hours: Monday through Friday, 7 a.m. to 7 p.m. CT
Dental Benefits Customer Service (Commercial only)	800-367-6401 (Monday through Friday, 8 a.m. to 6 p.m. CT.)
Electronic Commerce Services Contact us if you have questions about electronic transactions that can’t be answered by your clearinghouse or software vendor.	Email our Electronic Commerce Services team.
Evicore healthcare For prior authorization requests handled by Evicore for members with Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Community MMAI (Medicare-Medicaid Plan)^SM.	Evicore Web Portal (available 24x7) 855-252-1117 (Monday through Friday, 7 a.m. to 7 p.m. CT, except holidays)
Federal Employee Program^® Verify eligibility and benefits and/or check claim status for FEP^® members	FEP customer service: 800-972-8382 FEP behavioral health services: 877-783-1385
Fee Schedule Requests For providers who are already participating in these networks: Preferred Provider Option (PPO), Blue Choice PPO^SM, Blue Choice Preferred^SM, Blue Choice Select^SM and Blue High Performance Network^®.	View fee schedule forms and instructions.
Fraud Reporting Report concerns of potential fraud 24x7, online or by phone. All inquiries to our Special Investigations Department are confidential, and you may remain anonymous.	File a report online, or Call the Fraud Hotline: 800-543-0867
Medical Management If you have questions on a prior authorization request handled by BCBSIL, use our automated phone system to contact our Medical Management department.	Commercial (non-HMO): 800-572-3089 Medicare Advantage (PPO): 877-774-8592 Medicaid (BCCHP): 877-860-2837 MMAI: 877-723-7702
Pharmacy Programs As our pharmacy benefit manager, Prime Therapeutics^® administers our pharmacy program for eligible members.	View pharmacy programs information
Provider Customer Service – Commercial If you don’t have online access, call our Provider Telecommunications Center to use our automated phone system for eligibility and benefits, other self-service requests and claims inquiries.	800-972-8088 (Monday through Friday, 8 a.m. to 11:30 p.m. CT; and Saturday, 6 a.m. to 3:30 p.m. CT)
Provider Customer Service – Government Programs Use these numbers for claims and other inquiries for our members with Blue Cross Medicare Advantage^SM, Medicaid and MMAI plans.	Medicare Advantage (PPO and HMO): 877-774-8592 Medicaid (BCCHP): 877-860-2837 MMAI: 877-723-7702
Provider Demographic Updates If you need to change your existing demographic information (legal name, National Provider Identifier, Tax ID number, physical address, phone or fax number, email, hours of operation, etc.).	View instructions on how to verify and update your information Complete our online Demographic Change Form
Provider Learning Opportunities Free training is available for providers, billing services, clinical and administrative staff who are new or already contracted with BCBSIL.	View options and register for webinars and workshops  For customized training, contact our Provider Education Consultant Specialist team
Provider Network Consultants Our PNCs can offer information on products and initiatives for BCBSIL, how to use online tools, provider education opportunities and personalized office visits.	View provider network consultant assignments and contact information
Provider Roster Requests To request a roster for your practice, include your group name, NPI and Tax ID.	Email our Provider Roster Requests team.

Availity^® Essentials

Register with Availity at no cost to conduct secure online transactions, such as checking eligibility and benefits, submitting prior authorization requests handled by Blue Cross and Blue Shield of Illinois, obtaining claim status, viewing provider claim summaries and more.

Learn more, register or log on: Availity Essentials

Availity Client Services: 800-282-4548

Behavioral Health Program

BCBSIL manages BH services for all commercial non-HMO members who have BH benefits through group and retail products. Similar BH programs are implemented across product lines but may differ by product.

View behavioral health program contacts and other information

BlueCard Eligibility^® Line

Call for out-of-state Blue Cross and Blue Shield member eligibility and benefits

800-676-2583

Carelon Medical Benefits Management

For prior authorization requests handled by Carelon for members with commercial non-HMO and Blue Cross Community Health Plans^SM.

Carelon Provider Portal (available 24x7)

Carelon Contact Center: 866-455-8415

Commercial hours: Monday through Friday, 6 a.m. to 6 p.m. CT; and 9 a.m. to noon CT on weekends and holidays
Medicaid (BCCHP^SM) hours: Monday through Friday, 7 a.m. to 7 p.m. CT

Dental Benefits Customer Service (Commercial only)

800-367-6401 (Monday through Friday, 8 a.m. to 6 p.m. CT.)

Electronic Commerce Services

Contact us if you have questions about electronic transactions that can’t be answered by your clearinghouse or software vendor.

Email our Electronic Commerce Services team.

Evicore healthcare

For prior authorization requests handled by Evicore for members with Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Community MMAI (Medicare-Medicaid Plan)^SM.

Evicore Web Portal (available 24x7)

855-252-1117 (Monday through Friday, 7 a.m. to 7 p.m. CT, except holidays)

Federal Employee Program^®

Verify eligibility and benefits and/or check claim status for FEP^® members

FEP customer service: 800-972-8382
FEP behavioral health services: 877-783-1385

Fee Schedule Requests

For providers who are already participating in these networks: Preferred Provider Option (PPO), Blue Choice PPO^SM, Blue Choice Preferred^SM, Blue Choice Select^SM and Blue High Performance Network^®. 

View fee schedule forms and instructions.

Fraud Reporting

Report concerns of potential fraud 24x7, online or by phone. All inquiries to our Special Investigations Department are confidential, and you may remain anonymous.

File a report online, or

Call the Fraud Hotline: 800-543-0867

Medical Management

If you have questions on a prior authorization request handled by BCBSIL, use our automated phone system to contact our Medical Management department.

Commercial (non-HMO): 800-572-3089
Medicare Advantage (PPO): 877-774-8592
Medicaid (BCCHP): 877-860-2837
MMAI: 877-723-7702

Pharmacy Programs

As our pharmacy benefit manager, Prime Therapeutics^® administers our pharmacy program for eligible members.

View pharmacy programs information

Provider Customer Service – Commercial

If you don’t have online access, call our Provider Telecommunications Center to use our automated phone system for eligibility and benefits, other self-service requests and claims inquiries.

800-972-8088 (Monday through Friday, 8 a.m. to 11:30 p.m. CT; and Saturday, 6 a.m. to 3:30 p.m. CT)

Provider Customer Service – Government Programs

Use these numbers for claims and other inquiries for our members with Blue Cross Medicare Advantage^SM, Medicaid and MMAI plans.

Medicare Advantage (PPO and HMO): 877-774-8592
Medicaid (BCCHP): 877-860-2837
MMAI: 877-723-7702

Provider Demographic Updates

If you need to change your existing demographic information (legal name, National Provider Identifier, Tax ID number, physical address, phone or fax number, email, hours of operation, etc.).

View instructions on how to verify and update your information

Complete our online Demographic Change Form

Provider Learning Opportunities

Free training is available for providers, billing services, clinical and administrative staff who are new or already contracted with BCBSIL.

View options and register for webinars and workshops 

For customized training, contact our Provider Education Consultant Specialist team

Provider Network Consultants

Our PNCs can offer information on products and initiatives for BCBSIL, how to use online tools, provider education opportunities and personalized office visits.

View provider network consultant assignments and contact information

Provider Roster Requests

To request a roster for your practice, include your group name, NPI and Tax ID.

Email our Provider Roster Requests team.

Checking eligibility and benefits and/or obtaining prior authorization is not a guarantee of payment of benefits. Payment of benefits is subject to several factors, including, but not limited to, eligibility at the time of service, payment of premiums/contributions, amounts allowable for services, supporting medical documentation, and other terms, conditions, limitations, and exclusions set forth in the member’s policy certificate and/or benefits booklet and or summary plan description. Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and their health care provider. 

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. Carelon Medical Benefits Management is an independent company that has contracted with BCBSIL to provide utilization management services for members with coverage through BCBSIL. Evicore healthcare (Evicore) is an independent company that has contracted with BCBSIL to provide prior authorization for expanded outpatient and specialty utilization management for members with coverage through BCBSIL. Prime Therapeutics LLC (Prime) is a pharmacy benefit management company. BCBSIL contracts with Prime to provide pharmacy benefit management and other related services. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. BCBSIL makes no endorsement, representations or warranties regarding third party vendors and the products or services they offer.