Blue Cross and Blue Shield of Illinois (BCBSIL)

Automated eligibility and benefits, self-service requests and claims inquiries for BCBSIL commercial members when online access is unavailable.

Claims and other inquiries for Blue Cross Medicare Advantage members. Same number is published for MA medical management and MA prior authorization/out-of-network referrals.

Claims and other inquiries for BCCHP Medicaid members; also the BCCHP Medical Management line for prior authorization questions.

Eligibility and benefits for out-of-state Blue Cross and Blue Shield members (route by member ID prefix).

Automated phone system for questions on prior authorization requests handled by BCBSIL (commercial non-HMO).

Blue Cross Medicare Advantage prior authorization and out-of-network referral phone/fax; electronic submission through Availity Authorizations & Referrals.

Prior authorization requests handled by Carelon for commercial non-HMO and Blue Cross Community Health Plans members. Commercial hours M-F 6 a.m.-6 p.m. CT plus 9 a.m.-noon weekends/holidays; Medicaid hours M-F 7 a.m.-7 p.m. CT.

Prior authorization requests handled by Evicore for Blue Cross Medicare Advantage (PPO) members.

BCBSIL commercial dental benefits customer service.

FEP customer service for Illinois FEP members.

FEP behavioral health services line.

Members, authorized representatives and providers (retrospective: noncontracted providers). The page prints the prospective/concurrent ZIP as 7526 and the retrospective ZIP as 75266; the complete ZIP is used here.

Expedited prospective/concurrent medical appeals.

Provider claims disputes (contracted and noncontracted providers).

Coverage exception requests for BCCHP plans by fax, phone or electronically (MyPrime / CoverMyMeds). TTY 711.

Questions about BCBSIL pharmacy PA/step therapy programs; program fax forms are on the page.