DialClerk Directory

Blue Cross and Blue Shield of Illinois (BCBSIL)

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Medical Management — commercial non-HMO prior authorization questions

Official page read
Phone800-572-3089Published hours

Not published in this record

Product, plan and location

commercial
Illinois

Mailing address

Not researched for this route

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

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Medicare Advantage utilization management — prior authorization and out-of-network referrals

Official page read
Phone877-774-8592Fax

855-874-4711

Published hours

Not published in this record

Product, plan and location

medicare advantage
Illinois

Mailing address

Not researched for this route

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

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Carelon Medical Benefits Management — commercial non-HMO and BCCHP

Official page read
Phone866-455-8415Published hours

Not published in this record

Product, plan and location

commercial · medicaid
Illinois

Mailing address

Not researched for this route

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.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Evicore healthcare — Blue Cross Medicare Advantage (PPO)

Official page read
Phone855-252-1117Published hours

Monday through Friday, 7 a.m. to 7 p.m. CT, except holidays

Product, plan and location

medicare advantage
Illinois

Mailing address

Not researched for this route

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

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

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For the people making the calls

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A request does not create an account or start a call. Use business contact information only. No patient information.

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