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Blue Cross and Blue Shield of Illinois

BCBS IL

Blue Cross and Blue Shield of Illinois logo

Provider portalapps.availity.com ↗

Primary payer ID
Compare transaction IDs ↓
Last successful claim statusWithin the past 48 hoursObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271Browser automation

Coverage profile

Work Blue Cross and Blue Shield of Illinois across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Blue Cross and Blue Shield of Illinois.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Blue Cross and Blue Shield of Illinois.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Blue Cross and Blue Shield of Illinois.

Available

Appeals agent

AI appeals workflow

The Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Blue Cross and Blue Shield of Illinois.

Available

Other aliases

Also known as

  • 00621
  • 10033
  • 1405
  • 5508
  • BCBSIL
  • BCMIW
  • CB621
  • G00621
  • ILBCBS
  • ILBLS
  • SB621
  • Blue Cross Blue Shield Illinois
  • Blue Cross Blue Shield of Illinois
  • Blue Cross and Blue Shield of Illinois - Medicare Advantage
  • BlueCross BlueShield of Illinois
  • HCSC
  • Health Care Service Corporation
  • BCBS ILLINOIS
  • BCBSIL621
  • BCBSILBCBS
  • HCSCIL

BlueCard home-plan routing

These 1,443 member ID prefixes resolve to Blue Cross and Blue Shield of Illinois as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.

Member ID prefixes

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

4 days
10% of adjudications by
2 days
90% of adjudications by
7 days
Applicable state coverage
IL
Current As Of
August 2026

Five-month median trend

Days to 835 payment
Blue Cross and Blue Shield of Illinois median observed adjudication timingMonthly median days from payer receipt to 835 payment from April 2026 through August 2026. Missing qualified months are shown as gaps.0510AprMayJunJulAug
View chart data as a table
Blue Cross and Blue Shield of Illinois observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
Apr7 days2 days28.1 days2,053IL
May5 days2 days15 days10,320IL
Jun4.2 days2 days10 days17,297IL
Jul4 days2 days7.1 days13,388IL
Aug4 days2 days7 days383IL

Frequently asked questions

Blue Cross and Blue Shield of Illinois payer FAQs

How do I check claim status with Blue Cross and Blue Shield of Illinois?

Providers check Blue Cross and Blue Shield of Illinois via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Blue Cross and Blue Shield of Illinois?

The primary payer ID for Blue Cross and Blue Shield of Illinois is G00621. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for Blue Cross and Blue Shield of Illinois?

The provider portal for Blue Cross and Blue Shield of Illinois is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for Blue Cross and Blue Shield of Illinois?

The 837P and 837I payer ID for Blue Cross and Blue Shield of Illinois is G00621 via Stedi.

What is the 835 payer ID for Blue Cross and Blue Shield of Illinois?

The 835 payer ID for Blue Cross and Blue Shield of Illinois is G00621 via Stedi.

What is the 270 payer ID for Blue Cross and Blue Shield of Illinois?

The 270 payer IDs for Blue Cross and Blue Shield of Illinois are G00621 via Stedi and G00621 via Availity.

What is the 276 payer ID for Blue Cross and Blue Shield of Illinois?

The 276 payer IDs for Blue Cross and Blue Shield of Illinois are G00621 via Stedi and G00621 via Availity.

What states does Blue Cross and Blue Shield of Illinois operate in?

Blue Cross and Blue Shield of Illinois operates in AZ, FL, IL, IN, NV, and OK.

Resource library

Routing reference

Blue Cross and Blue Shield of Illinois payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Blue Cross and Blue Shield of Illinois payer name, operating states, and transaction-specific payer IDs
Payer nameBlue Cross and Blue Shield of IllinoisSource: Substrate payer directory · last refreshed
Operating statesAZ, FL, IL, IN, NV, OKSource: Substrate payer directory · last refreshed
837P professional claims payer IDStediG00621Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStediG00621Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStediG00621Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStediG00621Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityG00621Source: Availity payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStediG00621Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDAvailityG00621Source: Availity payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Blue Cross and Blue Shield of Illinois. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer ID; matched record: BCBS ILLINOIS. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Blue Cross and Blue Shield of Illinois. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Payer contact directory

Blue Cross and Blue Shield of Illinois phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Eligibility / benefits phone
(800) 676-2583BLUE CROSS AND BLUE SHIELD OF ILLINOIS
Payer fax
(888) 282-1321BLUE CROSS AND BLUE SHIELD OF ILLINOIS
Blue Cross and Blue Shield of Illinois payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
fax(866) 411-2573Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION
  • SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION
Hospital
fax(866) 411-2585Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION
Hospital
fax(410) 781-7661Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
fax(866) 606-6021Other stated context, PharmacyBenefit context: Active Coverage; Benefit context: Coverage Basis
  • PA LOGIC SOLUTIONS
Pharmacy
fax(323) 889-2100Other stated contextBenefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN
Hospital
fax(800) 453-4341Other stated contextBenefit context: Co-Insurance
  • CLINICAL INTAKE OPERATIONS
Hospital
fax(833) 453-0101Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
fax(833) 938-9934Other stated contextBenefit context: Co-Insurance
  • CREDENCE BCBS
Hospital
fax(844) 295-4637Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA
Hospital
fax(877) 665-5542Other stated contextBenefit context: Limitations
  • AMERICAN HEALTH HOLDING
Hospital, Hospital - Inpatient
fax(501) 378-2965
  • BLUEADVANTAGE ADMINISTRATORS OF ARK
fax(501) 379-1200
  • SKAI BLUE CROSS BLUE SHIELD
fax(888) 282-1321
  • BLUE CROSS AND BLUE SHIELD OF ILLINOIS
phone(312) 423-4200Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UHS
Chiropractic
phone(312) 653-1947Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(773) 594-2810Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Bakery Drivers Local #734
Vision (Optometry)
phone(800) 234-3375Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL OF KANSAS (DDKS)
Dental Care
phone(800) 244-6224Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CIGNA
Dental Care
phone(800) 321-2843Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • THE HOLMAN GROUP
Mental Health
phone(800) 322-6384Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTI-CAL
Dental Care
phone(800) 323-5000Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Central States Benefit Fund
Vision (Optometry)
phone(800) 335-8289Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL OF VA
Dental Care
phone(800) 364-6331Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS/CAREMARK
Pharmacy
phone(800) 367-1934Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Med Care Management
  • Valenz
Chiropractic
phone(800) 373-3727Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Telligen
Hospital, Hospital - Inpatient
phone(800) 377-1614Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • RX BENEFITS
Pharmacy
phone(800) 441-7705Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VALENZ
Chiropractic
phone(800) 441-9188Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Hospital, Hospital - Inpatient
phone(800) 448-3815Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL OF MINNESOTA
Dental Care
phone(800) 451-0287Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
  • Customer Service
Health Benefit Plan Coverage, Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Vision (Optometry), Physician Visit - Office: Well, Vision (Optometry)
phone(800) 523-4702Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • National Elevator Industry Health Benefit Plan
Physician Visit - Office: Well
phone(800) 524-0149Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL
Dental Care
phone(800) 538-8833Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Physician Visit - Office: Well
phone(800) 572-3089Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
  • Customer Service
Professional (Physician) Visit - Office
phone(800) 582-1535Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Healthcare Strategies
Professional (Physician) Visit - Office, Urgent Care
phone(800) 621-0965Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(800) 638-3120Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Optum Health
Vision (Optometry)
phone(800) 676-2583Eligibility / benefits, Other stated contextBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Active Coverage
  • BCBSIL
  • BCBSTX
  • BLUE CARE NETWORK
  • BLUE CROSS AND BLUE SHIELD OF ILLINOIS
  • BLUEADVANTAGE ADMINISTRATORS OF ARK
  • CAPITAL BLUE CROSS
  • Customer Service
  • G00621
Health Benefit Plan Coverage, Professional (Physician) Visit - Office
phone(800) 687-0707Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MAXOR
Pharmacy
phone(800) 789-7488Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ESI
Pharmacy
phone(800) 826-6941Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS/CAREMARK
Pharmacy
phone(800) 854-7771Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDI-CAL LA CARE BHA
Mental Health
phone(800) 877-7195Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VSP
  • VSP VISION CARE
  • VSP Vision
  • Vision Service Plan
Vision (Optometry)
phone(800) 900-5326Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREMARK
Pharmacy
phone(800) 932-0783Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL
Dental Care
phone(800) 942-0854Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • METLIFE
Dental Care
phone(800) 944-9587Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital - Inpatient
phone(800) 972-4226Eligibility / benefits, Other stated contextBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Benefit Description; Benefit context: Co-Insurance; Benefit context: Co-Payment
  • AMERICAN SPECIALTY HEALTH
  • ASH - AMERICAN SPECIALTY HEALTH NETWORK
  • American Specialty Health (ASH)
Chiropractic, Hospital - Inpatient, Hospital - Outpatient
phone(800) 972-8088Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BCBSIL
  • CUSTOMER SERVICE
  • Customer Service
Chiropractic, Health Benefit Plan Coverage, Health Benefit Plan Coverage, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Hospital - Outpatient, Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Health Benefit Plan Coverage, Urgent Care, Health Benefit Plan Coverage, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services, Physician Visit - Office: Well, Vision (Optometry), Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services, Hospital - Outpatient, Hospital, Hospital - Inpatient, Hospital - Outpatient, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Vision (Optometry), Hospital, Hospital - Inpatient, Physician Visit - Office: Well, Physician Visit - Office: Well, Physician Visit - Office: Well, Vision (Optometry), Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Vision (Optometry), Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Vision (Optometry), Hospital, Hospital - Inpatient, Hospital - Outpatient, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Vision (Optometry)
phone(800) 977-2273Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MAGELLAN
Pharmacy
phone(800) 981-3546Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(800) 988-4221Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EyeMed Vision Care
Vision (Optometry)
phone(800) 999-5431Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Davis Vision
Vision (Optometry)
phone(833) 359-0371Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(833) 743-3220Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS
Pharmacy
phone(833) 812-1797Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(833) 848-8730Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(844) 213-5660Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Conifer
Hospital - Emergency Accident, Hospital - Emergency Medical
phone(844) 550-2712Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS MEDCO
Pharmacy
phone(844) 714-5678Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EyeMed
Vision (Optometry)
phone(844) 770-1500Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Davis Vision
Vision (Optometry)
phone(855) 252-1117Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • eviCore
Professional (Physician) Visit - Office
phone(855) 347-6900Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EyeMed
Vision (Optometry)
phone(855) 559-1389Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVSCAREMARK
Pharmacy
phone(855) 592-2895Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(855) 811-2218Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUMRX
Pharmacy
phone(855) 820-6604Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CIGNA PPO
Dental Care
phone(855) 862-4300Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EyeMed
Vision (Optometry)
phone(866) 458-4002Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • American Health Holdings
Professional (Physician) Visit - Office
phone(866) 496-2371Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL
Dental Care
phone(866) 723-0514Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EyeMed Vision Care
Vision (Optometry)
phone(877) 769-7447Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS CAREMARK
Pharmacy
phone(888) 265-7790Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS Specialty RX
Professional (Physician) Visit - Office
phone(888) 323-1683Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Group Administors
Chiropractic
phone(888) 352-7924Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(888) 626-1152Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS
Pharmacy
phone(888) 737-7479Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ESI
Pharmacy
phone(888) 797-8911Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS CAREMARK
Pharmacy
phone(888) 964-0098Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS
Pharmacy
phone(719) 947-8600Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Professional (Physician) Visit - Office
phone(800) 274-7767Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(800) 403-4160Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(800) 832-7850Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(833) 359-7223Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(855) 260-7770Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(855) 343-4851Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(855) 671-2667Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(866) 470-6244Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(866) 773-2884Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information
  • Pre Service Review
  • UTILIZATION MANAGEMENT
Hospital - Inpatient
phone(877) 284-0102Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital
phone(888) 674-1126Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(800) 924-7141Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description
  • BLUECROSS AND BLUESHIELD OF TENNESSEE
  • MAGELLANRX
Hospital - Outpatient, Pharmacy
phone(866) 205-5107Other stated context, PharmacyBenefit context: Active Coverage; Benefit context: Coverage Basis
  • PA LOGIC SOLUTIONS
Pharmacy
phone(866) 325-1794PharmacyBenefit context: Benefit Description
  • OPTUM RX
Pharmacy
phone(866) 688-2242PharmacyBenefit context: Active Coverage
  • PRIME THERAPEUTICS
Pharmacy
phone(800) 245-1150Behavioral healthBenefit context: Non-Covered
  • BEHAVIORAL HEALTH SYSTEMS
  • BHS
Mental Health
phone(855) 339-8558Behavioral health, Other stated contextBenefit context: Active Coverage; Benefit context: Coverage Basis
  • LUCET
Mental Health
phone(866) 322-1657Behavioral healthBenefit context: Active Coverage
  • BEHAVIORAL HEALTH MANAGER
Mental Health
phone(602) 864-4320Other stated contextBenefit context: Benefit Description
  • BLUE CROSS BLUE SHIELD OF AZ
Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 232-2345Other stated contextBenefit context: Benefit Description
  • BLUE CROSS BLUE SHIELD OF AZ
Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 248-2342Other stated contextBenefit context: Deductible
  • BCBS OF ALABAMA
Hospital
phone(800) 275-2583Other stated contextBenefit context: Co-Insurance
  • AUTHORIZATIONS
Physician Visit - Office: Well
phone(800) 351-2370Other stated contextBenefit context: Co-Insurance
  • CLINICAL INTAKE OPERATIONS
Hospital
phone(800) 397-7337Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment; Benefit context: Deductible
  • Availity Auth and Referrals Page
Hospital - Inpatient, Hospital - Outpatient
phone(800) 424-8270Other stated contextBenefit context: Coverage Basis
  • PRIME THERAPEUTICS
phone(800) 452-8507Other stated contextBenefit context: Active Coverage
  • HIGHMARK MEDICAL MANAGEMENT & POLICY
Hospital
phone(800) 476-0677Other stated contextBenefit context: Non-Covered
  • SOUTHLAND NATIONAL INSURANCE CORP
Vision (Optometry)
phone(800) 541-6652Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA
Hospital
phone(800) 605-2556Other stated contextBenefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN
Hospital
phone(800) 635-1928Other stated contextBenefit context: Co-Payment
  • BCBS
Hospital, Hospital - Inpatient
phone(800) 664-2583Other stated contextBenefit context: Active Coverage
  • HORIZON BCBSNJ
Health Benefit Plan Coverage
phone(800) 678-9133Other stated contextBenefit context: Benefit Description
  • ASH - AMERICAN SPECIALTY HEALTH NETWORK
Chiropractic
phone(800) 780-7881Other stated contextBenefit context: Co-Insurance
  • CLINICAL INTAKE OPERATIONS
Hospital
phone(800) 892-6116Other stated contextBenefit context: Co-Insurance
  • BCBSKC MED MGMT DEPT
Hospital - Inpatient
phone(800) 920-2485Other stated contextBenefit context: Active Coverage
  • EXCELLUS BLUE CROSS BLUE SHIELD
Health Benefit Plan Coverage
phone(803) 788-0222Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD FEDERAL
phone(833) 447-4397Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
phone(833) 462-0104Other stated contextBenefit context: Limitations
  • AMERICAN HEALTH HOLDING
Hospital, Hospital - Inpatient
phone(833) 578-4441Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(833) 592-9956Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(833) 639-1634Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(833) 639-1635Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Urgent Care
phone(833) 639-1638Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(833) 663-8703Other stated contextBenefit context: Co-Insurance; Benefit context: Coverage Basis
  • CREDENCE BCBS
  • PA LOGIC SOLUTIONS
Hospital
phone(833) 798-6733Other stated contextBenefit context: Coverage Basis
  • BCBSAL
phone(833) 800-4032Other stated contextBenefit context: Coverage Basis
  • BCBSAL
phone(833) 800-4033Other stated contextBenefit context: Coverage Basis
  • BCBSAL
  • CREDENCE BCBS
phone(844) 241-7087Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital, Hospital - Inpatient
phone(855) 333-5730Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS OF CALIFORNIA
Hospital
phone(855) 397-9267Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(855) 845-5440Other stated contextBenefit context: Co-Insurance
  • Luminare Health
Hospital, Hospital - Inpatient
phone(855) 924-5288Other stated contextBenefit context: Co-Insurance
  • Quantum Health
Hospital, Hospital - Inpatient
phone(866) 317-6106Other stated contextBenefit context: Co-Insurance
  • Quantum Health
Hospital, Hospital - Inpatient
phone(866) 359-0396Other stated contextBenefit context: Co-Insurance
  • Quantum Health
Hospital, Hospital - Inpatient
phone(866) 359-0408Other stated contextBenefit context: Co-Payment
  • Quantum Health
Hospital, Hospital - Inpatient
phone(866) 417-0163Other stated contextBenefit context: Co-Payment
  • Accolade
Hospital, Hospital - Inpatient
phone(866) 518-1773Other stated contextBenefit context: Co-Insurance
  • Accolade
Hospital, Hospital - Inpatient
phone(866) 803-8002Other stated contextBenefit context: Coverage Basis
  • CARELON MEDICAL BENEFITS MANAGEMENT
  • EVICORE HEALTHCARE
phone(866) 871-1425Other stated contextBenefit context: Co-Insurance
  • Quantum
Hospital, Hospital - Inpatient
phone(866) 952-0353Other stated contextBenefit context: Deductible
  • QUANTUM HEALTH
Hospital
phone(877) 297-1226Other stated contextBenefit context: Co-Insurance
  • Quantum Health
Hospital, Hospital - Inpatient
phone(877) 324-2990Other stated contextBenefit context: Co-Insurance
  • QUANTUM HEALTH
Hospital
phone(877) 498-5979Other stated contextBenefit context: Co-Insurance
  • Quantum Health
Hospital, Hospital - Inpatient
phone(877) 811-3106Other stated contextBenefit context: Co-Payment
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Urgent Care
phone(877) 986-8124Other stated contextBenefit context: Co-Insurance
  • Quantum Health
Hospital, Hospital - Inpatient
phone(877) 986-8136Other stated contextBenefit context: Co-Insurance
  • QUANTUM HEALTH
Hospital - Outpatient
phone(888) 674-1638Other stated contextBenefit context: Co-Insurance
  • Quantum Health
Hospital, Hospital - Inpatient
phone(888) 953-6703Other stated contextBenefit context: Co-Payment
  • CARELON
Hospital
phone(800) 214-4844
  • BLUE CROSS AND BLUE SHIELD OF ILLINOIS
  • G00621
phone(800) 327-6716
  • BLUE CROSS AND BLUE SHIELD OF ILLINOIS
phone(800) 392-2512
  • BLUE CARE NETWORK
phone(800) 727-2227
  • BLUE CROSS AND BLUE SHIELD OF ILLINOIS
phone(844) 465-5227
  • SKAI BLUE CROSS BLUE SHIELD
phone(877) 444-2374
  • BLUE CROSS AND BLUE SHIELD OF ILLINOIS
phone(888) 233-8351
  • BLUE CROSS AND BLUE SHIELD OF ILLINOIS

Phone and fax numbers sourced directly from the payer response

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services — including claims affected by the 2027 CPT code revisions — providers should consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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