July 1, 2025
We’re changing how we process claims for members with BCCHPSM. These changes don’t apply to claims for Blue Cross Community MMAI (Medicare-Medicaid Plan)SM.
What is new Aug. 1, 2025
- Providers must use the new three-character prefix XXL on claims. See the member’s ID card for more information.
- Use Payer ID 66012 when you submit an electronic claim.
- The mailing address for paper claims with attachments is changing. Mail claims with attachments and dates of service on or after Aug. 1, 2025, to this new address:
Blue Cross and Blue Shield of Illinois
P.O. Box 650712
Dallas, TX 75265-0712
- You may see updated processing explanation codes on your payment remittance, based on the new system configuration.
Billing reminders
- Add-on services will be paid according to provider eligibility.
- Multiple laboratory panels billed on a single date of service shall be reimbursed using the practitioner fee schedule, in conjunction with lab panel rates sheet, up to the maximum lab panel amount.
- When billing adaptive behavioral health services, remember to include the supervising provider.
- Please pay close attention to smoking cessation billing requirements and make sure members are within the parameters to receive services.
- We require the appropriate taxonomy code representative of a provider’s type and specialty to be reported for each billing, servicing, rendering or attending provider defined on the claim. Review the Illinois Association of Medicaid Health Plan Comprehensive Billing Manual and the National Uniform Claims Committee Health Care Provider Taxonomy Codes Set to confirm you are using the appropriate taxonomy code based on the provider type and specialty or category of service you are registered with in the Illinois Medicaid Program Advances Cloud Technology. Failure to report the appropriate taxonomy code will result in claim rejections or denials beginning Aug. 1, 2025.
- All Illinois Medicaid attested waiver providers will be required to submit the appropriate taxonomy in LoopA*PRV03 of the 837P for electronic submission and Box 24J with the ZZ qualifier in Box 24I of the CMS 1500 claim form when submitting a paper claim.
To submit electronically: Continue to submit claims that don’t require attachments for processing electronically. Use Availity® Essentials to submit electronic professional and institutional claims (ANSI 837P and 837I transactions) to us.
For vendor options and information, refer to electronic commerce information.
To submit claims inquiries, disputes and service authorization disputes for BCCHP: Continue to call 877-860-2837 to submit a provider claim inquiry or dispute by phone. Updated inquiry or dispute forms will be available on our website.
Watch News and Updates for information on ongoing changes to our program for BCCHP. Contact our Provider Network team if you have questions or need assistance.
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