Claims Inuiry - BCBSIL

1 CE#Contract NPIMG#MG NPIM edical Group NameContact TypeContact NameContact Address 1 Contact Address 2 Contact CityStZipContact PhoneExtContact FaxEmail Address05213664890490521366489049 Franciscan PHO Northern IN HammondClaims InquiryPatty Arredondo; Julie Lambertino7905 S Calumet AveMunsterIN46321(219) 836-580066347(219) Covenant Physician Partners, IncClaims InquiryClaims Department2740 W Foster AveSTE 411 ChicagoIL60625(773) 271-0880(773) Health PartnersClaims InquiryCustomer ServicePO Box 3358 Glen EllynIL60138(630) 942-7950(630) Care Network, InquiryClient Services630 E Jefferson StRockfordIL61107(815) 963-6699(815) Medical Clinic AdvocateClaims InquiryCustomer Service2357 Sequoia DriveAuroraIL60506(630) 859-0400(630) Suburban Health ProvidersClaims InquiryCustomer Service750 Pasquinelli DrSTE 216 WestmontIL60559(708) 783-7100(708) Medical AssociatesClaims InquiryCustomer ServiceP O Box 7997 WestchesterIL60154(708) Lutheran General Physician PartnersClaims InquiryCustomer ServicePO Box 0546Mt ProspectIL60056(847) 298-6000(847)

2 West Towns P H OClaims InquiryFran Santiago675 W North AveLower LevelMelrose ParkIL60160(708) 538-5467(708) I C Physician GroupClaims InquiryInnovista Health Box 8030 WestchesterIL60154(312) 996-4374(312) Physicians NetworkClaims Inquiry Katheryn Honsowetz5215 Old Orchard Box 8100 WestchesterIL60154(847) 763-1700(815) Family Health NetworkClaims InquiryKathryn HonsowitzP O BOX 8100 WestchesterIL60154(847) 763-1700(847) Unified Physicians NetworkClaims InquiryMs. Kathryn HonsowitzP O BOX 8100 STE 340 WestchesterIL60154(847) 763-1700(847) Physicians At MercyClaims InquiryInnovista Health SolutionsP O Box 8236 WestchesterIL60154(312) 868-0563(312) Physicians AssociatesClaims InquiryMike BOX 678 HillsideIL60522(708) 432-1648(888) Phys Provider GroupClaims InquiryDara Ellingson, Kim Seger5860 W Higgins AveChicagoIL60630(773) 695-4800(773) Health Clinically Integrated NetworkClaims InquiryClient Services630 E Jefferson StRockfordIL61107(888) 747-2264(800) Health Care NetworkClaims InquiryClient Services630 E Jefferson (855) 248-4685(800) Valley Medicine LtdClaims InquiryCustomer ServicePO Box 8200 WestchesterIL60154(630) 482-9758(312) Provider GroupClaims InquirySahar Alhayek300 S.

3 Riverside Plaza7TH FloorChicagoIL60606(312) 277-6303(312) Health ProvidersClaims InquiryChicago Health SystemPO Box 9006 Oak BrookIL60522(708) 783-7100(708) Physician GroupClaims InquiryChicago Health SystemPO Box 9006 Oak BrookIL60522(708) 783-7100(708) Physicians Group LTDC laims InquiryVicki Gaw4861 W 95th StOak LawnIL60453(708) 425-9096(708) Health Medical Care GroupClaims InquiryClient Services630 E. Jefferson StRockfordIL61107(800) 340-7034(888) Company of Mary Health ProvidersClaims InquiryInnovista Health SolutionsP O Box 8236 WestchesterIL60154(708) 713-5216(708) Health PartnersClaims InquiryCustomer ServicePO Box 3358 Glen EllynIL60138(630) 942-7950(630) Health PartnersClaims InquiryCustomer Box 7050 Downer GroveIL60515(630) 942-7950(630) Healthcare System PHOC laims InquiryKim Seger, Dara Ellingson5860 West Higgins AveChicagoIL60630(773) 527-5213(773) Physicians AssociatesClaims InquiryDara Ellingson, Kim Seger5860 West Higgins AvenueChicagoIL60630(773) 695-4800(773) Plus Physicians OrganizationClaims InquiryCustomer Service475 N Martingale RdSTE 340 SchaumburgIL60173(847) 619-6671200(847) County Physicians AssociationClaims InquiryClient Services630 E Jefferson StRockfordIL61107(800)

4 894-7789(800) Cross Hlth Connections LLCC laims InquiryCustomer Service1701 Golf RoadTower 2 Suite 1100 Rolling MeadowsIL60008(847) 298-6000(847) South Suburban Physician PartnersClaims InquiryCustomer ServicePO Box 0869Mt ProspectIL60056(847) 298-6000(847) Primary Care AllianceClaims InquiryRepresentative1786 Moon Lake BlvdSTE 110 Hoffman EstatesIL60169(847) 908-81202(224) MG IPAC laims InquiryCustomer ServicePO Box 331719 Corpus ChristiTX78463(866) 295-1403(866) Good Samaritan Physician PartnersClaims InquiryCustomer ServicePO Box 0443Mt ProspectIL60056(847) 298-6000(847) Christ Hospital Physician PartnersClaims InquiryCustomer Service DepartmentPO Box 0379Mt ProspectIL60056(847) 298-6000(847) St Joseph Health PartnersClaims InquiryClaims Department2380 E Dempster St3rd FLDes PlainesIL60016(773) 572-8300(847) Health Association Of IllinoisClaims InquiryClient Services630 E Jefferson StRockfordIL61107(800) 598-3986(800) James PHO INCC laims InquiryErica Godinez-Padilla7905 S Calumet AveMunsterIN46321(833) 836-726261208(219) Good Shepherd Physician PartnersClaims InquiryCustomer ServicePO Box 0430Mt ProspectIL60056(847) 298-6000(847) P H OClaims InquiryBonnie Mezzano1029 N Sacramento AveChicagoIL60622(773) 360-6348(773) Medical GroupClaims InquiryClient Services630 E Jefferson StreetRockfordIL61107(800) 598-3986(800) HealthClaims InquiryClient Services630 E Jefferson StreetRockfordIL61107(800) 598-3986(800) West Primary Physicians AssociationClaims InquiryCustomer Service750 Pasquinelli DriveSte 216 WestmontIL60559(708)

5 Community Health PartnersClaims InquiryKim Karlock1100 W 31st StreetSTE 400 Downers GroveIL60515(630) 545-3614(630) University Medical GroupClaims InquiryClaims Call Center2 Westbrook Corporate CenterSte 600 WestchesterIL60154(708) 216-7526(708) Illinois Health Care AssociationClaims InquiryMichelle MeyerP O Box 7997 WestchesterIL60154(618) 345-3160(618) Trinity Physician PartnersClaims InquiryCustomer Service DepartmentAdvocate TrinityP O Box 0377Mt ProspectIL60056(847) 298-6000(847) Illinois Masonic Physician PartnersClaims InquiryCustomer ServicePO Box 0503Mt ProspectIL60056(847) 298-6000(847) PHO Northern IN Crown PointClaims InquiryJessica Contreras, Cindee Knoerzer7905 S Calumet AveMunsterIN46321(219) 836-755366359(219) Medicine Integration of Illinois, LLCC laims InquiryMs. Olga Padilla5215 Old Orchard RdSTE 340 SkokieIL60077(847) 763-17007237(847) MG North Ave Oak ParkClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG Orland SquareClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG BeverlyClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838 Rolling MeadowsIL60008(847) 298-6000(847) MG Halsted and BlackhawkClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG SykesClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847)

6 MG EvergreenClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG Logan SquareClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG South HollandClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG BurbankClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt. ProspectIL60056(847) 298-6000(847) MG SoutheastClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG Irving and WesternClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG Six Corners/RavenswoodClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) MG PalosClaims InquiryCustomer Service DepartmentAdvocate Medical GroupPO Box 0838Mt ProspectIL60056(847) 298-6000(847) E F Clinic LTDC laims InquiryCustomer Service1 Westbrook Corporate CenterSuite 940 WestchesterIL60154(877) 226-3676(630) St Francis Health PartnersClaims InquiryClaims Department2380 E Dempster St3rd FLDes PlainesIL60016(773) 572-8300(847)

7 Resurrection Health PartnersClaims InquiryClaims E Dempster St3rd FLDes PlainesIL60016(773) 572-8300(847) Physician AssociatesClaims InquiryCustomer Service(847) Physicians Group LLCC laims InquiryCustomer ServicePO Box 8200 WestchesterIL60154(877) 226-3676(855) 45014978517034501497851703 Primary Care JolietClaims InquiryCustomer ServiceP O Box 7669 WestchesterIL60154(815) 201-1841(630) Christian Health CenterClaims InquiryMichelle MeyerP O Box 7997 WestchesterIL60154(312) 962-8154(312) County IPAC laims InquiryKate HonsowetzPO BOX 7669 WestchesterIL60154(877) 226-3676(877) ; First ChoiceClaims InquiryClient Services630 E Jefferson StRockfordIL61107(800) 325-2329(800) Community Health NetworkClaims InquiryManaged Care600 W FultonSte 200 ChicagoIL60661(312) 526-2812(312) Claims InquiryRev. 8-2018 Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association CE#Contract NPIMG#MG NPIM edical Group NameContact TypeContact NameContact Address 1 Contact Address 2 Contact CityStZipContact PhoneExtContact FaxEmail Address45917201234254591720123425 Mercy Physician AssociationClaims InquiryCustomer ServicePO Box 2830580 N WashingtonJanesvilleWI53547(877) 642-4934(608) St Mary and Elizabeth Health PartnersClaims InquiryCustomer Service2380 E Dempster St3rd FLDes PlainesIL60016(773) 572-8300(847) Condell Physician PartnersClaims InquiryCustomer ServicePO Box 0492Mt ProspectIL60056(847) 298-6000(847) In Health, InquiryKate HonsowetzPO BOX 7997 WestchesterIL60154(312)

8 985-0590(312) Medical Group IncClaims InquiryClient Services630 E Jefferson StRockfordIL61107(815) 963-6699(815) Health and Wellness NetworkClaims Inquiry Angie Box 7046 Downers GroveIL60515(855) 251-5568(630) St Joseph Health Partners JolietClaims InquiryClaims Department2380 E Dempster St3rd FLDes PlainesIL60016(773) 572-8300(847) Sherman Physician PartnersClaims InquiryResolution CenterPO Box 907 Mount ProspectIl60056(847) 298-6000(847) Medicine Physician Partners - CDHC laims InquiryAngie Montoya1100 W 31st StSuite 400 Downers GroveIL60515(708) 240-5145(630) Medicine Physician Partners - DelnorClaims InquiryAngie Montoya1100 W 31st StSte 400 Downers GroveIL60515(708) 240-5145(630) Healthcare CentralClaims InquiryInnovista Health SolutionsP O Box 7970 WestchesterIL60154(844) 359-4010(309) 479479 Advocate BroMenn Physician PartnersClaims InquiryCustomer ServicePO Box 0569Mt ProspectIL0569(847) 298-6000(847) Healthcare EastClaims InquiryInnovista Health SolutionsP O Box 7970 WestchesterIL60154(844) 359-4011(309) St Joseph Health Partners ElginClaims InquiryAmy Cooney2380 E Dempster St3rd FLDes PlainesIL60016(773) 572-8300(847) St Mary Health Partners-KankakeeClaims Inquiry2380 LevelDes PlainesIL60016(773) 572-8312(847) 795-270948313069597704831306959770 Unified Physicians Network, InquiryKathryn HonsowitzPO BOX 8100 WestchesterIL60154(847) 763-1700(847) Physicians Alliance LLCC laims InquiryKathryn HonsowetzPO Box 7970 WestchesterIL60154(815) 600-8165(815) Chicago LLCC laims InquiryKathryn HonsowetzPO BOX 7970 WestchesterIL60154(312)

9 Health PartnersClaims InquiryKim BOX 7052 Glen EllynIL60138(630) Medicine Phys Partners North RegionClaims InquiryAngie Montoya1100 W 31st StSte 400 Downers GroveIL60515(708) 240-5145(630) Med Phys Partners - NW Mem HospClaims InquiryAngie Montoya1100 W 31st StreetSuite 400 Downers GroveIL60515(708) 240-5145(630) Medical GroupClaims InquirySahar Box 21224 MedEaganMN55121(312) 277-6303(312) ;600600 Advocate Health CareClaims InquiryCustomer 0455 Mount ProspectIL60056(847) 298-6000(847)