Transcription of Professional Provider Network Consultant Assignments
1 Professional Provider Network Consultant AssignmentsOur Professional Provider Network Consultants (PNCs) serve as the liaison between Blue Cross and Blue Shield of Illinois (BCBSIL) and our independently contracted Professional Provider community, developing and maintaining cooperative working relationships with Professional providers in our Network throughout Illinois and Northwest Indiana. Professional PNCs are assigned by region and are available to meet with you on a routine basis to educate your staff on BCBSIL procedures, help ensure Provider contract compliance and work with you to resolve any operational issues.
2 In addition, PNCs specialize in investigating issues, producing data and developing solutions. This dedicated staff has a thorough knowledge of the BCBSIL products, and will help keep you informed of BCBSIL programs and initiatives. If you have an inquiry for a PNC, please use the email addresses listed below. These addresses are managed by a dedicated PNC team who will monitor inquiries throughout the day. Make sure your inquiries include all necessary information including call reference number or Claim Inquiry Resolution (CIR) tracking ID. For inquiries related to credentialing, email the mailbox and include the Tax ID, Billing NPI, rendering Provider name, license number, rendering NPI and CAQH number.
3 If you need help identifying your assigned PNC, email along with your Provider name, NPI, Tax ID, city and county. Illinois Territory Breakdown Northern Counties 4, 8, 19, 43, 45, 49, 52, 56, 71, 89, 98, 101. Email: Chicago Metro Counties 16, 22. Email: Metro South Counties 6, 27, 32, 38, 46, 47, 50, 53, 57, 62, 78, 99, 102 and Northwest IN. Email: Western Counties 1, 5, 9, 29, 34, 36, 37, 48, 55, 63, 66, 69, 75, 81, 85, 86, 88 and 94. Email: Central-Eastern Counties 10, 11, 12, 15, 18, 20, 21, 23, 54, 58, 65, 70, 72, 74, 84, 87, 90 and 92. Email: Southern Counties - 2, 3, 7, 13, 14, 17, 24, 25, 26, 28, 30, 31, 33, 35, 39, 40, 41, 42, 44, 51, 59, 60, 61, 64, 67, 68, 73, 76, 77, 79, 80, 82, 83, 91, 93, 95, 96, 97 and 100.
4 Email: Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association you are an ancillary Provider (DME, home infusion therapy, skilled nursing facility, home health, hospice, orthotics/prosthetics, dialysis, private duty nursing), send an email to or call Adams002 Alexander003 Bond004 Boone005 Brown006 Bureau007 Calhoun008 Carroll009 Cass010 Champaign011 Christian012 Clark013 Clay014 Clinton015 Coles016 Cook017 Crawford018 Cumberland019 DeKalb020 Dewitt021 Douglas022 DuPage023 Edgar024 Edwards025 Effingham026 Fayette027 Ford028 Franklin029 Fulton030 Gallatin031 Greene032 Grundy033 Hamilton034 Hancock035 Hardin036 Henderson037 Henry038 Iroquois039 Jackson040 Jasper041 Jefferson042 Jersey043 JoDaviess044 Johnson045 Kane046 Kankakee047 Kendall048 Knox049 Lake050 LaSalle051 Lawrence052 Lee053
5 Livingston054 Logan055 McDonough056 McHenry057 McLean058 Macon059 Macoupin060 Madison061 Marion062 Marshall063 Mason064 Massac065 Menard066 Mercer067 Monroe068 Montgomery069 Morgan070 Moultrie071 Ogle072 Peoria073 Perry074 Piatt075 Pike076 Pope077 Pulaski078 Putnam079 Randolph080 Richland081 Rock Island082 St Clair083 Saline084 Sangamon085 Schuyler086 Scott087 Shelby088 Stark089 Stephenson090 Tazewell091 Union092 Vermilion093 Wabash094 Warren095 Washington096 Wayne097 White098 Whiteside099 Will100 Williamson101 Winnebago102 Woodford999 Out of State5654
