Out of State Plans

Hi Jeffrey, If you could send us a private message with some additional information on the types of billing issues you've been having, we can help you find the right area of provider services to assist you with this. ~ HC

Hi-  I submit billing to BCBSIL.  For clients who have BCBS insurance from other states, my claims aren't being processed and random status codes (Code 88, Code 82) are showing on availity.  I call both the provider line on the clients card and am being told I am not in network or they can't find the claim.  I am told to contact local BCBSIL. I call BCBSIL and get redirected once I enter the clients member ID back to the plan I originally called.  I am stuck in a loop attempting to get these resolved.  What additional information do you need?

I am not located in the provider area. The email address I provided will be able to assist you. ~ HC

Thank you.  I appreciate the response but have now been told 4 different answers from different BCBS representatives with each one maintaining their response is the "correct" one and each providing different actions or no action. I  have been told the folllowing:  1) you need to change addresses on the CMS 1500 2) The claim has stopped and needs to be resubmitted 3) You are no longer in the provider database, and now 4) the claim is still in process.  It would be incredibly helpful to speak with someone directly.  Are you able to assist with this request given my previous attempts?

Thank you.  I appreciate the response but have now been told 4 different answers from different BCBS representatives with each one maintaining their response is the "correct" one and each providing different actions or no action. I  have been told the folllowing:  1) you need to change addresses on the CMS 1500 2) The claim has stopped and needs to be resubmitted 3) You are no longer in the provider database, and now 4) the claim is still in process.  It would be incredibly helpful to speak with someone directly.  Are you able to assist with this request given my previous attempts?

I am not located in the provider area. The email address I provided will be able to assist you. ~ HC