Hi, We would like to bring to your attention an ongoing issue regarding our pending CMS IDR payments. We have multiple cases where we prevailed in the CMS IDR process, some dating back one to two years, yet the awarded payments have still not been issued.

Provider reported ongoing issues with outstanding CMS IDR award payments. Multiple IDR determinations, including cases won 1-2 years ago and recent 2026 cases, remain unpaid. Provider has exhausted all available follow-up methods, including portal disputes, determination letters, fax submissions, emails, and phone calls. Representatives are generally unfamiliar with the CMS IDR process and unable to provide assistance or direct contacts for the responsible department. Requested guidance regarding the cause of the payment delays and the appropriate escalation path for obtaining outstanding CMS IDR award payments.
Parents
  • Hello, We are not able to assist with issue through this platform. You can find contact information for providers at https://www.bcbsil.com/provider/contact-us. ~ HC

  • Thank you for your response. We have already reviewed the link you provided; however, there are multiple contact options listed there, and it is unclear which department would be able to assist with CMS IDR award payment issues.

    Could you please advise which specific department, contact number, or email address handles outstanding CMS IDR payments and award determinations? We would like to ensure that our concerns are directed to the appropriate team.

    The purpose of raising this issue here is to obtain guidance on the proper resolution path, as we have already attempted multiple channels without success. If possible, we would also appreciate the opportunity to schedule a meeting or call with the appropriate department to discuss these ongoing payment concerns.

    Additionally, when we contact customer service, representatives often advise us that they are unable to assist with CMS IDR matters and suggest that filing a complaint with CMS may be the only available option. We would appreciate clarification on the proper process before pursuing that route.

    Please let us know the correct point of contact and the recommended next steps for resolving these outstanding CMS IDR payment issues.

    Thank you.

Reply
  • Thank you for your response. We have already reviewed the link you provided; however, there are multiple contact options listed there, and it is unclear which department would be able to assist with CMS IDR award payment issues.

    Could you please advise which specific department, contact number, or email address handles outstanding CMS IDR payments and award determinations? We would like to ensure that our concerns are directed to the appropriate team.

    The purpose of raising this issue here is to obtain guidance on the proper resolution path, as we have already attempted multiple channels without success. If possible, we would also appreciate the opportunity to schedule a meeting or call with the appropriate department to discuss these ongoing payment concerns.

    Additionally, when we contact customer service, representatives often advise us that they are unable to assist with CMS IDR matters and suggest that filing a complaint with CMS may be the only available option. We would appreciate clarification on the proper process before pursuing that route.

    Please let us know the correct point of contact and the recommended next steps for resolving these outstanding CMS IDR payment issues.

    Thank you.

Children
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