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1295
Butterfield Rd., Aurora, IL 60502-8879 |
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Ph (630) 978-4600
Tips for
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HEALTH AND WELFARE FUND |
Tips for Filing a Medicare ClaimIn
order to expedite the processing of your medical claims, please
advise your providers of service not to submit claims to Blue Cross
Blue Shield of Illinois. Once you have incurred medical
expenses, have your claims submitted to Medicare for
consideration. After Medicare has considered the claims
eligible for benefits, have the provider submit a copy of the
original claim and a copy of the Medicare Explanation of Benefits
directly to the Fund Office. When the Fund Office receives
this information, the claims will be considered for payment. Please
do not
submit claims to our office prior to receiving notification of
Medicare payment. If the claims are received without the
explanation of benefits, we will hold the claim and request the
explanation of benefits. Please do not
submit the Medicare explanation of benefits without submitting a
copy of the actual claim to the Fund Office. The claim from
the provider contains information that is required to consider the
charges eligible for benefits.
For
your convenience here are the numbers to call for information on,
the link to access their web pages and if you click on the company
name, you can see a quick overview of what the Plan offers: MED-CARE
MANAGEMENT 1-800-367-1934 (Call
for pre-authorization for hospitalization, outpatient surgery or
home health care.) CAREMARK 1-800-841-5550 http://www.rxrequest.com DELTA DENTAL 1-800-452-1987 http://www.deltadentalil.com **To follow the life of a dental claim click here! VSP 1-800-877-7195 http://www.vsp.com BLUE CROSS BLUE SHIELD OF
ILLINOIS http://www.bcbsil.com/providers MED LINK (MRI/CT SCAN) 1-888-558-0680 http://www.medlinknetworks.com
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