CE#
Contract NPI MG# MG NPI Medical Group Name Contact Type Contact Name Contact Address 1 Contact Address 2 Contact City St Zip Contact Phone Ext Contact Fax Email Address
052 1366489049 052 1366489049 Franciscan PHO Northern IN Hammond Claims Inquiry Patty Arredondo; Julie Lambertino 7905 S Calumet Ave Munster IN 46321 (219) 836-5800 66347 (219) 836-8025
patricia.arredondo@franciscanalliance.org;
julie.lambertino@franciscanalliance.org;
082 1801833983 082 1801833983 DMG Health Partners Claims Inquiry Tasha Pieprzyk PO Box 7051 Downers Grove IL 60515 (630) 545-3614 ext 31756 (630) 545-4033
BCBSIL.Claims@boncura.com;Tasha.Pieprzyk@Boncura.com;DMGB
CBS@Boncura.com;
098 1467534032 098 1467534032 Physicians Care Network, INC. Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (815) 963-6699 (815) 963-6965 managedcaresupport@arcadia.io;
099 1184718355 099 1184718355 Dreyer Medical Clinic Advocate Claims Inquiry Customer Service PO BOX 0546 Mt. Prospect IL 60056 (847) 298-6000 (847) 298-5802 ahpo-resolutionctr@advocatehealth.com
100 1396848222 100 1396848222 West Suburban Health Providers Claims Inquiry Customer Service PO BOX 7997 Westchester IL 60154 (708) 330-4597 (312) 283-3546 bcbsinquiry@innovista-health.com
102 1609982990 102 1609982990 Dolton Medical Associates Claims Inquiry Customer Service P O Box 7997 Westchester IL 60154 (708) 377-3685 bcbsinquiry@innovista-health.com;
124 1356449383 124 1356449383 Advocate Lutheran General Physician Partners Claims Inquiry Customer Service PO Box 0546 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
141 1801920186 141 1801920186 U I C Physician Group Claims Inquiry Innovista Health Solutions P.O. Box 8030 Westchester IL 60154 (312) 996-4374 (312) 957-4925 bcbsinquiry@innovista-health.com;
145 1306959770 145 1306959770 Unified Physicians Network Claims Inquiry Customer Service PO Box 8100 Westchester IL 60154 (847) 763-1700 (312) 283-3546 bcbsinquiry@innovista-health.com
145 1306959770 413 1306959770 Thorek Family Health Network Claims Inquiry Customer Service P O BOX 8100 Westchester IL 60154 (847) 763-1700 (312) 283-3546 bcbsinquiry@innovista-health.com
145 1306959770 435 1306959770 Advanced Unified Physicians Network Claims Inquiry Customer Service P O BOX 8100 STE 340 Westchester IL 60154 (847) 763-1700 (312) 283-3546 BCBSINQUIRY@INNOVISTA-HEALTH.COM
155 1780756916 155 1780756916 Independent Physicians At Mercy Claims Inquiry Innovista Health Solutions P O Box 8236 Westchester IL 60154 (312) 868-0563 (312) 957-4899 bcbsinquiry@innovista-health.com;
184 1740361021 184 1740361021 Resurrection Phys Provider Group Claims Inquiry Dara Ellingson, Kim Seger 5860 W Higgins Ave Chicago IL 60630 (773) 695-4800 (773) 864-9418 KSeger@msogl.com; Dellingson@msogl.com;
197 1245312800 197 1245312800 AMITA Health Clinically Integrated Network Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (888) 747-2264 (800) 747-2264 managedcaresupport@arcadia.io
197 1245312800 488 1245312800 AMITA Health Care Network Claims Inquiry Client Services 630 E Jefferson St. Rockford IL 61107 (888) 747-2264 (800) 747-2264 managedcaresupport@arcadia.io;
197 1245312800 494 1245312800 AMITA Health Saint Joseph Hospital Chicago Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (888) 747-2264 (800) 747-2264 managedcaresupport@arcadia.io;
197 1245312800 495 1245312800 AMITA Health Saint Francis Hospital Evanston Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (888) 747-2264 (800) 747-2264 managedcaresupport@arcadia.io;
197 1245312800 496 1245312800 AMITA Health Resurrection Medical Center Chicago Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (888) 747-2264 (800) 747-2264 managedcaresupport@arcadia.io;
197 1245312800 497 1245312800 AMITA Health Saints Mary and Elizabeth Chicago Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (888) 747-2264 (800) 747-2264 managedcaresupport@arcadia.io;
197 1245312800 498 1245312800 AMITA Health Saint Joseph Medical Center Joliet Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (888) 747-2264 (800) 747-2264 managedcaresupport@arcadia.io;
197 1245312800 499 1245312800 AMITA Health Saint Joseph Hospital Elgin Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (877) 274-9183 (800) 747-2264 managedcaresupport@arcadia.io;
197 1245312800 500 1245312800 AMITA Health St. Mary’s Hospital Kankakee Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (888) 747-2264 (800) 747-2264 managedcaresupport@arcadia.io;
199 1316963929 199 1316963929 Fox Valley Medicine Ltd Claims Inquiry Customer Service PO Box 8200 Westchester IL 60154 (630) 482-9758 (312) 283-3546 bcbsinquiry@innovista-health.com;
213 1154484491 213 1154484491 Ingalls Provider Group Claims Inquiry Tasha Pieprzyk 1100 W. 31st Downers Grove IL 60515 (331) 903-1756 (630) 545-5033 BCBSIL.Claims@boncura.com;tasha.pieprzyk@boncura.com;
242 1114099538 242 1114099538 Little Company of Mary Health Providers Claims Inquiry Customer Service P O Box 8236 Westchester IL 60154 (708) 713-5216 (312) 283-3546 bcbsinquiry@innovista-health.com;
243 1144434044 243 1144434044 Illinois Health Partners Claims Inquiry Tasha Pieprzyk PO Box 7050 Downers Grove IL 60515 (630) 942-7979 ext 31756 (630) 545-4033 BCBSIL.Claims@boncura.com;Tasha.Pieprzyk@Boncura.com;
243 1144434044 312 1578689063 Elmhurst Health Partners Claims Inquiry Customer Service P.O. Box 7050 Downer Grove IL 60515 (630) 942-7950 (630) 545-4033 BCBSIL.Claims@boncura.com;dmgbcbs@dupagemd.com;
246 1114145588 075 1114145588 Weiss Healthcare System PHO Claims Inquiry Kim Seger, Dara Ellingson 5860 West Higgins Ave Chicago IL 60630 (773) 527-5213 (773) 864-9437 kseger@rpadoctors.com; dellingson@rpadoctors.com;
246 1114145588 246 1114145588 Ravenswood Physicians Associates Claims Inquiry Dara Ellingson, Kim Seger 5860 West Higgins Avenue Chicago IL 60630 (773) 527-5210 (773) 864-9418 KSeger@msogl.com; Dellingson@msogl.com;
262 1134280753 262 1134280753 Lake County Physicians Association Claims Inquiry Innovista Health Solutions PO Box 7669 Westchester IL 60154 (800) 894-7789 (312) 283-3546 bcbsinquiry@innovista-health.com;
277 277 Advocate South Suburban Physician Partners Claims Inquiry Customer Service PO Box 0546 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
280 1831239789 280 1831239789 Northwest Primary Care Alliance Claims Inquiry Representative 1786 Moon Lake Blvd STE 110 Hoffman Estates IL 60169 (847) 908-8120 2 (224) 653-8342 janet.deck@nwpca.net;
294 294 Advocate Good Samaritan Physician Partners Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
302 1104022250 302 1104022250 Advocate Christ Hospital Physician Partners Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
314 1497829899 314 1497829899 Physicians Health Association Of Illinois Claims Inquiry Customer Service P.O. Box 7669 Westchester IL 60154 (217) 339-6491 (312) 283-3546
For D
OS =/> 10/1/20: bcbsinquiry@innovista-health.com;
jmazurek@innovista-health.com;
331 331 Advocate Good Shepherd Physician Partners Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
333 1508994831 333 1508994831 Humboldt Park Health Partners Claims Inquiry Bonnie Mezzano 1029 N Sacramento Ave Chicago IL 60622 (773) 360-6348 (773) 250-3316 bmezzano@nahospital.org; kijohnson@nahospital.org;
334 1619008935 072 1982657854 Sinai Medical Group Claims Inquiry Client Services 630 E Jefferson Street Rockford IL 61107 (800) 598-3986 (800) 747-2264 ManagedCareSupport@arcadiasolutions.com;
334 1619008935 334 1619008935 Progress Health Claims Inquiry Client Services 630 E Jefferson Street Rockford IL 61107 (800) 598-3986 (800) 747-2264 ManagedCareSupport@arcadiasolutions.com;
335 1710028972 335 1710028972 Oak West Primary Physicians Association Claims Inquiry Customer Service P.O. Box 7669 Westchester IL 60154 (708) 231-4354 (312) 283-3546 bcbsinquiry@innovista-health.com
351 1285749184 351 1285749184 Southern Illinois Health Care Association Claims Inquiry Customer Service P O Box 7997 Westchester IL 60154 (618) 345-3160 (312) 283-3546 bcbsinquiry@innovista-health.com;
353 353 Advocate Trinity Physician Partners Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
357 357 Advocate Illinois Masonic Physician Partners Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
374 1780741488 374 1780741488 Franciscan PHO Northern IN Crown Point Claims Inquiry Jessica Contreras, Cindee Knoerzer 7905 S Calumet Ave Munster IN 46321 (219) 836-7553 66359 (219) 836-4621
Jessica.Contreras@franciscanalliance.org;
Cynthia.Knoerzer@franciscanalliance.org;
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
Rev. 2-2022
CE#
Contract NPI MG# MG NPI Medical Group Name Contact Type Contact Name Contact Address 1 Contact Address 2 Contact City St Zip Contact Phone Ext Contact Fax Email Address
398 1639111933 398 1639111933 Advocate MG North Ave Oak Park Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 399 1639111933 Advocate MG Orland Square Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 400 1639111933 Advocate MG Beverly Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 401 1639111933 Advocate MG Halsted and Blackhawk Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 402 1639111933 Advocate MG Sykes Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 403 1639111933 Advocate MG Evergreen Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 404 1639111933 Advocate MG Logan Square Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 405 1639111933 Advocate MG South Holland Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 406 1639111933 Advocate MG Burbank Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 409 1639111933 Advocate MG Southeast Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 425 1639111933 Advocate MG Irving and Western Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 429 1639111933 Advocate MG Six Corners/Ravenswood Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
398 1639111933 436 1639111933 Advocate MG Palos Claims Inquiry Customer Service Department Advocate Medical Group PO Box 0838 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@advocatehealth.com;
410 1538227194 410 1538227194 P E F Clinic LTD Claims Inquiry Customer Service PO Box 8200 Westchester IL 60154 (312) 567-1993 (312) 283-3546 bcbsinquiry@innovista-health.com
447 1609931344 447 1609931344 NorthShore Physician Associates Claims Inquiry Customer Service P. O. Box 211382 Eagan MN 55121 (847) 933-3900 emailinquiry@valencehealth.com;
454 1245289214 454 1245289214 Lawndale Christian Health Center Claims Inquiry Customer Service P O Box 7997 Westchester IL 60154 (312) 962-8154 (312) 957-4901 bcbsinquiry@innovista-health.com;
457 1184670663 457 1184670663 UnityPoint Health Plus Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (800) 325-2329 (800) 747-2264 managedcaresupport@arcadia.io;
458 1780754523 458 1780754523 Access Community Health Network Claims Inquiry Managed Care 600 W Fulton Ste 200 Chicago IL 60661 (312) 526-2812 (312) 526-2330 managedcare@achn.net; tra[email protected];
464 464 Advocate Condell Physician Partners Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
468 1073882122 468 1851303473 Partners In Health, Inc. Claims Inquiry Customer Service PO BOX 7997 Westchester IL 60154 (312) 985-0590 (312) 283-3546 bcbsinquiry@innovista-health.com;
470 1962644807 470 1962644807 HSHS Medical Group Inc Claims Inquiry Client Services 630 E Jefferson St Rockford IL 61107 (815) 963-6699 (815) 963-6985 managedcaresupport@arcadia.io;
471 1881942647 471 1881942647 Northwestern Medicine Physicians Network McHenry Claims Inquiry Customer Service P.O. Box 8150 Westchester IL 60154 (708) 240-5145 bcbsinquiry@innovista-health.com
474 474 Advocate Sherman Physician Partners Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
475 1033149844 475 1033149844 Northwestern Medicine Physician Network - CDH Claims Inquiry Customer Service P.O. Box 8150 Westchester IL 60154 (708) 240-5145 bcbsinquiry@innovista-health.com
475 1033149844 477 1033149844 Northwestern Medicine Physician Network - Delnor Claims Inquiry Customer Service P.O. Box 8150 Westchester IL 60154 (708) 240-5145 bcbsinquiry@innovista-health.com
475 1033149844 493 1033149844 Northwestern Medicine Physician Network - DeKalb Claims Inquiry Customer Service P.O. Box 8150 Westchester IL 60154 (708) 240-5145 bcbsinquiry@innovista-health.com
476 1922445527 476 1922445527 OSF Healthcare Central Claims Inquiry Customer Service P O Box 7970 Westchester IL 60154 (844) 359-4010 (312) 283-3546 bcbsinquiry@innovista-health.com;
480 1922445527 480 1922445527 OSF Healthcare East Claims Inquiry Customer Service P O Box 7970 Westchester IL 60154 (844) 359-4011 (312) 283-3546 bcbsinquiry@innovista-health.com;
483 1306959770 483 1306959770 Unified Physicians Network, Inc. Claims Inquiry Customer Service PO BOX 8100 Westchester IL 60154 (847) 763-1700 (312) 283-3546 bcbsinquiry@innovista-health.com
484 1457708216 484 1457708216 Illinois Physicians Alliance LLC Claims Inquiry Customer Service PO Box 7970 Westchester IL 60154 (815) 600-8165 (312) 283-3546 bcbsinquiry@innovista-health.com;
485 1245687946 485 1245687946 VillageMD Chicago LLC Claims Inquiry Customer service PO BOX 7970 Westchester IL 60154 (312) 219-6783 (312) 283-3546 bcbsinquiry@innovista-health.com
486 486 Community Health Partners Claims Inquiry Tasha Pieprzyk 1100 w 31st Street Downers Grove IL 60515 (219) 381-3325 tasha.pi[email protected];
487 1033149844 487 1033149844 Northwestern Medicine Phys Network North Region Claims Inquiry Customer Service P.O. Box 8150 Westchester IL 60154 (708) 240-5145 bcbsinquiry@innovista-health.com
489 489 Northwestern Med Phys Network - NW Mem Hosp Claims Inquiry Customer Service P.O. Box 8150 Westchester IL 60154 (708) 240-5145 bcbsinquiry@innovista-health.com
490 1821385170 490 1821385170 Cook Medical Group Claims Inquiry Scott Andrle 1900 W.Polk Street Chicago IL 60612 (312) 864-4649 (312) 864-9005 emailinquiry@valencehealth.com;
492 1124075676 492 1124075676 Specialty Physicians of Illinois, LLC Claims Inquiry Erica Godinez-Padilla 7905 S Calumet Ave Munster IN 46321 (833) 836-7262 61208 (219) 836-4621 Erica.Godinez-Padilla@franciscanalliance.org;
501 501 EHP-IPA Claims Inquiry Customer Service PO Box 7669 Westchester IL 60154 (815) 201-1841 (312) 283-3546
Bcbsinquiry@innovista-health.com, Jmazurek@innovista-
health.com
502 502 EHP-Silver Cross Claims Inquiry Customer Service PO Box 7160 Westchester IL 60154 (815) 496-6004 (312) 283-3546 Bcbsinquiry@innovista-health.com
503 503 EHP-Northwest Community Claims Inquiry Customer Service PO Box 7970 Westchester IL 60154 (630) 348-3005 (630) 686-1147 bcbsinquiry@innovista-health.com
504 504 EHP-Kane County IPA Claims Inquiry Customer Service PO Box 7669 Westchester IL 60154 (630) 513-1280 (312) 283-3546 Bcbsinquiry@innovista-health.com
505 505 Loyola Physician Partners Claims Inquiry AnMarie Mackey 750 Pasquinelli Ddr Suite 216 Westmont IL 60559 (708)783-2349 (708)783-7198 Anmarie.Mackey@luhs.org; PayorI[email protected]
600 600 Advocate Health Care Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
505 133 1447359856 Gottlieb West Towns P H O Claims Inquiry Customer Service 750 Pasquineli Dr Ste 216 Westmont IL 60559 (708) 783-7100 (708) 469-4621 payorinquiry@luhs.org;AnMarie.Mackey@luhs.org;
505 221 1205996295 MacNeal Health Providers Claims Inquiry AnMarie Mackey 750 Pasquinelli Dr STE 216 Westmont IL 60559 (708) 783-2349 (708) 783-7198 Anmarie.Ma[email protected]; PayorInquiry@luhs.org;
505 445 1205996295 Weiss Physician Group Claims Inquiry AnMarie Mackey 750 Pasquinelli Dr STE 216 Westmont IL 60559 (708) 783-2349 (708) 783-7198 Anmarie.Ma[email protected]; PayorInquiry@luhs.org;
505 505 Loyola Physician Partners Claims Inquiry
600 600 Advocate Health Care Claims Inquiry Customer Service PO Box 0443 Mt Prospect IL 60056 (847) 298-6000 (847) 298-5802 AHPO-ResolutionCtr@Advocatehealth.com;
Rev. 2-2022
