January 2019

New Professional Provider Network Relations Phone Number

One of the fastest ways to work with us is online using electronic options listed on the Provider Tools page. The free applications can be used to accomplish tasks and gain information like:

• Checking eligibility and benefits
• Requesting claim status
• Receiving electronic payment and remittance
• Reporting demographic changes
• Adding a provider to your group

However, we understand at times you may need to contact Provider Network Relations by phone for other inquiries. For your ease, we have a new phone line. If you have questions that can’t be answered through online options, call 217-862-5410, provide the following information, and we will respond to your inquiry within 24 hours:

• Provider name
• Billing and rendering National Provider Identifiers (NPIs)
• Tax ID
• Call-back phone number and the most convenient time to return your call
• Details of your request/inquiry

Checking eligibility and benefits is not a guarantee of payment of benefits. Payment of benefits is subject to several factors, including, but not limited to, eligibility at the time of service, payment of premiums/contributions, amounts allowable for services, supporting medical documentation, and other terms, conditions, limitations, and exclusions set forth in the member’s policy certificate and/or benefits booklet and or summary plan description. Regardless of any preauthorization or benefit determination, the final decision regarding any treatment or service is between the patient and their health care provider.

The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment.