March 2021

DME Benefit Limits Verification Request Form

As of Feb. 1, 2021, providers who provide Durable Medical Equipment (DME) services to our Blue Cross Community Health Plans^SM (BCCHP^SM) and/or Blue Cross Community MMAI (Medicare-Medicaid Plan)^SM members, now have the ability to verify DME Benefit Limits information by completing the DME Benefit Limits Verification Request Form.

Complete section one of this form and email to BCCHP Benefit Limit Verification. Blue Cross and Blue Shield of Illinois (BCBSIL) will complete section two. Providers will receive the requested benefit limit verification information within two business days.

If you have any questions, call your Provider Network Consultant (PNC) at 855-653-8126 or email our Government Providers team.