Third Party Liability Validation – Claim Inquiry and Dispute Process for BCCHPSM Members

March 2024

Third Party Liability Validation – Claim Inquiry and Dispute Process for BCCHP^SM Members

If you are providing service to our Blue Cross Community Health Plans^SM members, review the below information regarding how to submit an inquiry or claim dispute to Blue Cross and Blue Shield of Illinois for Third Party Liability Validation once you have verified the member does not have other primary insurance.

Claim Inquiry Process
To initiate the claim inquiry process for Third Party Liability validation, contact Customer Service at 877-860-2837. You must indicate that you want to file an inquiry. The following information is needed in reference to the BCCHP member:

BCCHP Member First/Last Name
BCCHP Subscriber ID
Date of Service

Providers are not required to submit an Explanation of Benefits from another carrier if the member does not have other insurance.

Claim Dispute Process
If a claim has denied, you may receive an Explanation of Payment with denial code “H37 – Please submit claim to primary insurance carrier” from BCBSIL. For details on how to dispute a denied claim, refer to the BCCHP provider manual.

BLUE REVIEW^SM

for Providers