G4C

BCBS Prefix G4C

Blue Cross and Blue Shield of Illinois

Illinois • Traditional Indemnity, PPO, Medicaid

Billing essentials

Provider phone
(877) 860-2837
Electronic payer ID
00621
Claims mailing address
P.O. Box 650712 Dallas, TX 75265-0712
Timely filing limit
180 daysCompare all plans
Prior authorization phone
(800) 654-7385

Coverage under prefix G4C

Traditional Indemnity

This is a traditional indemnity prefix. Unlike managed care plans (HMO, PPO, EPO), indemnity plans do not use provider networks. There are no referral requirements and no restrictions on which providers the member can see. Submit claims to the payer listed above for reimbursement at the plan's allowed rate.

PPO

Under this PPO prefix, members are covered for both in-network and out-of-network care. The plan pays a higher percentage of allowed charges when members use participating providers. No gatekeeper or primary care referral is required. Verify the member's specific benefits for cost-sharing details.

Medicaid

This prefix includes Medicaid managed care coverage. The BCBS plan administers Medicaid benefits on behalf of the state. Claims submission, prior authorization, and reimbursement rules may follow state Medicaid guidelines rather than the plan's standard commercial policies. Confirm the correct payer ID for Medicaid claims.

About Blue Cross and Blue Shield of Illinois

State's only statewide customer-owned health insurer and independent licensee of the Blue Cross Blue Shield Association. Serves Illinois with commercial, Medicare, Medicaid and other plans.