S2J

BCBS Prefix S2J

Blue Cross and Blue Shield of Illinois

Illinois • Traditional Indemnity, POS, 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 S2J

Traditional Indemnity

This prefix includes traditional indemnity coverage. Indemnity plans are the oldest form of health insurance and offer maximum provider choice with no network restrictions. Members pay a percentage of charges after meeting their deductible. Reimbursement is based on reasonable and customary rates for the service area.

POS

POS coverage under this prefix operates on a tiered system. Tier 1 (in-network with referral) provides the highest coverage. Tier 2 (in-network without referral) provides moderate coverage. Tier 3 (out-of-network) provides the lowest coverage. Verify which tier applies before submitting the claim.

Medicaid

Medicaid managed care under this BCBS prefix means the state has contracted with this plan to administer Medicaid benefits. Balance billing Medicaid members is prohibited. Timely filing requirements may follow state Medicaid rules rather than the plan's commercial deadlines. Contact the plan to confirm submission requirements.

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.