Patient Advocates for Blue Cross Blue Shield of Illinois - Find one today.
Supporting and empowering Blue Cross Blue Shield of Illinois patients.
Blue Cross Blue Shield of Illinois is the state's largest insurer with a vast network of providers, but their complex authorization requirements and multi-tiered appeal process can leave you feeling lost and frustrated. Your Solace advocate knows BCBSIL's systems inside and out—from navigating their prior authorization requirements to untangling claims disputes and helping you access specialists without the endless phone calls and paperwork that typically stand in your way.
Best of all, most patients pay nothing out of pocket.
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About
Blue Cross Blue Shield of Illinois (BCBSIL) is the largest health insurer in Illinois, serving over 7 million members with a network that includes more than 90% of hospitals and primary care physicians in the state. As a division of Health Care Service Corporation, BCBSIL offers a comprehensive range of coverage options including individual and family plans, employer-sponsored insurance, Medicare Advantage, Medicare Supplement, and Medicaid managed care through their Blue Cross Community Health Plans. While their extensive provider network offers broad access to care, many members find themselves struggling with complex prior authorization requirements, confusing claim denials, and a multi-stage appeal process that can delay needed care. Their size and organizational complexity often mean that members need to navigate multiple departments and specialized terminology to resolve even simple coverage issues.
What problems can a Blue Cross Blue Shield of Illinois patient advocate help you with?
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Get the clarity you need to make sense of your care and take charge of your health.
We’ll make the calls (and the callbacks) so you can spend more time doing what you love.
Keep your care affordable with lower medical bills and access to local financial help.
Advocates review coverage, handle preauthorizations, and even help with appeals.
Stay on top of the cutting-edge treatment options and leave no stone unturned.
Advocates coordinate your care team so your health never falls through the cracks.
Get the tools and answers you need to make informed decisions about your care.
Advocates help you overcome your healthcare hurdles—no matter how big they might be.
Solace has helped over 14,000 patients and families
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Blue Cross Blue Shield of Illinois Appeals with a Patient Advocate
BCBSIL's appeal process involves multiple stages, beginning with an internal review that can take up to 30 days, followed by additional physician reviews and potentially an external review through the Illinois Department of Insurance. Your Solace advocate understands how to prepare comprehensive appeals that include all necessary medical documentation, proper coding references, and precise language that addresses BCBSIL's specific coverage criteria. They'll track deadlines, follow up persistently, and ensure your case gets the attention it deserves.
When facing a BCBSIL denial, your advocate will immediately request all relevant documentation, including the specific reason for denial and the clinical criteria used in the decision. They'll work directly with your healthcare providers to gather supporting evidence and may coordinate peer-to-peer reviews between your doctor and BCBSIL's medical directors when appropriate. For complex cases, they can navigate the external review process with the Illinois Department of Insurance, significantly increasing your chances of getting the coverage you deserve.
BCBSIL's labyrinthine appeal process requires a seasoned navigator, which is exactly what your Solace advocate provides.
The Solace care team model
With Solace, you get both a patient advocate and a supporting physician, which we refer to as your “care team”.
Your advocate will be there to manage the day to day aspects of your care: coordinating with doctors, researching potential solutions and communicating updates to you.
Your supporting physician can unlock resources for you and your advocate that might otherwise be out of reach.
We’ve Got Answers
Still unsure how an advocate can help? Explore these answers to the questions we’re asked the most.
How are Solace advocates qualified to help?
Advocates on Solace are experienced physicians, nurses, pharmacists, and other healthcare professionals from a wide range of backgrounds. 98% of Solace patients report better healthcare outcomes after working with an advocate.
What else can a Solace advocate help me with?
What can a Solace advocate not do?
We know our advocates sound like miracle workers, but they have limits. They can’t prescribe medications or diagnose an illness, for instance. They can’t replace your doctor, but they can break down the barriers standing between you and the quality care you deserve.