CALL US 312-864-8200


Quick Reference Guide

Download PDF of this page

Provider/ Member Services

CountyCare Website

Documents and Forms, Important Health Plan Information, Provider and Member Resources

www.countycare.com

Provider Portal

Important Documents and Forms, Authorization Submission and Status, Claims Status, EOPs, Panel Rosters

Provider Portal Login

Member & Provider Services

M- F: 8:30AM - 8:00PM CT

Saturday: 9:00AM - 1:00PM CT

312-864-8200 / 855-444-1661 toll free / 711 TTY/TDD

312-548-9940 fax

Transportation Scheduling

630-403-3210

630-873-1440 fax

Inpatient Admissions

312-864-8200

866-209-3703 fax

CountyCare 24-hour Nurse Hotline

312-864-8200 / 855-444-1661 toll free / 711 TTY TDD

312-548-9940 fax

Fraud, Waste and Abuse

844-509-4669 toll free

Grievances/Complaints

CountyCare

ATTN: Grievances/Complaints

P.O. Box 803758

Chicago, IL 60680

Critical Incidents

312-864-8200
855-444-1661 toll free
312-548-9940 fax

 

Claims (Medical and Behavioral Health):

Clearinghouse Vendor

Change Healthcare (formerly Emdeon)

http://changehealthcare.com/

Payer ID

06541

Claims Timely Filing

180 calendar days

Paper Claims Mailing Address

CountyCare

P.O. Box 3727

Corpus Christi, TX 78463

Claims Reconsiderations

312-864-8200

Claims Appeals

CountyCare

ATTN: Appeals

P.O. Box 3727

Corpus Christi, TX 78463

 

Medical Management:

Medical and Behavioral Health

Prior Authorization Requests

312-864-8200 / 855-441-1661 toll free
711 TTY/TDD
Inpatient Medical Fax 800-856-9434
Outpatient Medical Fax 866-209-3703
Inpatient/Outpatient Behavioral Health Fax 800-498-8217

Medical Management Fax

Inpatient Medical Fax 800-856-9434
Outpatient Medical Fax 866-209-3703
Inpatient/Outpatient Behavioral Health Fax 800-498-8217

Medical Management Appeals

CountyCare

P.O. Box 803758

Chicago, IL  60680

Care Management Referrals for
Members in HCBS Waivers

312-864-0200 option 2

All Other Care Management Referrals

312-864-8200

Dental Preauthorization

800-508-6780 toll free

262-241-7150 fax

Vision Preauthorization

844-235-1981 toll free

888-696-9552 fax

Pharmacy Preauthorization

877-235-1981 toll free

 

Turn-Around-Times for Prior Authorizations:

Inpatient- Initial Notification

Within 2 Business Days

Inpatient- Concurrent Review

Within 24 hours

Outpatient

Within 3 Business Days

 

Additional Information:

April 1, 2016 Transition Information

(FAQs, Forms, Announcements)

www.countycare.com/transition

November 1, 2017 Transition Information

www.countycare.com/newproviders

CountyCare Health Plan Address

Administrative Offices

1900 West Polk Street, #220-C

Chicago, IL  60612

Illinois Department of Healthcare & Family Service

201 South Grand Avenue East

Springfield, IL   62763-0001

217-782-1200 / 800-782-1200 toll free / 800-526-5812 TTY/TDD

www.hfs.illinois.gov


  

©2016 COOK COUNTY HEALTH AND HOSPITALS SYSTEM. ALL RIGHTS RESERVED.