Important Information for HMO Illinois (HMOI)
Important Information for HMO Illinois (HMOI)
The information on these pages is specific to the following plans: Blue Cross, HMOI, Blue Precision and Blue Advantage Sites 213 and 507.
Providers are welcome to use free case management services for their members. Case management is provided by UChicago Medicine Physician Partners.
Annemarie.Guinane@UChicagoMedicine.org
Phone: 773-437-9182 Fax: 773-834-0701
Nina.Smith@UChicagoMedicine.org
Phone: 312-504-8735
Blue Advantage Sites 213 and 507 only
Guidehealth
Electronic Submission:
Availability/Change HealthCare/Emdeon 11081
Claims Mailing Address:
Guidehealthc/o UCM Physician Partners, LLC
f/k/a University of Chicago Medicine Affiliated Physicians, LLC
1639 North Alpine Road, Suite 401
Rockford, IL 61107
Handwritten claims are not accepted
Timely Filing: 90 days from Date of Service
Provider Appeals: https://secure.guidehealth.com
https://secure.guidehealth.com
Toll Free Customer Service: 800-385-6598
JSM Ticketing Portal: response in 24-48 business hours
Guidehealth Services: Jira Service Management (atlassian.net)
Crisis Calls: Members in crisis will be instructed to call 911 or go to their nearest Emergency Room
Guidehealth - Register with REPAY
- Are you enrolled in Electronic Funds Transfer (EFT)/ Electronic Remittance Advice (ERA) with REPAY?
- Get paid faster! Receive payments direct to your financial institution
- Reduce paper mail and experience faster account reconciliation through electronic posting.
- Sign up for Electronic Rem
- Remittance Advice (ERA) / 835 Files
To enroll in EFT/ERA with REPAY:
- https://providerpay.secureconduit.net
- Tracking Number: 511111111
- Security Codes: st54RUya
- Need Help? Email providerpaysupport@repay.com or call 888-473-9025
https://secure.guidehealth.com
Provider and Member access allows for:
- Enter Authorizations Online/View Status
- Find Educational Forms in the Library
- Review Eligibility
- Export PCP Roster
- Review Claims History and enter appeals
- Provider Rosters/Find a Physician
Guidehealth
Portal Website Entry:
https://secure.guidehealth.com
- Please visit Guidehealth’s Library to view the updated Prior Authorization List (PAL)
- Members may be referred to any of the affiliated IN-NETWORK facilities
- Specialty Network has changed – Please check the provider portal for all providers
- UCM Labs at Ingalls
- UCM Hyde Park
- UChicago Medicine Advent Health Labs
- Quest Diagnostics
Site 213 – PsycHealth – Members may self-refer 847-864-4961
Site 507 – Pathways – Members may self-refer 855-910-0157
Members may not cross-utilize Behavioral Health Vendors
Site 213 Outpatient: Kaveh Rahmani, MD
Site 507 Inpatient: Donald Higgins, MD
Site 507 Outpatient: Sarah Siddiqui, MD
Affiliated Hospital and ASC Network includes these facilities:
University of Chicago Medical Center
5841 S. Maryland Ave. Chicago, IL 60637
Comer Children's Hospital
5841 S. Maryland Ave. Chicago, IL 60637
Ingalls Memorial Hospital
1 Ingalls Drive Harvey, IL 60426
UChicago Medicine AdventHealth GlenOaks
701 Winthrop Ave, Glendale Heights, IL 60139
UChicago Medicine AdventHealth Hinsdale
701 Winthrop Ave, Glendale Heights, IL 60139
UChicago Medicine AdventHealth La Grange
120 N. Oak StreetHinsdale, IL 60521
UChicago Medicine AdventHealth Bolingbrook
500 Remington Blvd.Bolingbrook, IL 60440
Ingalls Same Day Surgery
6701 W. 159th St. Tinley Park, IL 60477
Contact Us
Providers who participate in UChicago Medicine Physician Partners are not employees of the University of Chicago Medical Center or the University of Chicago Medicine Care Network Affiliated Physicians, LLC d/b/a UChicago Medicine Physician Partners