BCBSIL

BlueCross BlueShield of Illinois (BCBSIL) has delegated utilization management responsibilities for physical therapy, occupational therapy, and chiropractic services to OrthoNet. Effective January 1, 2014, OrthoNet’s scope of responsibility includes the management of the prior-authorization process for outpatient physical therapy and chiropractic services for City of Chicago employees covered by a BCBSIL policy. Other groups will be phased in throughout 2014. Providers will be notified of additional member groups joining the program via the Blue Review newsletter. Please note: There will be no change to the current process for occupational therapy visits for City of Chicago members. Telligen will continue to provide reviews for these visits. This program does not include inpatient rehabilitation, cardiac or pulmonary rehabilitation, rehabilitation services performed in the home (including, but not limited to those provided by a home health care agency) or services provided by hospitals.

Forms

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Frequently Asked Questions Chiropractic Reference Guide  
Chiropractic Request Form Therapy Reference Guide  
Chiropractic Request Form Instructions  
Therapy Request Form  
PT/OT Initial Evaluation Report  
PT/OT Initial Evaluation Report For Vestibular Dysfunction  
Functional Progress Chart  

Authorization Status

Using our secure site you can check the status of an authorization request (24 hour access).

Contact

Provider Services
888-875-9480

Fax Request Submission Lines
Therapy: 888-875-9481
Chiropractic: 888-875-9503

Health Plan Web Site

www.BCBSIL.com