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Blue Cross and Blue Shield of Illinois fax number

(312) 233-6010

SASS Providers

Used for: Submitting Crisis Safety Plans and IM+CANS forms to BCBSIL within 48 hours of a crisis event

Fax destination details

Department
SASS Providers
Purpose
Submitting Crisis Safety Plans and IM+CANS forms to BCBSIL within 48 hours of a crisis event
Form
IM+CANS — IM+CANS Core Form
Address
BCBSIL Headquarters, P.O. Box 655924, Dallas, TX 75265-5924
Voice phone
1-800-538-8833

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Submit Crisis Safety Plan and the IM+CANS core form to BCBSIL via fax at 312-233-6010 within 48 hours of the crisis event; includes the Crisis Safety Plan, IM+CANS core form, and related health records as required.

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