Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Blue Cross and Blue Shield of Illinois before sending sensitive documents. FaxFlow is not affiliated with this organization.
Blue Cross and Blue Shield of Illinois fax number
(855) 867-6717
Medicare Supplement (ezBlue) ACH / Premium Payment
Used for: Submitting a Medicare Supplement ezBlue ACH payment form to authorize electronic debit for monthly premiums; includes fax submission to 855-867-6717 or mail to BCBSIL's address.
Fax destination details
- Department
- Medicare Supplement (ezBlue) ACH / Premium Payment
- Purpose
- Submitting a Medicare Supplement ezBlue ACH payment form to authorize electronic debit for monthly premiums; includes fax submission to 855-867-6717 or mail to BCBSIL's address.
- Form
- Medicare Supplement ACH / ezBlue Payment Form — Medicare Supplement ezBlue Payment Form
- Address
- Blue Cross and Blue Shield of Illinois, c/o Member Services, P.O. Box 3388, Scranton, PA 18505
- Voice phone
- 877-384-9297
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete, sign, and return; if faxing, send to 855-867-6717; mail to Blue Cross and Blue Shield of Illinois, c/o Member Services, P.O. Box 3388, Scranton, PA 18505.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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