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  • Dpa 1517a R-3-03 Il478-1023 Provider Forms R - All Kids - Hfs Illinois

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Illinois Department of Public Aid 2946 Old Rochester Road Springfield, Illinois 627035659 EMail Address: Aidd32F9 MAIL.IDPA.STATE.IL.US FAX Number: (217) 5576800 PROVIDER FORMS REQUEST Completion.

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REQUERIMENTO DE FORMULRIO E106 SOAR Unit 2 Renovation Estimates Read Theory Answers Individual Details

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An individual must call the Client Enrollment Broker Call Center at 1-877-912-8880 (TTY: 1-866-565-8576) or go online to the Enrollment Portal at .enrollhfs.illinois.gov to get more information about their HealthChoice Illinois plan choices and to make a plan switch.

If you get an approval letter and do not want the coverage, you must contact 1-866-255-5437 right away to cancel the coverage. If you do not cancel the coverage, you may still owe money for premiums even if you don't use the All Kids card.

1-800-842-1461. You will be asked to enter your Medicaid provider identification number. The identification number for providers is the nine-digit Federal Taxpayer Identification Number (FEIN or SSN) followed by a three-digit extension.

Mail original claims to BCBSIL, P.O. Box 805107, Chicago, IL 60680-4112.

Provider Help Line: 1-800-804-3833. 1-877-434-1082 TTY.

Children are eligible through 18 years of age.

If you do not have health insurance, you will be subject to a penalty.

1-855-580-1689 (TTY 711), Monday - Friday from 8 a.m. – 8 p.m.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232