Blue Cross Community MMAI
Part of Health Care Service Corporation
Summary
Blue Cross Community MMAI is a regional health plan, part of Health Care Service Corporation, offering dental and medical coverage operating in Illinois. Claims route under payer ID MCDIL, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BCBS IL Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
MCDILAlso seen as 11183, 66005, 7165, 8606- Also known as
- Blue Cross Community Health Plans, Blue Cross Community Options, Blue Cross and Blue Shield of Illinois, Health Care Service Corporation
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- IL
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Blue Cross Community MMAI?
- The payer ID for Blue Cross Community MMAI is MCDIL. Alternate IDs seen across clearinghouses include 11183, 66005, 7165, 8606.
- How long does Blue Cross Community MMAI provider enrollment take?
- Blue Cross Community MMAI provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Blue Cross Community MMAI require CAQH?
- Yes. Blue Cross Community MMAI uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Blue Cross Community MMAI require ERA enrollment?
- Yes. Blue Cross Community MMAI requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Blue Cross Community MMAI cover?
- Blue Cross Community MMAI operates in IL. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.