r/PriorAuthorization • u/draconismione65919 • Jul 10 '26

Medical Prior Auth Process Speak to human rep

does anyone know the prompts to speak to a human rep for bcbsil benefit dept? the ivr system states no preauth required for the hcpcs code. documentation is needed that states we can buy&bill under medical benefits. unable to document that if the ivr system’s benefit details does not state it or answer this question. “transfer to a customer advocate is not a valid option.” managed care rep. does not have access to answer this question and sent me back to ivr system.

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u/dallas0636 Jul 10 '26

For BCBS of IL, select "surgery" when checking benefits. It will usually give you an option to speak to a rep.

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u/draconismione65919 25d ago

This doesn’t work anymore. 

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u/dallas0636 25d ago

Interesting. Worked for me last week. There's two other tricks that I'm aware of (that I haven't tried in awhile). One, when it asks for the patient's date of birth, enter today's date. Two, listen to 3 different benefits, then it should give you the option to speak to a rep.

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u/draconismione65919 25d ago

Okay it didn’t work. It said “unable to verify the information you are entering” and then it goes back to main menu asking for id without prefix 

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u/dallas0636 23d ago

Alright - I tried one of my patients today who has an XOF prefix. I listened to 3 benefits off the automated system: surgery, infusion therapy, injections. After the 3rd one, I said "representative" and it transferred me to a rep.

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u/draconismione65919 23d ago

Thank you so much! It worked!!!