Need benefit or claims information?
Contact our Provider Line at: 630-646-5370.
Complete this form if you are a provider (therapist, social worker, psychiatrist) seeking additional treatment authorization for a patient.
2019 Continuing Care
Request Form- 2019 ONLY
Complete this form if you are a provider (therapist, social worker, psychiatrist) seeking treatment authorization for multiple patients.
Psychiatrist Psychological or Neurological
Testing Request Form
Complete/fax this form if you are a psychiatrist seeking authorization for psychological testing or neurological testing.
Are you a provider who wants to join the BCP network?
Fill out our BCP Provider Network Screening Form below. Return this form via fax to 630-646-5477.