BAMS - Administered by ACST, Inc. TPA for UFCW Local 1529

Dear Providers, this lookup is for the members of UFCW Local 1529 only. For benefits and eligibility of members covered under the South-Central Fund, please contact Blue Cross Blue Shield of Illinois at 1-800-367-8309 or visit www.bcbsil.com

Provider EIN/TIN *

Participant SSN *

Patient SSN *

Patient Date of Birth *

Open the calendar popup.

(MM/DD/YYYY)

Claim Number

- OR - Patient Account Number

Date of Service *

Open the calendar popup.

(MM/DD/YYYY)

Amount Billed *