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Providers 1-877-912-1999 TTY:1-866-565-8577 Ext. 3 Provider Services Help Desk

PCP Application

There are two ways to become an Illinois Health Connect PCP:

  1. Print, fill out, and send in the application and agreement form (private/group practices click here and FQHCs/RHCs/ERCs click here) by mail to Automated Health Systems, 1375 East Woodfield Road, Suite 600, Schaumburg, IL 60173 or fax to 847-995-0827.
  2. If you have an HFS provider ID number, and you are a private or group practice, you may submit your PCP application online. We apologize, but FQHCs/RHCs/ERCs cannot submit applications online at this time.

    To apply online, you will need your HFS provider number and your provider type. For most physicians not affiliated with a Federally Qualified Health Center (FQHC) or Rural Health Center, the HFS number is the same as your IL license number. If you are affiliated with an FQHC or RHC, please check with your clinic administrator to determine your HFS number.

If you require assistance, please contact our Illinois Health Connect Provider Services Help Desk at 1-877-912-1999 (TTY: 1-866-565-8577), Hours: Monday – Friday 8:00a.m. to 7:00p.m. The call is free.