Blue Review
A newsletter for contracting institutional and professional providers

July 2020

Has your information changed? Let us know!

When seeking health care services, our members often rely upon the information in our online Provider Finder®. In particular, potential patients may use this online tool to confirm if you or your practice is a contracted in-network provider for their health care benefit plan. Other providers may use the Provider Finder when referring their patients to your practice.

We encourage you to check your information in our Provider Finder. Is your online information accurate? If changes are needed, please let us know as soon as possible.

Types of Information Updates

  • Demographic Changes
    Use the Demographic Change form to change existing demographic information, such as address, email, National Provider Identifier (NPI)/Tax ID or to remove a provider. You may specify more than one change within your request as long as all changes relate to the same billing (Type 2) NPI. As a participating provider, your NPI(s) should already be on file with BCBSIL. You may use this online form to request changes, such as deactivation of an existing NPI.
  • Request Addition of Provider to Group
    If you need to add a provider to your current contracted group, complete the Provider Onboarding Form. Due to the credentialing requirements, changes are not immediate upon submission of this form. The provider being added to the group will not be considered in network until they are appointed into the network.

Other Information Changes
The following types of changes are more complex and require special handling:

  • Legal Name Change for Existing Contract
    If you are an existing provider who needs to report a legal name change, complete a new contract application to initiate the update process.
  • Medical Group Change for Multiple Providers
    If you are a group (Billing NPI Type 2) and have more than five changes, please email  our Illinois Provider Roster Requests team for a current copy of your roster to initiate your multiple-change request.

Changes are not immediate upon request submission.

For status of your professional contract application, or if you have questions or need to make changes to an existing contract, email our Network Operations Provider Update team.