August 2022
Has your information changed? Let us know!
When seeking health care services, our members often rely upon the information in our online Provider Finder®. Prospective patients can use this online tool to confirm if 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 as it appears in our Provider Finder on a monthly basis.
- Verify your information (name, specialty, address, phone and website URL) for our provider directory every 90 days. This is required by federal law.
- Update your data when it changes, including when you join or leave a network.
- If you leave a network, update your information immediately and according to your contract terms.
Online options are available for most changes you may need to request. See below for some reminders on the different types of changes and how to request them.
Demographic Changes
We recommend professional providers use the Availity® Essentials Provider Data Management feature to request changes to existing demographic information, such as service location, payment address, business website URL, hours of operation and languages spoken.
- If you’re unable to use Availity, you may submit a Demographic Change Form.
- You may specify more than one change within your request as long as all changes relate to the same billing (Type 2) National Provider Identifier (NPI). As a participating provider, your NPI(s) should already be on file with BCBSIL. If needed, you can request deactivation of an existing NPI.
- Facilities may use only the Demographic Change Form to verify and update data.
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 aren’t immediate upon submission of this form. The provider being added to the group won’t be considered in-network until they’re 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’re an existing provider that 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’re 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.
*For status of your professional contract application, application, use the Case Status Checker.
If you have any questions, contact your assigned Provider Network Consultant.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors and the products and services they offer.