March 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. It’s important to verify and update your information on a regular basis. 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) 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 only use 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 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're 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'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, 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.