October 2022

New Tool To Verify Credentialing Information

We’re using a new tool to streamline credentialing and verify your data. It’s called VeriFide™ from the Council for Affordable Quality Healthcare^® (CAQH).

Streamlined process: As part of the credentialing process, we work with VeriFide to verify data after you enter it into CAQH ProView™. ProView is the free online service we require providers to use for credentialing and recredentialing. Learn more on our Credentialing webpage.

What this means for you: CAQH VeriFide may contact you on behalf of Blue Cross and Blue Shield of Illinois (BCBSIL) and request that you:

Re-attest to your data’s accuracy; or
Complete your credentialing application by entering or attaching missing information in CAQH ProView.

Please respond as soon as possible to help complete the credentialing process. You’ll receive written notification of your status when the credentialing process is completed.

Reminder: Verify Separately for the Provider Directory
Entering and attesting to data in CAQH ProView for the credentialing process doesn’t verify the information that’s needed for the federal Consolidated Appropriations Act (CAA). You must verify your provider directory information separately to meet CAA requirements.

The CAA requires that certain directory information be verified every 90 days, even if your data hasn’t changed since you last verified it.
We recommend that professional providers use the Availity^® Essentials Provider Data Management feature to quickly verify their directory information with us and other insurers every 90 days. Facilities must use the Demographic Change Form to verify their data.
Learn more on our Verify and Update Your Information page.

The Council for Affordable Quality Healthcare, Inc. (CAQH) is a not-for-profit collaborative alliance of the nation's leading health plans and networks. The mission of CAQH is to improve health care access and quality for patients and reduce administrative requirements for physicians and other health care providers and their office staffs. CAQH is solely responsible for its products and services, including ProView and VeriFide.

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 third party vendors and the products and services they offer.