Blue Cross Blue Shield of Illinois - Request Contract Application

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Credentialing/ Contracting
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Contracting • Request a Contract Application • Update Demographic Information
Credentialing • Credentialing Process • Getting Started with CAQH • Credentialing Updates • Recredentialing • Appointment/ Reappointment

Request Contract Application

To apply for the Blue Cross and Blue Shield of Illinois products and to request an application choose your product below.

PPO

BlueChoice Select

HMO

Note: You must provide services in Illinois or Lake County Indiana in order to apply.

Credentialing Requirements

All providers applying for participation in the BlueChoice Select network must complete a credentialing process prior to acceptance. For more information on how to register and complete the online credentialing application, click here.