All physicians seeking participating in the HMO and Point of Service (POS) networks are required to complete the Credentialing process prior to participation. Credentialing is not a requirement for participation in the PPO network.

Network Eligible Providers

BCBSIL HMO/POS Targeted Specialties

Please complete and submit the following documents:

1. BCBSIL Credentialing Application Cover Document
2. SOI Health Care Professional Credentialing and Business Data Gathering Form or a completed Coalition for Affordable Quality Healthcare (CAQH) Application
3. BCBSIL Attestation signed & dated within 60 days of submission
4. Verification of Hospital Privileges
5. Other required documents

HMO Medical Groups / Practitioners

Along with the credentialing application, submit the HMO practitioner’s written service agreement with the Medical Group. No Applications will be processed without this document.

Health Care Professional Data Collection Act

Overview of the Health Care Professional Credentials Data Collection Act

Questions?

Contact the Credentialing Analyst assigned to your Medical Group or the Credentialing Department by email credentialinganalysts@bcbsil.com or phone 312-653-2775. When calling this number, please leave a message and your call will be returned within 24 hours.