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Site Visits

BCBSIL requires an on-site office visit for primary care physicians (PCPs) as part of the credentialing process prior to participation in the HMO or point of service (POS) products. High-volume behavioral health specialists are reviewed for the HMO product for the purposes of credentialing. For the POS product, the on-site office visit is only required at the time of initial credentialing. An on-site visit is not required for practitioners participating with the PPO product. BCBSIL may perform an on-site visit more frequently than every 2 years for quality improvement purposes. The BCBSIL 2005 site-visit standards used for the audit are available for you to print.

 
HMO UM Site Visit Standard Audit Tool
 
Form Name
File Size
  UM Site Visit Standard Audit Tool - 2007
36 KB
     
Site Visit Reports
 
Form Name
File Size
  HMO Site Visit Comparison 2003-2006
29 KB
HMO Behavioral Health Site Visit Comparison 2003-2006
12 KB
  2006 HMO Site Visit Summary
9 KB
  POS Site Visit Comparison 2002-2005
30 KB
  2006 Site Visit Summary POS
9 KB
   
HMO and POS Quality Site Visit Standards
 
Form Name
File Size
  HMO and POS Quality Site Standards - Full Version
80 KB
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