Aug. 20, 2024
When seeking health care services, our members often rely upon the information in our online Provider Finder®. Prospective patients can use this tool to confirm if your practice is a contracted in-network provider for their 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 on a monthly basis.
Verify your information (name, specialty, address, phone and website URL) for our provider directory every 90 days. This is required by federal law.
- Update your data when it changes, including when you join or leave a network.
- If you leave a network, update your information immediately and according to your contract terms.
See below for reminders and instructions on how to update your data. Updating your data will count as your 90-day verification.
How to make demographic changes: Professional, facility and ancillary providers can use the Availity® Essentials Provider Data Management feature to request changes to personal provider information, service location, payment address, business website URL, hours of operation and languages spoken. See our PDM page for more details.
Changes you can make using the Demographic Change Form include updates to your contact information, provider hospital privileges and provider roster information. You may specify more than one change within your request as long as all changes relate to the same billing (Type 2) National Provider Identifier. Participating providers’ NPIs should already be on file with BCBSIL. If needed, you can request deactivation of an existing NPI.
To enable us to meet the two-day directory update requirement defined by the federal Consolidated Appropriations Act of 2021, we won’t accept demographic changes by email, phone or fax. Any demographic updates requested through these channels will be rejected and closed.
For more information, refer to our Verify and Update Your Information page.
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 credentialing requirements, changes aren’t immediate upon submission of this form. The provider being added to the group won’t be considered in-network until they’re appointed into the network.
Legal name change for existing contract: If you’re an existing provider that needs to report a legal name change, complete a new contract application to initiate the update process. For status of your professional contract application, use the Case Status Checker.
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. Verification reminder: Medical groups who update their provider information by roster can verify all their providers’ information every 90 days by submitting a roster. When you submit a roster, all providers affiliated with this group and not listed with an update are verified as correct with no changes.
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.