BCBSIL requires an on-site office visit at least every three years for primary care physicians (PCPs), including OB/Gynes, for continued participation in the HMO product. High-volume behavioral health specialists are reviewed for the HMO product for the purposes of credentialing. An on-site visit is not required for practitioners participating with PPO products. BCBSIL may perform an on-site visit more frequently than every three years for quality improvement purposes and as a result of a complaint. The current BCBSIL site visit standards used for auditing are available for you to print.
HMO UM Site Visit Standard Audit Tool
Site Visit Reports
HMO Site Visit Summary:
HMO Quality Site Visit Standards