Site Visits

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

UM Site Visit Standard Audit Tool - 2013 

Site Visit Reports

HMO Site Visit Comparison 2009-2012

HMO Behavioral Health Site Visit Comparison 2009-2012

HMO Site Visit Summary:

Annual HMO Medical Site Visits

Annual HMO Behavioral Health Site Visits

HMO Quality Site Visit Standards

HMO Quality Site Standards - Full Version