Credentialing is the process by which BCBSIL reviews and validates the professional qualifications of physicians and certain other providers who apply for participation in the BCBSIL HMO and BlueChoice Select networks, ensuring they meet our professional standards.
New Credentialing Process
CAQH* will collect the data required for our credentialing and recredentialing process.
CAQH uses a Universal Provider Datasource (UPD)® form to electronically collect the data. The UPD online credentialing application process supports our administrative simplification and paper reduction efforts. This solution also supports quality initiatives and helps to ensure the accuracy and integrity of our provider database. Providers may utilize the UPD database at no cost.
Network Eligible Providers
The following provider types must complete the credentialing process, and be recredentialed every three years:
- Professional Provider Types: MD, DO, DDS, DC, CNM, DPM, PhD, LCSW, LCPC and LMFT
- Institutional Providers: Hospitals and Ancillary
View a listing of the specialists for each network.
Learn more about the Credentialing Process
| Additional Resources |
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| CAQH Contact Information Help Desk |
(888) 599-1771 |
| Online Application System URL |
https://upd.caqh.org/oas/ |
| Help Desk E-mail Address |
caqh.updhelp@acsgs.com |
| Help Desk Hours |
6 a.m. - 8 p.m., CT, Monday through Thursday,
6 a.m. - 6 p.m., CT, Friday |
| Fax Supporting Documentation to: |
(866) 293-0414 |
Frequently Asked Questions
CAQH Provider and Practice Administrator Quick Reference Guide
*The Council for Affordable Quality Healthcare, Inc. (CAQH) is a not-for-profit collaborative alliance of the nation’s leading health plans and networks. The mission of CAQH is to improve health care access and quality for patients and reduce administrative requirements for physicians and other health care providers and their office staffs.
CAQH is solely responsible for its products and services, including the Universal Provider Datasource.
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