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Credentialing Check List
Forms

Credentialing/ Recredentialing Documents
Document Name
File Size
BCBSIL Credentialing Physician Application Cover Document 25 KB
BCBSIL Attestation for Provider Credentialing 13 KB
BCBSIL Verification of Hospital Privileges 111 KB
State of Illinois Health Care Professional
Credentialing and Business Data Gathering Form
 
State of Illinois Health Care Professional Recredentialing and Business Data Gathering Form  
Health Care Professional Update Data Gathering Form  
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