Activating your UPD Registration
BlueChoice Select and HMO network providers must have a CAQH Provider ID to register and begin the credentialing process.

First time users
If you are not registered with CAQH and are a first-time user:

1. When you apply for network participation, BCBSIL will add your name to its roster with CAQH.
2. CAQH will mail you a Welcome kit with registration instructions, along with your personal CAQH Provider ID, allowing you to obtain immediate access to the UPD database via the Internet.
3. When you receive your CAQH Provider ID, go to the CAQH website to register.
4. After successfully authenticating key information, you will be able to create your own user name and unique password to begin using the system.

Once registration is completed, you may use your user name and password to log in at any time.

Existing users

1. If you have already registered your CAQH Provider ID and completed your UPD online application, ensure that you have authorized BCBSIL to access your credentialing information. This can be completed in four easy steps, as noted below. (If you have chosen "global authorization", then BCBSIL will already have access to your data).
2. To authorize BCBSIL to access your data:
   • Go to www.caqh.org/cred and enter your username and password
   • Click the Authorize tab (located under the CAQH logo)
   • Scroll down and check the box beside BCBSIL, or you may select "global authorization".
   • Click Save to submit your changes.

Completing the Application Process
The UPD standardized application is a single, standard online form that meets the needs of all participating health care organizations. When completing the application, you will indicate which participating health plans and health care organizations you authorize to access your application data. All provider data you submit through UPD service is maintained by CAQH in a secure, state-of-the-art data center.

Required Documents Checklist

Checklist of documents that may be required to complete the online application:

• Previously completed credentialing application (for reference)
• List of previous and current practice locations
• Various identification numbers (UPIN, NPI, Medicare, Medicaid,etc)
• State medical license(s)
• Curriculum Vitae
• Drug Enforcement Administration (DEA) Certificate
• Controlled and Dangerous Substances (CDS) Certificate
• IRS Form W-9(s)
• Malpractice insurance face sheet
• Summary of any pending or settled malpractice cases

When you are ready to begin entering your data, log in to UPD with your user name and password.

After completing the online application, you will also be asked to:

Authorize access to your information
Check the organizations that you authorize to share your information or provide a global authorization.

Verify your data entry/Attest 
Review the summary of your data for accuracy and completeness, make any necessary changes.

Submit supporting documents 
Fax the documents required to complete your application to CAQH at (866) 293-0414. Supporting documents include:

• State medical license(s)
• Drug Enforcement Administration (DEA) Certificate
• Controlled and Dangerous Substances (DPS) Certificate
• Malpractice insurance face sheet
• Summary of any pending or settled malpractice case(s) - if within the past 10 years
• Curriculum Vitae
• Signed Attestation (page 18 of online application – print and sign)

If you have any questions on accessing the UPD database, you may contact the CAQH Help Desk at (888) 599-1771 for assistance.

NOTE: BCBSIL may contact you to supplement, clarify, or confirm certain responses on your application. Therefore, you may be required to submit additional documentation in some situations, in addition to the information you submit through the UPD database.

Visit the CAQH Website for more information about the UPD database and the application process. Or you can view the CAQH Provider Credentialing Application now.

HMO Medical Group/IPA Practitioners
If you are a practitioner affiliated with one of our HMO-contracted Medical Groups/IPAs, BCBSIL must receive the following documents after you complete the CAQH credentialing application.

• Signed HMO written service agreement with the Medical Group/IPA,
• HMO Credentialing Application Short Form

Your application will not be considered complete without these documents.