The process for recredentialing is identical to that for credentialing, and is consistent with NCQA and State of Illinois requirements. If your credentialing application is not available to BCBSIL because you have not completed the UPD credentialing process, you will be added to our roster and CAQH will send you a Welcome Kit that includes your CAQH Provider ID so that you can complete the UPD credentialing process. This will help you continue to conform to the requirements of your network contract.

Note: If you need more information go to Getting Started with CAQH.

CAQH requires you to review and attest to your data once every six months. At the time you are scheduled for recredentialing, BCBSIL will send your name to CAQH to determine if you have already completed the UPD credentialing process. If so, we will be able to obtain current information from the UPD database and complete the recredentialing process without having to contact you.

The State of Illinois recredentialing cycle requires health care entities to obtain data on physicians according to an established single cycle, which is on an anniversary basis and is performed only once within a three-year period. The state selected the last digit of the physician's social security number to create the single cycle. The cycle for 2006 through 2011 is below.