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When seeking health care services, our members often rely upon the information in our online Provider Finder®. This is just one of the reasons why it’s very important that you inform BCBSIL whenever any of your practice information changes.
If you are a participating provider with BCBSIL, you may request most changes online by using one of the electronic change request forms below. If you are not yet a participating provider and wish to contract with BCBSIL, complete the online application request.
What changes cannot be requested online?
Request Demographic Information Changes
- Click this link to request changes to practice information currently on file with BCBSIL (such as Provider/Group Name, Address, E-mail, NPI, etc.).
- You may specify more than one change within your request as long as all changes relate to the same billing (Type 2) NPI.
- Note: As a participating provider, your NPI(s) should already be on file with BCBSIL. You may use this online form to request changes, such as deactivation of an existing NPI.
Request Demographic Information Changes
Request Addition of Provider to Group
- Click on this link to notify BCBSIL when an additional provider joins your practice or adding additional office locations.
Request Addition of Provider to Group
Request Removal of Provider from Group
- Click on this link to notify BCBSIL that an individual provider is leaving any or all of your practice locations.
Request Removal of Provider from Group
How long will it take for changes to take effect?
Changes are not immediate upon submission of an online form. Processing can take a minimum of 30 business days. We thank you for your patience!
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