Request an Information Change



Print

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.

 

Requesting a legal name change?

 

To request multiples changes* of eleven or more billing NPI numbers (Type 2) or rendering providers NPI (Type 1), send a request to ILProviderRosterRequests@bcbsil.com to obtain a current copy of your roster to initiate your multiple change request.

 

*Multiple changes can be and are not limited to: Demographic changes, add providers to group and removal of providers from groups.

 

BCBSIL will review and send all affiliated providers and service locations listed under your Tax ID number to the email address provided. It is extremely important that you verify the accuracy of the data we have on file and provide exact service locations and affiliated providers to be added to the BCBSIL files.

 

How long will it take for changes to take effect?
Changes are not immediate upon request submission. Processing can take a minimum of 30 business days. We thank you for your patience!




  • Click this link to request changes to practice information currently on file with BCBSIL (such as Provider/Group Name, Address, Email, 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.
  • To request multiples changes* of eleven or more billing NPI numbers (Type 2) or rendering providers NPI (Type 1), send a request to ILProviderRosterRequests@bcbsil.com to obtain a current copy of your roster to initiate your multiple change request.

*Multiple changes can be and are not limited to: Demographic changes, add providers to group and removal of providers from groups.

Request Demographic Information Changes


  • Click on this link to notify BCBSIL when an additional provider joins your practice or adding additional office locations.
  • To request multiples changes* of eleven or more billing NPI numbers (Type 2) or rendering providers NPI (Type 1), send a request to ILProviderRosterRequests@bcbsil.com to obtain a current copy of your roster to initiate your multiple change request.

*Multiple changes can be and are not limited to: Demographic changes, add providers to group and removal of providers from groups.

Request Addition of Provider to Group


  • Click on this link to notify BCBSIL that an individual provider is leaving any or all of your practice locations.
  • To request multiples changes* of eleven or more billing NPI numbers (Type 2) or rendering providers NPI (Type 1), send a request to ILProviderRosterRequests@bcbsil.com to obtain a current copy of your roster to initiate your multiple change request.

*Multiple changes can be and are not limited to: Demographic changes, add providers to group and removal of providers from groups.

Request Removal of Provider from Group