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Site Visits

BCBSIL requires an on-site office visit every two years for primary care physicians (PCPs), including OB/Gynes, for continued participation in the HMO product. High-volume behavioral health specialists are reviewed for the HMO product for the purposes of credentialing. An on-site visit is not required for practitioners participating with PPO products. BCBSIL may perform an on-site visit more frequently than every two years for quality improvement purposes and as a result of a complaint. The current BCBSIL site visit standards used for auditing are available for you to print.

 
HMO UM Site Visit Standard Audit Tool
 
Form Name
File Size
  UM Site Visit Standard Audit Tool - 2010
35 KB
     
Site Visit Reports
 
Form Name
File Size
  HMO Site Visit Comparison 2006-2009
29 KB
HMO Behavioral Health Site Visit Comparison 2006-2009
12 KB
  HMO Site Visit Summary:
2009 Annual HMO Medical Site Visits
2009 Annual HMO Behavioral Health Site Visits
9 KB
   
HMO Quality Site Visit Standards
 
Form Name
File Size
  HMO Quality Site Standards - Full Version
80 KB

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