Site Visits

BCBSIL requires an on-site office visit at least every three years for primary care physicians (PCPs), including OB/Gynes and pediatricians, 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 three 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.

Site Visit Reports

HMO Site Visit Comparison 2013-2015

HMO Behavioral Health Site Visit Comparison 2013-2015

HMO Site Visit Summary:

Annual HMO Medical Site Visits

Annual HMO Behavioral Health Site Visits

HMO Quality Site Visit Standards

HMO Quality Site Standards - Full Version 

HMO Utilization Management Plan