Tips to Help You Navigate Our New Provider Onboarding Form

Posted December 11, 2018 [Updated January 24, 2019]

Note: The email address has been corrected.

Blue Cross and Blue Shield of Illinois (BCBSIL) welcomes you to apply to join our provider networks. We want to help make the application process as efficient and quick as possible. Our new Provider Onboarding Form is designed to help streamline the application process and possibly expedite the response time.

Here are some tips to help you when you are using the online form:

  1. Use Google ChromeTM.
  2. On the first step – Select Participation – be certain to have all information listed in the blue box on the left of the screen available before getting started. The other fields, on the right side of the screen, should be the contact information of the person completing the form on behalf of the provider (office manager, biller, etc.).
  3. Know your billing (Type 2 organizational) National Provider Identifier (NPI) as listed in the NPI Registry.
  4. If you are a New Group or an Existing Group adding additional providers on step two – Enter Your Information – pay special attention to the “Provider Roster Instructions” box on the right side of the screen. Be sure to download and complete only the roster provided by BCBSIL.
  5. You must submit the roster as an Excel file. If the appropriate roster is not used your information will be rejected. You must complete all the data elements on the roster. See the Standardized Template Grid (second tab of roster Excel sheet) as an example.

For more information, see Tips to Help You Navigate Our Provider Onboarding Form. Questions? Email