January 26, 2022
In October 2021, we told you about the Consolidated Appropriations Act (CAA) requirement that certain provider directory information must be verified every 90 days. This requirement became effective Jan. 1, 2022.
What This Means for You
As of Jan. 1, 2022, you must:
- Verify your name, address, phone, specialty and website for our Provider Finder® every 90 days, and
- Update your information as soon as it changes, including if you come into, or go out of, a network.
Under the CAA, we’re required to remove providers whose data we’re unable to verify from our Provider Finder. If you leave a network, you should update your directory information immediately. If you’re incorrectly identified as an in-network provider, it may limit member cost-sharing to in-network levels.
How to Verify and Update Your Information
We recommend using the Availity® Provider Data Management feature to quickly verify and update your information with Blue Cross and Blue Shield of Illinois (BCBSIL) and other insurers every 90 days. If you’re unable to use Availity, you may submit a Demographic Change Form to verify and update your information with BCBSIL.
Note: Facilities may only use the Demographic Change Form to verify and update their data with BCBSIL. Rosters may be submitted by approved emails.
To enable BCBSIL to meet the two-day update requirement defined by CAA, we can’t accept demographic changes by email, phone or fax. Any demographic updates requested through these channels will be rejected and closed.
To apply to join our networks or add a provider to your current group, see the Join Our Network page.
Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSIL. BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors and the products and services they offer.