You may specify more than one change within your request when all changes relate to the same billing (Type 2) NPI.
Legal Name Change Request you must complete a new contract and application to initiate a name change. Complete the online application request form.
To request multiple changes of one or more billing NPI numbers (Type 2), or rendering providers NPI (Type 1), send a request to firstname.lastname@example.org. 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.
Changes are not immediate upon submission of this form.
Processing may take up to 30 business days.
Note: the Provider Finder® may take up to an additional 30 days to reflect the change.