Blue Cross Blue Shield

How to Get Credentialed with Blue Cross and Blue Shield of Illinois in Illinois

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Illinois-Specific Requirements

Blue Cross and Blue Shield of Illinois (HCSC subsidiary — Health Care Service Corporation). Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days from complete application. Requires active Illinois medical license from the Illinois Department of Financial and Professional Regulation. DEA registration and Illinois Controlled Substance License required. Board certification required for specialists. HCSC is a mutual legal reserve company and the largest customer-owned health insurer in the United States. BCBS IL is one of the largest BCBS plans by membership. Delegated credentialing available through larger group practices and health systems. Re-credentialing every 3 years.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Illinois.

2

Complete Your CAQH ProView Profile

Blue Cross and Blue Shield of Illinois requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Blue Cross and Blue Shield of Illinois.

4

Track & Follow Up

Credentialing typically takes 60-120 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum; gaps > 6 months must be explained

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

3 peer references required

Enrollment Forms

CAQH ProView

Universal credentialing application used by most commercial and BCBS payers.

Required
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