The BCBSIL Provider Manual explains credentialing standards, CAQH ProView registration, and recredentialing cycles for network participation.
The manual describes BCBSIL’s credentialing process, which reviews the professional qualifications of physicians and other providers to ensure they meet state, NCQA, and CMS standards. It outlines the types of providers that must be credentialed and the timelines for initial credentialing and recredentialing.
Providers must register with CAQH ProView, obtain a CAQH Provider ID, and complete an online application that authorizes BCBSIL to access their data. The document details the steps for completing the application, the required supporting documents, and the schedule for credentialing cycles, including initial credentialing, recredentialing every three years, and the specific time frames for data collection and notification.
Providers must self‑register at https://proview.caqh.org and receive a CAQH Provider ID.
Providers are recredentialed every three years.
The process is normally completed within 60 days after the submission of all required data.