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BCBS IllinoisCommercial · Administrative · General · ILMedium impact

Verify Your Directory Information Every 90 Days

Effective date
Not stated in the notice
Identified
Nov 7, 2026

Previous versions

Summary

Blue Cross Blue Shield of Illinois requires contracted providers' directory information to be verified at least every 90 days, even when nothing has changed, citing Illinois House Bill 5395 and the federal Consolidated Appropriations Act of 2021. Commercial provider groups should request or submit rosters every 90 days, facilities and ancillary providers should use the Demographic Change Form, and HMO medical groups and IPAs continue monthly roster submission.

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What to do

Action · 4 steps
01Billing team and practice administrators: Set a recurring 90-day directory verification task.
02Commercial provider groups should request the current roster or submit a complete roster through the payer's roster forms; facility, lab, and dental providers should submit the Demographic Change Form; HMO medical groups and IPAs should keep submitting the updated roster monthly.
03Update your practice's location, phone, specialty, new-patient appointment availability, and network participation details in the payer's directory, the CAQH Provider Data Portal, and the NPPES NPI Registry whenever they change, and make sure front desk and centralized office staff can relay the same information to members.
04Watch for the payer's roster-request notice if you are a commercial group, since the payer says it will contact groups it does not receive a roster from.

Original notice

Verify Your Directory Information Every 90 Days
bcbsil.com · Always check the source before changing claims.
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