How to Credential with BCBS IL as a Mental Health Provider
By George Ruan • November 16, 2025
Credentialing with Blue Cross Blue Shield of Illinois (BCBSIL) is one of the most important steps for any mental health provider starting or expanding a private practice in Illinois. Whether you’re an LCSW, LCPC, LMFT, or psychologist joining the BCBSIL provider network can significantly grow your caseload and allow you to accept one of the most commonly used insurance plans in the state.
This article explains exactly how to get credentialed with BCBSIL, what prerequisites you need, how long BCBS of Illinois credentialing takes, and the most common errors that delay therapist applications. If you're searching for:
How do I get credentialed with BCBSIL?
How to join Blue Cross Blue Shield of Illinois as a provider
BCBSIL credentialing for therapists
Illinois mental health provider paneling
this guide is built for you.
Why BCBS of Illinois Credentialing Matters for Therapists
BCBSIL is the largest commercial payer in Illinois, and most private-practice mental health providers eventually credential with them because:
They have strong mental health reimbursement, including ~$150 for a 90837 psychotherapy session
Many Illinois employers only offer BCBS plans
Being in-network increases referrals and improves client acquisition
For most Illinois therapists, joining the BCBSIL network is one of the best long-term decisions for practice growth.
Prerequisites (Before You Apply)
Before you can credential with Blue Cross Blue Shield of Illinois, you must complete a few steps. If you're not sure how to handle these, our partner Prima Practice can help:
1. Business Entity Setup (PLLC / PC / LLC)
Most Illinois therapists operate as a PLLC or PC, depending on license type. This entity name should match:
W-9
NPI Type 2
CAQH
BCBSIL roster
2. EIN (Employer Identification Number)
You should acquire an EIN for your W-9 and for billing. BCBSIL will not process group and it is highly recommended for solo practice credentialing to keep your practice private.
3. NPI Numbers (NPPES)
You must have both:
NPI Type 1: individual provider
NPI Type 2: your practice entity (required for billing for LLCs)
4. Malpractice Insurance
Your policy must be active in CAQH with correct dates and coverage. It is recommended to have coverage that does not expire for more than 60 days.
5. CAQH Profile (Updated and Authorized)
Even if most providers already use CAQH, BCBSIL requires:
Active documents (license, malpractice, education, CV)
BCBSIL authorization enabled (many providers miss this box)
These items must be correct before you begin the BCBSIL application.
How to Apply
1. Go to the BCBSIL Provider Onboarding Form
Search for BCBSIL Provider Onboarding Form or navigate through the Join BCBSIL Network page.
This is where you submit:
Provider information
Group/clinic information (if applicable)
Office address
Telehealth status
ADA accessibility
Hours of operation
W-9 + roster attachments
Pro tip: BCBSIL is extremely sensitive to formatting. Suite numbers, spacing, punctuation, and abbreviations should match across CAQH, your NPI registry, and your W-9. Otherwise delays occur.
2. Complete Practice, Telehealth, and Location Details
BCBSIL requires therapists to list:
Primary practice address
Appointment phone number
Telehealth modalities (audio only, audio/video)
Whether you accept new patients
ADA accessibility details
Languages offered
Inconsistencies across your application, W-9, and CAQH can lead to stalled reviews.
3. Upload Your Roster and W-9
The BCBSIL roster is one of the most error-prone steps because it contains dozens of fields. Download the roster excel sheet from the application and fill it out. Fields include:
Provider demographics
Tax ID
NPI numbers
Taxonomy
Practice address
Telehealth services
Office hours
Referral requirements
4. Submit the Application
After submission, BCBSIL will email a contract after ~1-2 weeks.
Important: Signing this contract does not mean you are credentialed, it simply begins the verification process.
5. Monitor Your BCBSIL Credentialing Status
You can check your application status through:
BCBSIL will generally notify you if something is wrong, but it is a best practice to follow up every week or so to ensure your application is processed in a timely fashion
BCBSIL Credentialing Timeline
Typical review: 30–60 days
More realistic timeline: 60–90 days
Delays commonly occur due to:
CAQH mismatches
Incorrect roster fields
Malpractice policy date inconsistencies
NPI or taxonomy errors
Address formatting discrepancies
Most issues are minor but can extend credentialing to 3+ months.
BCBSIL Reimbursement for Mental Health Providers
While rates can vary slightly by contract and region:
90837 psychotherapy typically reimburses around $150
Telehealth is reimbursed at parity
90834 and other CPT codes scale proportionally
This is one of the reasons credentialing with BCBSIL is considered highly valuable for Illinois therapists.
Can You Credential Yourself?
Yes! The BCBS of Illinois credentialing process is absolutely doable without help. If you’re detail-oriented and patient, you can complete the entire process alone.
If not, many clinicians simply prefer to have their credentialing handled for them, especially because some services (like ours at Bomi Health) charge only $50 to submit everything accurately and monitor for issues.
A small fee often saves 1-3 months of delay.
