IL| Company Bulletin 2025-23, issued by the Illinois Department of Insurance, announces that Illinois health insurance issuers must implement and accept a new Uniform Electronic Provider Directory Information Form (“Uniform Directory Template”) for onboarding, current, and terminating providers, with mandatory use by all providers beginning July 1, 2026 to update NATA-regulated provider directories. Issuers may deploy the template as an Excel file, PDF, or web portal form, but for NATA-governed directories may not require providers to supply information beyond what the template prescribes, though portals may separately collect additional non-NATA or non-directory information if clearly segregated and not a condition of accepting the template.
The bulletin reiterates that provider directories must be verified at least every 90 days, that providers must respond to verification requests and notify issuers of directory changes within 10 business days (or within 20 business days after deciding to stop accepting new patients when that limitation will last 40 business days or more), and clarifies that providers need not refill every template field for each verification if they can attest that existing data remain accurate except for any updated fields submitted on the template.