iExchange® Password Reset Form

This form should be completed by the assigned office administrator. Providers (physicians, other professional providers and facility providers) should complete this form only if the assigned office administrator is unavailable.

*All Fields Are Required
* Provider/ Office / Group Name:  
* Tax ID Number:  
*Billing National Provider Identifier (NPI):  
* Assigned Administrator’s First and Last Name:
* Assigned Administrator’s Phone Number: / /  
* Assigned Administrator’s Email Address:  
* Numeric iExchange ID:

Note: The iExchange Help Desk will email the assigned administrator the User ID, iExchange ID and temporary password. Please allow five business days for processing.

Updated May 2018

iExchange is a trademark of Medecision, Inc., a separate company that provides collaborative health care management solutions for payers and providers. Blue Cross and Blue Shield of Illinois makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Medecision. If you have any questions about the products or services