Join Our Provider Network

Use our printable Enrollment and Credentialing (PDF) guide or follow these steps. 

Before you begin, make sure you have all the necessary documents. Use our checklists to ensure you have everything you need:

• Professional Enrollment Required Document Checklist (PDF)
• Facility Enrollment Required Document Checklist (PDF)

Then, visit the Enroll in Our Network page to access the enrollment application and signature documents. Follow the prompts to find the forms and documents for your provider type. 

Download the application form and any required documents and complete them electronically. Your application must include:

• The application form 
• All required documents from the document checklist
• Signature documents

Fax to 1-866-900-0250.

Please note that failure to sign and date the documents or include all required documents may result in denial or delays in processing your request.

Blue Cross may take 30 days or more to process your application. Once a decision is made, you’ll receive a letter letting you know that you're successfully enrolled or why your application is denied.

Most of our networks require credentialing. This process ensures providers meet the state requirements for health care.

Professional providers

Complete the CAQH Provider Data Portal application. Make sure your information is current, accurate, and includes all supporting documentation, such as your license, malpractice insurance, and work history. 

Also, be sure to authorize Blue Cross to pull your application so we can perform primary source verification.

Organizational providers

The enrollment application also serves as your credentialing application. A site visit may be required as part of the credentialing process.

Once credentialing is complete, you'll receive a decision letter. Maintenance of credentialing is required every three years. Learn more about rights during the credentialing process (PDF). 

You may need to sign additional contracts to participate with Blue Care Network or BCN Advantage^SM. If required, they'll be sent via DocuSign to the authorized signer for the provider. 

Once the contracts are signed and returned, you’ll receive a letter advising of your BCN or BCN Advantage effective dates.

Make sure you're "Active" before providing services

Throughout the enrollment and credentialing process, you'll receive letters from Blue Cross that include your network status. You can only be reimbursed for patients in networks where you're listed as "Active" in the Network status column.

Ongoing attestation is required

After enrollment and credentialing, you must review and attest to your information every 90 days, even if nothing has changed.

• Practitioners can complete this process through caqh.org or by calling 1-888-599-1771. In addition to the 90-day attestation, some data requires attestation once every 120 days.
• Organizational providers can attest through the provider portal. Call 1-800-281-4548 for assistance.

Additional information on attestation requirements can be found at Provider Data Attestations and Reminder: Attest to Provider Data as Required.

When billing, use the correct taxonomy code

Be sure to use the correct provider taxonomy code to avoid payment delays. 

Questions about enrollment or credentialing

For questions about enrollment or credentialing, call 1-800-822-2761. Please allow 30 days for processing prior to requesting a status.

Dental providers should refer to the Blue Dental^SM Provider Summary Guide (PDF)  or Provider frequently asked questions (PDF) documents. 

Group administrators can add and remove practitioners from their group using the Provider Enrollment and Change Self-Service Tool.