To become a provider for Blue Cross Blue Shield of Michigan, you need to be credentialed. This process verifies the licenses and qualifications of a provider and ensures that they meet the state requirements for health care. You may have rights during the credentialing process (PDF)
Blue Cross Blue Shield of Michigan doesn't directly handle credentialing for providers. In order to complete the process, visit CAQH.org. There you'll receive the NPI number you need for enrollment.
We handle the credentialing process for hospitals and facilities. You'll do this in step three. Follow the steps and we’ll let you know when your credentialing is complete.
During the credentialing or recredentialing process, you can ask questions about the status of your application, ask to review information submitted to support your application and correct anything in error by calling us at 1-800-822-2761.
Now that you have everything on your checklist, you'll answer a series of questions to put together the forms you'll need to enroll. These forms and your required documents make up your enrollment application. Download them, fill out the PDFs electronically, then print them and fax them to us.
It can take us up to 90 days to review your enrollment application. You'll receive a letter to let you know that you have successfully enrolled. If your enrollment application is incomplete, you may receive a letter to let you know why your application has been delayed.
Some professional provider and allied group administrators can make changes using our Provider Enrollment and Change Self-Service tool. Learn more in our self-service FAQ.
Read about CAQH Supplemental Enrollment for our pilot members only who are practicing delegates.