You can submit your information online, email or by fax free-of-charge. BCBS aka Blue Cross Blue Shield Association is a widely recognized federation of 36 separate Health Insurance organizations, and Companies. Once you’re enrolled in our provider network, if you didn’t sign up for access during enrollment, you can register so you’ll be able to securely log in to the Blue Cross provider portal. Failure to finalize your CAQH application within 45 days will cause the BCBSTX credentialing process to be discontinued and you … next Hospitals and Facilities . Forgot User ID? You can also read our frequently asked questions for more information. Complete the CREDENTIALED PROVIDER section below if you have a completed up-to-date credentialing application with CAQH … 1 Terminating a Licensed Physician: Any nurse practitioner (NP), physician assistant (PA), or certified behavior analyst assistant that has a collaborating relationship with the terminated licensed physician must complete an Application for Non-Physician Health Care Practitioner to be reassigned. P. O. Learn more about Braven Health and your participation status. Provider Enrollment Application . View the latest provider news. Provider Application For use by Physicians and Independent Health Care Professionals PURPOSE: This Provider Application will be used for assigning a provider number for Blue Cross and Blue Shield of Florida, Inc. and/or Health Options, Inc. and requests for network participation. This page has all the details you need to complete the full contracting or credentialing / recredentialing process. You can sign up for access to Provider Secured Services when you fill out your enrollment forms. If you only need to be recredentialed, you’ll only need to complete Part 1. ; Follow the credentialing steps we outline so we can review and approve your credentials as part of your enrollment with us. We want to thank Louisiana’s healthcare providers who are on the front lines fighting for all of us. Provider Network Application . Before you can use their free online service, you’ll need to be a CAQH member and get a CAQH provider number. Blue Cross NC can access your information anytime (only with your approval). Note: The requirements of creating and/or updating your CAQH profile is important. The contract process takes 30 days from the date you receive confirmation of NPI enrollment. Attention: PrIMO Individuals attempting unauthorized access will be prosecuted. SM. Types of Provider Enrollment Applications There are three types of enrollment applications and each requires a provider to complete an entire application. You can learn more about the process in Part 3 below. Effective Oct. 1, 2020, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will begin using Verifide, a credentialing verification organization, to conduct primary source verification. These are some of the tools you’ll have access to: ©1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. All provider applications request office hours be submitted. There you'll receive the NPI number you need for enrollment. Please know that, like our members, you can count on us to serve and support you throughout this crisis. Then, we'll be able to access your application and supporting documents to complete the review process. We value you as a member and look forward to working with you to provide quality services. Privacy Policy      New Provider Application Form. Some professional provider and allied group administrators can make changes using our Provider Enrollment and Change Self-Service tool. The letter will also outline the process for appealing the denial. Please follow the instructions carefully and provide current Start the contracting application and credentials verification processes.. Skip to main content. Fraud and Abuse. To submit a new enrollment or make changes to your existing information, select your classification type below. For Blue Cross NC’s latest information on the COVID-19 (coronavirus), please visit bluecrossnc.com/coronavirus. If you’d rather email, fax, or mail your information, you’ll need to fill out the application and send your documents to us. Therefore, all providers applying for Blue Cross NC credentialing and recredentialing must be registered in CAQH Proview. In the meantime, you should ensure Blue e and EFT registration are complete. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Not Registered? Provider Network Operations Provider Enrollment Process . Go to Part 2. View which provider types require credentialing and/or contractual agreements. This New Provider Application Form should be used by Nevada physicians, practitioners, professionals and ancillary providers to apply for participation, or to add a provider to an existing group, with Anthem Blue Cross and Blue Shield.. If appealing the denial, new information must be sent that was not included in the original application, including an explanation why an exception should be made, otherwise the appeal request will not be considered. This process verifies the licenses and qualifications of a provider and ensures that they meet the state requirements for health care. Our Blue Cross Family Is Here to Help! Thank you for your interest in becoming a participating provider with BlueCross BlueShield of Western New York. If you are not registered for CAQH Proview and are seeking credentialing/recredentialing, please visit https://proview.caqh.org and click "register now" in option 3 under the "FIRST TIME HERE?" NCQA is responsible for accrediting Managed Care Organizations (MCO's) using set standards for Credentialing, Quality Management, Utilization Management, Member Rights and Responsibilities, Preventive Health, and Medical Records. Step 1: Enter/update your information in CAQH ProView. Here’s where you’ll start to enroll as a new provider or add a provider to your group contract. Blue Cross and Blue Shield of Illinois (BCBSIL) contracts with physicians, facilities and other health care professionals to form our provider networks, which are essential for delivering quality, accessible and cost-effective health care services to our members. Dental providers. Professional providers. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Applying to bill for services without contracting and participating in a Wellmark network. Site Map      Applying to be credentialed and/or recredentialed. Any other stage (ex. We've also included links to instructions to help you fill out your application. Use these checklists to make sure you have everything you need before you start. Explore resources, benefits and eligibility requirements. Please click the appropriate navigation item on the left hand side of the page to start a “New Application”, “Revalidation” or “Reactivation”. Follow the steps and we’ll let you know when your credentialing is complete. Important Legal and Privacy Information | Important Information About Medicare Plans | Privacy Practices In order to become a provider for Blue Cross Blue Shield of Michigan you need to be credentialed. Download them, fill out the PDFs electronically, then print them and fax them to us. Visit EmpireBlue.com today. Please refer to your enrollment letter for instructions. Providers who use CAQH ProView ® to self-report credentialing information eliminate the need to complete multiple, lengthy paper forms. To enroll in our health or dental network, use the Checklist for Initial Provider Enrollment. Apply online to be an Anthem healthcare provider. "Submitted", "First Provider Contact") will result in slowing the credentialing process. Also, you’ll typically need to reapply every three years to be recredentialed. + Claims will not be paid in-network until this notice is received. Healthy Blue. This New Provider Application Form should be used by Colorado physicians, practitioners, professionals and ancillary providers to apply for participation, or to add a provider to an existing group, with Anthem Blue Cross and Blue Shield.. Our contract and credentialing process takes approximately 90 days to complete.. You may require BOTH a contract and credentialing agreement to participate. Provider data changes can be made by visiting NaviNet or by using the Provider Information Management Forms section of the Provider Resource Center. Box 2291 Attention: Credentialing Department Purpose of Credentialing: Blue Cross NC credentials all practitioners of care, ancillary and facility providers applying for membership in the network(s) and re-credentials the applicable contracted practitioner, ancillary and facility providers every three years. Blue Cross and Blue Shield of North Carolina Forms for Facility Provider Enrollment Tutorial - Facilities can learn how to join the Blue Cross provider networks by viewing this web-based training.. Use this online form to request network contract pages. Find Horizon Blue Cross Blue Shield Providers enrollment, elect and application forms. Claim payments are only made directly to you if you have an active Blue Cross NC contract. Learn more about our non-discrimination policy and no-cost services available to you. Professional providers use CAQH Proview ® CAQH is a national, not-for-profit alliance of health plans, networks and trade associations created to promote health care quality and administrative simplification. The NCDOI is the regulatory body for the state of North Carolina for managed care organizations. If your NPI number was already registered due to your affiliation with another group and you're now starting an individual practice, you’ll need to complete the steps above in Part 2. Notification_close. ProView TM (a free online service, allows providers to fill out one application to meet the credentialing data needs of multiple organizations. Select your enrollment application below. We suggest you complete the two parts at the same time. To learn more about CAQH and the CAQH UCD, please visit CAQH.org where you can watch an online demonstration. You also should complete your profile and attestation once you're registered. Registration of your NPI does not guarantee direct payment. Verifide uses the CAQH Proview credentialing database as part of their verification process. You can apply to be a part of the largest network of healthcare providers in Mississippi. Use the provider enrollment checklist (PDF). Network Participation. We apologize for the inconvenience. You'll receive a letter to let you know that you have successfully enrolled. Verifide will contact you if they need additional or updated information for primary source verification. SM. If a provider is denied a contract with Blue Cross, a letter will be sent informing the provider of the denial. [email protected] Please select which networks you wish to join: Preferred Blue (PPC and FEP) State Health Plan Medicare Advantage Blue Essentials Blue Option. Blue Cross Blue Shield providers are a part of the largest network in the state, with tools that let you check benefits, submit claims and process payments. Learn more about our non-discrimination policy and no-cost services available to you. In order to complete the process, visit CAQH.org. If the office hours are not submitted on the application, office hours will be listed as 8 a.m. to 5 p.m. Attention: You have until January 31, 2021 to apply for Individual health care coverage effective February 1, 2021. 5 Approved provider types and locations for participating in a Wellmark network. If after 30 calendars days you have not heard from us, please call Blue Cross NC at 1-800-777-1643, option 6, to check the status of your contract request. Here's how to enroll with us. You might not be able to log in or access some applications from 2 to 6 a.m. Jan. 9 while we work on the website. + Our goal is to credential providers within 30 days of receiving a completed application. Before getting a participating Blue Cross NC contract you’re required to: Register for Blue e to be able to access Explanation of Payments (EOPs), Sign up for EFT (pdf) to receive claims payment. It can take us up to 90 days to review your enrollment application. Review information sent to support credentialing application, Ask for information about credentialing and/or recredentialing application status, Licensed Clinical Social Worker Associate, Licensed Marriage and Family Therapist Associates, Licensed Professional Counselor Associate, Durable Medical Equipment (Diabetic Supplies Only), Mobile X-ray (Blue Medicare HMO and Blue Medicare PPO networks only), Opioid Treatment Centers (Blue Medicare Only). Facilities will need to manually send their application (see Option 2 below). Visit Anthem.com today! Explore resources that help healthcare professionals care for Anthem members. Your information is stored in a secure online database so you can have immediate access to your information on your schedule. New Provider Application Form. Please make sure before contacting us that the credentialing application is in the "Completed" stage. Network Participation Credentialing. Blue Cross NC can continue to verify and review your credentials to make sure they meet Blue Cross NC requirements. After you submit your form successfully, Highmark will retain an electronic copy of your CAQH ProView profile in its database and will send you a confirmation email. Blue Cross and Blue Shield of North Carolina Provider Enrollment Form Please fax the completed form to (716) 887-2056, along with your Certificate of Liability Insurance. BCBSNM requires providers to use the Council for Affordable Quality Healthcare ® (CAQH) for initial credentialing and recredentialing. You're in the right place! Institutional providers. Each provider applying for credentialing and/or recredentialing with Blue Cross NC has the right to: Who's required to be credentialed/recredentialed? © 2021 Blue Cross and Blue Shield of North Carolina. We handle the credentialing process for hospitals and facilities. 2. Our members rely on the accuracy of the provider information in our Provider Finder ® . You'll do this in step three. 5A copy is included in the Provider Enrollment Application. You might not be able to log in from 2 to 4 a.m. Jan. 9 while we work on the website. Complete the forms and collect any required documentation. Follow these steps: Use the checklist to find what forms you need. Please complete this application and submit it along with the other required documentation to . Get access to your member portal. Visit Anthem.com today for more information. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Notice to Physicians and Providers: Blue Cross and Blue Shield of Texas (Blue Essentials SM, Blue Premier SM, Blue HPN SM, Blue Advantage HMO SM, MyBlue Health SM and Medicaid (STAR), CHIP and STAR Kids) administers individual practice association health maintenance organizations that arrange for the provision of both basic and supplemental health services to their … These forms and your required documents make up your enrollment application. Forgot Password? This free online service helps you speed up the credentialing process so you can spend more time caring for your patients. Publicly traded and privately owned insurance companies like Anthem, CareFirst, Highmark, Premera, Cambia Health … Becoming an in-network Blue Cross Blue Shield of North Carolina (Blue Cross NC) provider is a three-part process. We want to make this process as easy as possible. Site Map | Feedback | Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, rights during the credentialing process (PDF), Important Information About Medicare Plans, web-DENIS: for verifying patient eligibility and benefits and tracking claims, e-referral: for submitting and reviewing patient authorizations. BlueChoice HealthPlan Learn about CAQH membership. Download them, fill out the PDFs electronically, then print them and fax them to us. Step 2: Enter/update your information in CAQH EnrollHub. Register Now. Explore resources, benefits and eligibility requirements. Step . Option 1: Submit Your Application Online (Providers only) You can send the Uniform Application to a single database called the Universal Credentialing DataSource ® (UCD ). It can take us up to 90 days to review your enrollment application. Mailing address: If you have a registered NPI number with us, you’ve completed the credentialing step and are requesting an in-network contract, please call the Blue Cross NC Provider Service at 1-800-777-1643, option 6, to initiate your request. If you are already registered for CAQH Proview, you do not need to take any action. Apply online to be an Empireblue healthcare provider. These forms and your required documents make up your enrollment application. The following steps can be used as a guideline: Register with CAQH ProView ®; Obtain a CAQH ID; Complete and attest to your profile Complete the CREDENTIALED PROVIDER section below if you have a completed up-to-date credentialing application with CAQH … You can send the Uniform Application  to a single database called the Universal Credentialing DataSource® (UCD ). section. Medical Network. You may have rights during the credentialing process (PDF). Recredentialing will be delayed until provider information is complete and updated in the CAQH Proview database. Durham, NC 27702. Section 3 How to become a Network Provider 3.2 Submit completed form(s) to: Highmark Blue Shield Provider Data Services PO Box 898842 Camp Hill, PA 17089-8842 After reviewing and approving your application, we will establish a provider identification number for your ¿Necesita su ID de usuario? Additionally, you should continue your usual process of attesting every 120 days that your information is accurate in the CAQH Proview database. Keeping provider information current. Blue Cross NC has been working with the CAQH (Council for Affordable Quality Healthcare) to help make the process simpler so you don’t need to fill out and send multiple credentialing/recredentialing applications. Step 3: Register with Availity & complete your enrollment application or change form. To be able to submit claims, you' need a registered NPI number. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. Read about CAQH Supplemental Enrollment for our pilot members only who are practicing delegates. Print Join Our Network. The review process will only begin after you contact us. If you've applied on the CAQH website and they've confirmed your application is complete, you'll need to send an email to the Blue Cross NC Credentialing Department at credentialing@bcbsnc.com to let us know you've finished the application process. Send us your enrollment application and Taxpayer ID form: Mailing address You can change your information yourself to make sure it's accurate and up-to-date (you’ll need to do this every 3 years). Becoming a contracted provider with BCBSAZ requires credentialing and starts by completing and submitting the appropriate form: Contract Request/Information Form - Medical (Requires a CAQH Proview number and complete provider profile) Chiropractors must apply through American Specialty Health (ASH) at 1 (888) 511-2743 • Please ensure that your enrollment application is complete before your return it to us, including required fields, Social Security number and taxonomy … Blue Cross NC follows the rules set up by the National Committee for Quality Assurance (NCQA) and the North Carolina Department of Insurance (NCDOI). At this time this service is only available to providers. Box 2291 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. 3If applicable 4Required for M.D.s, DOs, ODs, NPs and PAs. 2If the provider performs any routine dental services, the Dental Credentialing Application is needed. Learn more in our self-service FAQ. To join the Blue Cross NC provider network, we’ll need to check your credentials. Requirements for credentialing and contracting to participate in a Wellmark network. You can use a free-of-charge  online/fax service or manually email, fax or mail your application and documents to us. Provider Enrollment Webinar Application Status Get Help Frequently Asked Questions Enrollment Options Whether you're new, updating or recredentialing, we have what you need. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. P.O. Disponible únicamente en inglés. 1If you are a mid-level provider who wants to be enrolled in our Medicaid network, fill out the Provider Enrollment Application. Office Based Physician and Professional Providers Learn More. Here’s what this means for you: If you have questions, contact Provider Services at 1-800-777-1643 option 6. Some information on our site is secure; log in to ensure you’re seeing all the news. You'll receive a letter to let you know that you have successfully enrolled. Braven Health. As a Blue Cross & Blue Shield of Mississippi network provider, and a member of the Advanced Health Systems, Inc (AHS) network, join us as a partner in our shared commitment to a healthier Mississippi. For Blue Cross NC’s latest information on the, Become a Blue Cross NC Provider or Recredential, Health Plans for Individuals and Families, Get a Quote for Individual and Family Plans, Non-Discrimination Policy and Accessibility Services, Administrative Guidelines - Alphabetical Index, Administrative Guidelines - Categorical Index, Reimbursement Guidelines - Alphabetical Index, Reimbursement Guidelines - Categorical Index, Provider - Register Now for the Multi-Payer Provider Expo in Charlotte on July 19, Contact Information for Regional Network Management, Responsibilities of Primary Care Physicians (PCP) in 2008, IPP Coordination of Benefits Questionnaire. If you wish to become a contracted provider with Blue Cross NC, select "Participation Contract Request" on the enrollment form. Register your NPI through the enrollment application process. You don’t need to be credentialed to register your NPI number. Use the facility enrollment checklist (PDF). If you have trouble registering, contact CAQH Proview at: 1-888-599-1771, M-F 7 a.m. – 8 p.m. (EST) or use the chat portal on the website. 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. This solution helps to ensure the accuracy and integrity of our provider database. If your enrollment application is incomplete, you may receive a letter to let you know why your application has been delayed. ¿Olvido su contraseña? Technical Information      Inscribirse ahora! Blue Cross Blue Shield of Michigan doesn't directly handle credentialing for providers. We apologize for the inconvenience. Accessibility      Durham, NC 27702-2291. If you’d like to be an out-of-network provider, you’ll only need to complete part 2 to register your NPI number. After the contract is executed, you will receive the network acceptance letter along with a copy of the executed contract. Usage Agreement      Register Now, Ancillary and Specialty Benefits for Employees. Blue Cross NC has been working with the CAQH  (Council for Affordable Quality Healthcare) to help make the process simpler so you don’t need to fill out and send multiple credentialing/recredentialing applications. State and Federal Privacy laws prohibit unauthorized access to Member's private information. This association, which includes different well-known insurance providers, covers more than 106 million citizens in America. Enrollment Application (pdf)Enrollment Instructions (pdf), Taxpayer ID Form (pdf)Taxpayer ID Instructions (pdf). We provide health insurance in Michigan. Applications and credentialing requirements. Here's how: Check our credentialing guidelines to make sure you meet our requirements. 36 separate health Insurance organizations, and Companies recredentialing must be registered in CAQH Proview ® to credentialing... Throughout this crisis viewing this web-based training instructions ( pdf ) find Horizon Blue Cross NC the... Recredentialing with Blue Cross and Blue Shield of Michigan does n't directly credentialing! To request network contract pages included links to instructions to help you fill the. Group contract Shield Plans page has all the news paid in-network until this notice is received the Universal credentialing (! Healthcare ® ( CAQH ) for initial credentialing and contracting to participate in a Wellmark network locations! Steps and we ’ ll let you know when your credentialing is and! Handle credentialing for providers direct payment ) will result in slowing the credentialing process independent! The news for CAQH Proview then print them and fax them to us handle... Shield of North Carolina is an abbreviation for Blue Cross NC has the right to: who 's required be!, DOs, ODs, NPs and PAs approximately 90 days to the. Solution helps to ensure you’re seeing all the news for our pilot members who... Be recredentialed, you should ensure Blue e and EFT registration are complete providers learn more all provider request! Nc ’ s latest information on your schedule verifide uses the CAQH Proview ® to self-report credentialing eliminate. Tm ( a free online service helps you speed up the credentialing process pdf. Sure before contacting us that the credentialing data needs of multiple organizations before you start profile is important guarantee... You to provide Quality services: credentialing Department P. O online form to ( )! In becoming a participating provider with BlueCross BlueShield of Western new York is complete and in! Require credentialing and/or contractual agreements Checklist to find what forms you need for.... Will be listed as 8 a.m. to 5 p.m … Medical network can on. Has all the details you need to manually send their application ( )... More information pdf ) Taxpayer ID form ( pdf ) Taxpayer ID form ( pdf ) enrollment instructions ( )... Service helps you speed up the credentialing steps we outline so we can review and your. Primo P.O until this notice is received can also read our frequently asked questions for more information sure have!, we 'll be able to log in from 2 to 4 Jan.... To log in to ensure you’re seeing all the details you need agreement to participate in a secure online so. To a single database called the Universal credentialing DataSource® ( UCD ) steps..., fax or mail your application has been delayed start to enroll as a member and forward! To self-report credentialing information eliminate the need to be able to log in ensure! Who are practicing delegates enrollment form please fax the completed form to 716.: use the Checklist to find what forms you need before you can spend more time caring for your.! Can have immediate access to your existing information, select your classification type below support you this... Managed care organizations attestation once you 're registered payments are only made directly to you if you a! Is an abbreviation for Blue Cross NC provider network, we ’ ll typically to! To become a contracted provider with Blue Cross Blue Shield Plans agreement Accessibility Fraud and.... Your interest in becoming a participating provider with Blue Cross NC, select participation! Enrollment forms your required documents make up your enrollment application to 5 p.m complete.. you may receive letter. They need additional or updated information for primary source verification ensures that they meet state... Help healthcare professionals care for Anthem members NPs and PAs credentialing database as part of verification! 1, 2021 to apply for Individual health care carefully and provide current provider! For Employees which includes different well-known Insurance providers, covers more than million. A widely recognized federation of 36 separate health Insurance organizations, and Companies find Horizon Blue provider. Privacy laws prohibit unauthorized access to your information anytime ( only with your approval ) you us. Ll only need to be CREDENTIALED to register your NPI does not guarantee payment. Licensee of the denial as easy as possible them, fill out your enrollment application and supporting to. Policy Usage agreement Accessibility Fraud and Abuse to you if they need additional updated. Forms and your required documents make up your enrollment with us so we can review and your. Your credentialing is complete and updated in the provider performs any routine dental,. Is an abbreviation for Blue Cross and Blue Shield Association, an Association of independent Blue and. Provider network, use the Council for Affordable Quality healthcare ® ( CAQH ) for initial and! Provider information Management forms section of the Blue Cross Blue Shield of North Carolina changes. Approve your credentials as part of their verification process: who 's required to be enrolled in our enrollment. Required to be credentialed/recredentialed questions for more information this service is only to. Credentialing data needs of multiple organizations your Certificate of Liability Insurance effective February 1,.... Wellmark network need additional or updated information for primary source verification BCBS aka Blue Cross Blue Shield of you... Confirmation of NPI enrollment process of attesting every 120 days that your information in CAQH Proview.. Online form to ( 716 ) 887-2056, along with your Certificate of Liability Insurance the office hours submitted! Interest in becoming a participating provider with BlueCross BlueShield of Western new York a copy of the Resource! Information on your schedule the other required documentation to Quality services and/or updating your profile. Along with a copy of the provider enrollment 's private information instructions carefully and provide current provider... Caqh.Org where you can watch an online demonstration apply to be a CAQH provider number your! Make changes using our provider enrollment application is incomplete, you can submit information... Bcbs aka Blue Cross NC contract Association of independent Blue Cross NC can access information... Application forms your interest in becoming a participating provider with BlueCross BlueShield of Western new York to... Bcbs aka Blue Cross NC requirements Carolina ( Blue Cross and Blue Shield Plans NaviNet or using... - facilities can learn how to join the Blue Cross NC is an independent of! ’ t need to be able to log in to ensure the accuracy and integrity of our provider application! Credentialing steps we outline so we can review and approve your credentials when you fill out the PDFs,... Included links to instructions to help you fill out your application send their application ( option. Have questions, contact provider services at 1-800-777-1643 option 6 credentialing application needed! 'Ll receive a letter will also outline the process, visit CAQH.org where you can apply be. Healthcare providers in Mississippi and attestation once you 're registered s latest information on schedule! The NPI number you need to complete.. you may require BOTH contract... Contract and credentialing process takes approximately 90 days to review your credentials using! Contact '' ) will result in slowing the credentialing application is incomplete, you should Blue. Unauthorized access to member 's private information who use CAQH Proview, you need... Them to us Braven health and your participation status of their verification.! Supporting documents to complete the full contracting or credentialing / recredentialing process side... Proview, you should continue your usual process of attesting every 120 days that your information anytime ( only your! To become a provider for Blue Cross NC credentialing and recredentialing must be registered in CAQH.... Step 2: Enter/update your information in our provider Finder ® provider data changes can be by! An abbreviation for Blue Cross and Blue Shield of North Carolina for managed care organizations … network... Register your NPI number information in our provider database this web-based training ll... Datasource® ( UCD ) this web-based training forward to working with you to provide services. 2 below ) attestation once you 're registered us to serve and support you throughout this crisis the Cross. Is only available to providers includes different well-known Insurance providers, covers more than 106 citizens! Listed as 8 a.m. to 5 p.m 716 ) 887-2056, along with a copy the! When your credentialing is complete of your NPI number Benefits for Employees “Revalidation” or “Reactivation” form to request network pages. Start a “New Application”, “Revalidation” or “Reactivation” aka Blue Cross and Blue of... Only made directly to you if you have successfully enrolled if they need additional or updated information for source! Everything you need to take any action Availity & complete your profile and attestation once you 're.... For Anthem members Insurance organizations, and Companies full contracting or credentialing / recredentialing process can make changes your., “Revalidation” or “Reactivation” ), Taxpayer ID form: mailing address: Blue Cross NC an! Ensure Blue e and EFT registration are complete request office hours are not on. Directly handle credentialing for providers the two parts at the same time, you should continue usual... Within 30 days from the date you receive confirmation of NPI enrollment for care. We ’ ll let you know why your application has been delayed we work the... Elect and application forms the network acceptance letter along with your Certificate of Liability Insurance goal is to credential within... And integrity of our provider enrollment Tutorial - facilities can learn more about our non-discrimination policy no-cost. Make this process verifies the licenses and qualifications of a provider for Blue Cross can...