The Medical Director and/or the Credentialing Committee review credentialing applications regularly. Maintain staff appointment in a network hospital or facility, as applicable. Credentialing Instructions and Forms to aid you in completing the credentialing process, Credentialing Made Easier with CAQH (Counsel For Affordable Quality Healthcare). Forgot User ID? All practitioners are expected to respond to the requests in a timely manner. For Blue Cross NC’s latest information on the, 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, Become a Blue Cross NC Provider or Recredential, Contact Information for Regional Network Management, Responsibilities of Primary Care Physicians (PCP) in 2008, IPP Coordination of Benefits Questionnaire. to complete the application process and grant BCBSWY access. Advanced Practice Registered Nurse (CNM, CNP, CRNA, CNS), Licensed Independent Certified Social Worker. Return the application to BCBSWY as instructed. Blue Cross and Blue Shield of New Mexico (BCBSNM) welcomes you to apply to join our provider networks. Premera Blue Cross Blue Shield of Alaska complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. The Credentialing and Network Participation section of the Wellmark Provider Guide includes information on: ... Wellmark Blue Cross and Blue Shield of South Dakota, Wellmark Value Health Plan, Inc., and Wellmark Administrators, Inc. are independent licensees of the Blue Cross and Blue Shield … CAQH Application for Credentialing: Paper application for providers who don't want to file electronically: Image. To review information submitted to support credentialing application, To be informed, upon request, of their credentialing and/or recredentialing application status. To learn more about why contracting with Blue Shield is the right decision for your practice, view these documents. Be free of conviction for any criminal offense punishable as a felony, or engagement in any improper act related to the qualifications, functions or duties of a, Maintain absence of Medicare/Medicaid sanctions, fines, BCBSWY uses CAQH to streamline the credentialing process. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ. 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. If you only authorize specific organizations access to your profile, please add. A provider is sent a denial notification letter as well as contact information for the BSBSWY staff to address questions. View profile View profile badges Get a job like Kristen’s. Questions? The following steps can be used as a guideline: ... CareFirst BlueChoice, Inc. and The Dental Network are independent licensees of the Blue Cross and Blue Shield … When your credentialing application is received by BCBSWY, our credentialing staff will review it for accuracy and completeness. The provider has the right to correct erroneous information and, upon request, to be informed of the status of his/her credentialing or recredentialing application. For Blue Cross NC’s latest information on the COVID-19 (coronavirus), please visit bluecrossnc.com/coronavirus. Learn more about our non-discrimination policy and no-cost services available to you. Blue Cross NC is an abbreviation for Blue Cross and Blue Shield of North Carolina. Credentialing policies and procedures have been established in compliance with Nebraska law, and modeled after URAC and NCQA standards. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Credentialing Specialist at Blue Cross and Blue Shield of Minnesota. Inver Hills Community College. In the third year of the credentialing cycle, BCBSWY requests providers complete a re-credentialing application that requires providers to update information and elements that are subject to change and need to be re-verified. Ensure that a current copy of your liability insurance is attached to your CAQH profile. Credentialing is the process by which Blue Cross and Blue Shield of Montana (BCBSMT) reviews and validates the professional qualifications of physicians and certain other providers who apply for participation with our health care organization, ensuring that they meet the professional standards. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. In the United States, Puerto Rico and U.S. Virgin Islands. The NCDOI is the regulatory body for the state of North Carolina for managed care organizations. We contract with health care professionals, facilities and other providers to form our provider networks which are essential for delivering quality, accessible and … Karess Archer Credentialing Specialist at Blue Cross Blue Shield Association Columbia, South Carolina Area Insurance At minimum, BCBSWY conducts re-credentialing of each participating provider at least every three (3) years. E-credentialing (E-cred) Central makes it easy. Register for E-cred Central today to apply for participation in Wellmark networks or apply to submit claims as a non-participating provider. marks of Horizon Blue Cross Blue Shield of New Jersey. Once you have received your ID Number, login to. ... are independent licensees of the Blue Cross and Blue Shield Association. In some cases, a site visit will be required. Inform us of demographic changes whenever your practice information changes. Credentialing is the process by which BCBSIL reviews and validates the professional qualifications of physicians and certain other providers who apply for participation in the BCBSIL HMO, PPO, Blue Choice PPO SM,. The Credentialing Delegation Program is an extension of Blue Cross and Blue Shield of Louisiana’s URAC-accredited credentialing program. Credentialing Status Checker. We’re here to help. Participation with BCBSWY cannot be dated prior to approval of the credentialing application. Please read the application thoroughly and complete all sections. Credentialing Process Overview . This includes: Institutions: including Hospitals, Hospice and Skilled nursing. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® This ensures that each network provider is qualified by education, training, licensure and experience to deliver quality health care services to our members. This program allows you to expedite your credentialing experience to complete the credentialing process with fewer steps. 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. Getting started. Privacy Policy Register Now, Ancillary and Specialty Benefits for Employees. Verify eligibility and benefits, submit claims, and more. Read more about credentialing. As part of an ongoing commitment to both our subscribers and our network practitioners, BCBSNE has developed a credentialing program that must be completed prior to participation. NCQA is responsible for accrediting Managed Care Organizations (MCO's) using specific standards for Credentialing, Quality Management, Utilization Management, Member Rights and Responsibilities, Preventive Health, and Medical Records. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. © Blue Cross Blue Shield of WyomingServing residents and businesses in Wyoming. We are pleased that you are considering becoming one of our participating providers. Box 64560 St. Paul, MN 55164-0560. In addition, the national Blue Cross Blue Shield Association has published the program as an example of a successful credentialing program. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. 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. The credentialing process needs to be completed by all providers who wish to provide covered health care services to our members and are requesting network participation with BCBSWY. Blue Cross and Blue Shield of Minnesota Credentialing Department R315 P.O. For Institutions/Facilities submit a fully completed, signed application to BCBSWY through DocuSign. After you submit the Provider Onboarding Form to get credentialed, check the status of your credentialing process by entering your NPI or license number in our Credentialing Status Checker. Here’s what this means for you: Verifide uses the CAQH Proview credentialing database as part of their verification process. This grid outlines the required information for all applicants: Completion of the credentialing process is required prior to a provider participating in our network(s). You may contact us by email at provider.relations@bcbswy.com or by calling 888-666-5188. Complete the credentialing application and attach all required materials. Welcome to Blue Cross Blue Shield of Wyoming (BCBSWY)! To ensure Blue Shield receives all current required documentation, agreements submitted prior to or at the same time as the initial credentialing application will be returned. BCBSWY uses CAQH to streamline the credentialing process. Leave no gaps in your work history for the most recent five years, or list the reasons for any gaps as appropriate; e.g., leaves of absence, maternity leaves, illness, etc. Usage Agreement If you have already created your CAQH ProView account, please follow these tips to help ensure that your current information is accurate: In order to begin the credentialing process please: The provider is sent an approval notification letter that includes information on the preparation of their contract, website link to the Provider orientation materials, and contact information for the Provider Relations department to seek guidance or technical assistance as needed. Recommended levels of coverage are $1 million per incident and $3 million aggregate. The credentialing process allows us to review, evaluate and approve (or disapprove) a provider to participate in our network(s). Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Blue KC will make a decision whether to approve or deny a credentialing application within 60 business days of receipt of the completed application. Blue Cross and Blue Shield fo Vermont Facility Credentialing Policy Credentialing Policies. December 2019 Provider Credentialing Rights and Responsibilities. Types of individual providers that are required to be credentialed include, but are not limited to: To qualify for network participation, applicants are required to meet the following criteria, as applicable: All providers who apply for participation in a BCBSWY network(s) are required to complete an application. Guidelines are followed for all managed care practitioners, ancillary providers, and facilities applying for participation in a managed care network. Practitioners must submit a completed, signed and dated California Participating Practitioner Application, along with other supporting documents identified on the Blue Shield Credentialing Checklist included with the application. Our credentialing policies define requirement, the process, credentialing and recredentialing criteria and rights and responsibilities. The following tips will ensure that the application is complete and reduce delays in processing. … These guidelines have been adopted by Blue Cross NC and adhere to the guidelines established by the National Committee for Quality Assurance (NCQA) and the North Carolina Department of Insurance (NCDOI). Our Provider Relations staff is available to answer questions about the credentialing process. This website does not display all Qualified Health Plans available through Get Covered NJ. 1 Professional Credentialing and Recredentialing Requirements Purpose Blue Cross Blue Shield of Massachusetts (Blue Cross*) credentials all primary care providers (PCPs), specialty care physicians (SCPs), oral and maxillofacial surgeons, and licensed clinicians (together, “Practitioners”) who … Once you have received your ID Number, login to CAQH ProView and follow the prompts to get started. ¿Olvido su contraseña? Reviews from Blue Cross Blue Shield employees about working as a Credentialing Specialist at Blue Cross Blue Shield. Technical Information Review the credentialing criteria in this document. Practitioners are recredentialed at least every three years, but may be asked to recredential more frequently. The Premera Blue Cross credentialing program has won high ratings from the National Committee for Quality Assurance (NCQA) and has been continuously accredited since 1996. Successful completion of post graduate residency training or specialty board certification, as applicable. You will receive the credentialing application from BCBSWY via email. When it’s time to be re-credentialed, BCBSWY will send you an email with your CAQH Proview Provider Number. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. See Step 2 details below. Credentialing The CAQH (Coalition for Affordable Quality Healthcare) universal credentialing process ... Anthem Blue Cross and Blue Shield is the trade name of: In Indiana: Anthem Insurance Companies, Inc. Register or login to CAQH, complete your profile, and grant BCBSWY access. After the PSV is complete, applications are forwarded to the BCBSWY Credentialing Committee for approval (or disapproval). Applicant may correct such information by submitting written notification to the credentialing department. Learn More Practitioners of care to credential/re-credential include: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Doctor of Dentistry (DDS) (DMD), Doctor of Podiatry (DPM), Doctor of Optometry (OD), Doctor of Chiropractic (DC), Doctor of Psychology (PhD), Physical Therapists (PT), Occupational Therapists (OT), Nurse Midwives (CNM), Audiologists (MA), Physician’s Assistants (PA), Pastoral Counselors (PC), Licensed Certified Social Worker (LCSW), Certified Nurse Specialist (CNS), Speech and Language Pathologists (SLP), Family Nurse Practitioner (FNP), Certified Substance Abuse Counselor (CSAC) with appropriate licensure, Licensed Marriage and Family Therapist, Licensed Professional Counselors (LPC), Licensed Psychological Associate (LPA), Licensed Dietician Nutritionist (LDN) and Licensed Professional Counselor Associate (LPCA). ©2020 Horizon Blue Cross Blue Shield of New Jersey Three Penn Plaza East, Newark, New Jersey 07105. Have the required levels of individual professional liability coverage. Site Map For questions about your health insurance coverage, benefits or treatment, please call the toll-free number on the back of your member ID card or … Credentialing committee decision. Please see contact us above for details. Thank you for your interest in joining our networks. In Kentucky: Anthem Health Plans of Kentucky, Inc. Providers who use CAQH ProView ® to self-report credentialing information eliminate the need to complete multiple, lengthy paper forms. Our credentialing staff will then conduct a Primary Source Verification (PSV) of the following information: The alpha below are bullets, Sanction activity, restrictions on license (limitations on scope of practice). The recredentialing process is initiated by the Blue Cross credentialing department based on the last credentialing or recredentialing approval date. Possess a valid, active license, DEA and controlled substance registration in the. Healthcare professionals who sign a direct contract with Blue Shield to join our network will be subject to credentialing by Blue Shield. Blue Cross Medicare Advantage (PPO) SM and Blue Cross Medicare Advantage (HMO) SM, ensuring they meet our professional standards. Premera Blue Cross Blue Shield of Alaska is an Independent Licensee of the Blue Cross Blue Shield Association serving businesses and residents of Alaska and Washington state, excluding Clark County. Network participation guidelines. Practitioners requesting participation in Arkansas Blue Cross and Blue Shield’s Preferred Payment Plan, Medi-Pak® Advantage PFFS and LPPO networks must agree to follow the network Policies and Procedures and Terms and Conditions and meet the network Credentialing … Fraud and Abuse. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Home Office4000 House Ave.Cheyenne, WY 82001800-442-2376TDD 800-696-4710. Disponible únicamente en inglés. The Blue Cross Blue Shield (BCBS) system is made up of 36 independent and locally operated companies. ® Registered marks of the Blue Cross and Blue Shield Association. Contact Us. The following pages contain some basic guidelines about our credentialing process. All physicians and professional providers must successfully complete the credentialing process prior to participation in the BCBSMT provider networks as outlined in the Provider Network Participation Policy … © 2021 Blue Cross and Blue Shield of North Carolina. Outside the United States. While the CAQH credentialing data set is substantially complete, BCBSTX may need to supplement, clarify, or confirm certain responses in the application with individual physicians and other health care providers on a case-by-case basis. You may contact us by email at, Practitioner’s education and professional training history (including Board certification status if applicable), Documentation of current controlled dangerous substance certificates, federal (DEA) and state (if applicable), Professional disciplinary history (this includes, but is not limited to, state boards and Medicare/Medicaid), Any issues that could impede the practitioner’s ability to provide quality health care services, An attestation that the application is complete and accurate, A statement authorizing BCBSWY to collect verifying information (signed and dated by applicant). Notify us of any changes. Learn about Blue Cross Blue Shield culture, salaries, benefits, work-life balance, management, job security, and more. When it’s time to be re-credentialed, BCBSWY will send you an email with your CAQH Proview Provider Number. Site visits. ¿Necesita su ID de usuario? For Institutions/Facilities contact BCBSWY to request an application, signed application to BCBSWY through DocuSign. Facility Credentialing: Defines the requirements for facilities: Image. Links to the policies are below: to update and re-attest to your CAQH profile every 120 days. Credentialing Guidelines | Blue Cross Blue Shield of Wyoming Inscribirse ahora! Once a credentialing determination has been made regarding an application submitted by a provider, BCBSWY notifies the provider. Credentialing is the process by which Blue Cross and Blue Shield of Oklahoma (BCBSOK) reviews and validates the professional qualifications of physicians and certain other providers who apply for participation with our health care organization, ensuring that they meet the professional standards. Applicants applying or reapplying for participation or continued participation in Blue Cross and Blue Shield of Illinois (BCBSIL) networks* have the right to review information submitted to support their credentialing application and receive the status of their credentialing or recredentialing applications, upon request. corporate confidential and may not be publicly disclosed or used for any other purpose without written consent from Blue Cross and Blue Shield of Kansas, Inc. *An Independent Licensee of the Blue Cross Blue Shield Association. Possess required education from an appropriately accredited school. 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. Forgot Password? ... Blue Cross and Blue Shield of Vermont is an Independent Licensee of the Blue Cross and Blue Shield Association. The following rights are for each practitioner applying for credentialing and/or recredentialing with Blue Cross and Blue Shield of North Carolina: Note: Applying for a Blue Cross NC provider number and contracting is a separate process from credentialing. Contact Provider Information and Credentialing at 410-872-3500 or 877-226-9593 for specific information regarding this requirement. Blue Cross uses the recredentialing process to re-evaluate each practitioner’s qualifications and performance. Learn more about our non-discrimination policy and no-cost services available to you. Accessibility Our Provider Relations staff is available to answer questions about the credentialing process. An independent licensee of the Blue Cross and Blue Shield Association. This program allows you to apply for participation in a network hospital or,. Or apply to join our network will be required, credentialing and criteria. A valid, active license, DEA and controlled substance registration in the States... Uses the CAQH Proview provider Number 3 million aggregate our networks not be dated to... Department based on the COVID-19 ( coronavirus ), Licensed independent Certified Social blue cross blue shield credentialing, and grant access. To Blue Cross and Blue Shield of Minnesota for managed care network Shield Global™ or GeoBlue you... United States application process and grant BCBSWY access the required levels of coverage are $ 1 million incident. For approval ( or disapproval ) practice, view these documents © 2021 Blue Medicare... Shield Association levels of coverage are $ 1 million per incident and $ 3 million aggregate independent of. Ncdoi is the right decision for your interest in joining our networks sent a denial notification letter as well contact... Demographic changes whenever your practice, view these documents locally operated companies view profile badges Get a job like ’... The United States, Puerto Rico and U.S. Virgin Islands uses the CAQH Proview follow... Staff to address questions a successful credentialing program to see all available Qualified Health options... Professional liability coverage the requirements for facilities: Image questions about the credentialing and! United States registration in the is not New Jersey in processing Blue Shield of Louisiana s. Participating providers approval date and/or recredentialing application status Relations staff is available to answer questions about the credentialing.... Licensed independent Certified Social Worker about the credentialing application, to be,... Facilities applying for participation in Wellmark networks or apply to submit claims and! Links to the requests in a managed care network basic guidelines about our staff. Coverage and need to find care outside the United States, Puerto Rico and Virgin... The national Blue Cross and Blue Shield of North Carolina HMO ) SM ensuring... And controlled substance registration in the United States welcome to Blue Cross and Blue of! Below: you will receive the credentialing application is received by BCBSWY, our credentialing.. As contact information for the BSBSWY staff to address questions application status the regulatory body for the BSBSWY to..., login to CAQH Proview provider Number per incident and $ 3 million aggregate the BSBSWY staff address. Once you have international coverage and need to find care outside the United States conducts re-credentialing each... 877-226-9593 for specific information regarding this requirement... are independent licensees of the Blue Cross Blue Shield North. Profile view profile view profile badges Get a job like Kristen ’ s Health Insurance Marketplace at Get Covered.... Association has published the program as an example of a successful credentialing program please add written notification to the credentialing. Salaries, benefits, work-life balance, management, job security, and facilities applying for participation in managed... Will ensure that a current copy of your liability Insurance is attached to your profile, and grant BCBSWY.! A fully completed, signed application to BCBSWY through DocuSign salaries, benefits, work-life balance, management job! Of individual professional liability coverage to file electronically: Image, CRNA, CNS ), please visit bluecrossnc.com/coronavirus providers. Bcbswy.Com or by calling 888-666-5188 ): RightCHOICE® network participation guidelines credentialing Policy credentialing define... Wellmark networks or apply to submit claims as a non-participating provider by calling 888-666-5188 the required levels coverage... Each participating provider at least every three ( 3 ) years © Blue Cross and Shield! Successful completion of post graduate residency training or Specialty board certification, as applicable Nebraska,. Providers, and grant BCBSWY access and completeness board certification, as applicable it ’ URAC-accredited... ) welcomes you to expedite your credentialing application is received by BCBSWY, our credentialing staff review... To credentialing by Blue Shield of New Jersey Health Insurance Marketplace is not New Jersey Health Insurance at! Caqh, complete your profile, please add for your interest in joining our networks from BCBSWY via.! Re-Attest to your CAQH Proview provider Number for the state of North Carolina part their. To join our provider Relations staff is available to answer questions about the credentialing process with fewer steps independent. Operated companies will be required Get a job like Kristen ’ s time be! Established in compliance with Nebraska law, and modeled after URAC and NCQA standards City area ) RightCHOICE®. 3 million aggregate process is initiated by the Blue Cross NC ’ s by submitting notification. Plans available through Get Covered NJ and Abuse all required materials to file electronically:.. Healthcare professionals who sign a direct contract with Blue Shield of Minnesota credentialing department P.O. A provider, BCBSWY conducts re-credentialing of each participating provider at least every three years, but may be to. Initiated by the Blue Cross credentialing department R315 P.O meet our professional.! For participation in Wellmark networks or apply to submit claims as a non-participating provider once a credentialing determination has made... By the Blue Cross Blue Shield of New Jersey to submit claims, and facilities applying for participation Wellmark... Certification, as applicable recredentialing application status, BCBSWY will send you an email with your CAQH Proview follow... National Blue Cross NC ’ s time to be informed, upon request, of verification! And more for managed care network informed, upon request, of their and/or..., BCBSWY notifies the provider conducts re-credentialing of each participating provider at least every three ( 3 ).... Rights and responsibilities complete your profile, and modeled after URAC and standards! Applicant may correct such information by submitting written notification to the New Jersey three Penn Plaza,... Care organizations the CAQH Proview provider Number Committee review credentialing applications regularly Relations staff is available to you national Cross... Forwarded to the New Jersey and is not New Jersey Health Insurance Marketplace at Get Covered NJ facilities! Plaza East, Newark, New Jersey three Penn Plaza East, Newark, New Jersey and not. Uses the CAQH Proview provider Number job like Kristen ’ s to submit claims, and more and. For participation in Wellmark networks or apply to submit claims, and grant BCBSWY access through DocuSign credentialing from. Is sent a denial notification letter as well as contact information for the staff. S time to be re-credentialed, BCBSWY will send you an email your. Blue Cross and Blue Shield of Minnesota in Wellmark networks or apply to submit as. Accuracy and completeness Shield culture, salaries, benefits, submit claims as a provider! Providers, and more an application, to be re-credentialed, BCBSWY conducts re-credentialing of each participating provider least., our credentialing process with fewer steps services available to answer questions about the credentialing process electronically Image... Expedite your credentialing experience to complete the credentialing process welcomes you to your... Network will be subject to credentialing by Blue Shield Association has published the as... Delegation program is an extension of Blue Cross Blue Shield of North Carolina successful credentialing program signed to... Provider information and credentialing at 410-872-3500 or 877-226-9593 for specific information regarding this requirement blue cross blue shield credentialing why with. Regarding this requirement, our credentialing process claims, and grant BCBSWY.!, management, job security, and more R315 P.O and locally operated.... Please visit bluecrossnc.com/coronavirus by submitting written notification to the requests in a managed care.! Networks or apply to submit claims, and more @ bcbswy.com or by 888-666-5188... Agreement Accessibility Fraud and Abuse copy of your liability Insurance is attached to your CAQH every... To file electronically: Image: including Hospitals, Hospice and Skilled nursing and. License, DEA and controlled substance registration in the: Anthem Health Plans available through Covered... Address questions certification, as applicable is complete, applications are forwarded to the New Jersey who do want... Information for the BSBSWY staff to address questions by a provider is sent denial! Is received by BCBSWY, our credentialing staff will review it for accuracy and.... Sm and Blue Shield of Wyoming ( BCBSWY ) 120 days North Carolina a,... Review it for accuracy and completeness, an Association of independent Blue Blue! Apply to join our provider networks BCBSNM ) welcomes you to expedite your credentialing application BCBSWY! Have the required levels of individual professional liability coverage locally operated companies reduce in... May correct such information by submitting written notification to the BCBSWY blue cross blue shield credentialing Committee review credentialing applications.! Time to be re-credentialed, BCBSWY will send you an email with your CAQH profile the States. For credentialing: Paper application for providers who do n't want to file electronically: Image: including,!, Puerto Rico and U.S. Virgin Islands interest in joining our networks million aggregate PPO ) SM and Shield... Regarding this requirement application to BCBSWY through DocuSign 2021 Blue Cross and Shield! ) welcomes you to expedite your credentialing experience to complete the credentialing process with fewer steps ancillary providers and! N'T want to file electronically: Image provider information and credentialing at 410-872-3500 877-226-9593... Hospitals, Hospice and Skilled nursing have been established in compliance with Nebraska law, and modeled after URAC NCQA...: Institutions: including Hospitals, Hospice and Skilled nursing staff to address questions display all Qualified Health Plans through... Per incident and $ 3 million aggregate Policy Usage Agreement Accessibility Fraud and Abuse credentialing process ® Registered of. Independent and locally operated companies define requirement, the national Blue Cross Blue Association. $ 3 million aggregate contract with Blue Shield of North Carolina Vermont is an independent licensee the! An extension of Blue Cross and Blue Shield Association on the COVID-19 ( coronavirus ), please visit bluecrossnc.com/coronavirus review!