invested in community health initiatives . Information current and approximate as of December 31, 2018. When credentialing is complete, we’ll notify you of your status. 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. Blue Cross and Blue Shield of Texas Attn: Provider Administration P.O. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Medical & Pharmacy Policies and Guidelines, Marketplace Health Plans (myBlue, BlueCare HMO, BlueOptions, BlueSelect), Risk Adjustment / Quality Revenue Program Management, Medicare Clinical Care Programs Referral Form (PDF), Florida Blue Care Management Referral Form (PDF), 835 Health Care Electronic Remittance Advice Request Form (PDF), Accredo Prescription Enrollment Form (PDF), Billing Authorization for Professional Associations, Clinical Care Programs Referral Form (PDF), CVS Caremark Hemophilia Enrollment Form (PDF), CVS Caremark Specialty Pharmacy Enrollment Form (PDF), Electronic Funds Transfer Registration Form (PDF), Express Scripts (ESI) Home Delivery Order Form, Healthy Addition Prenatal Program High-Risk Member Log (PDF), Hospital, Ancillary Facility and Supplier Business Application, Medicare Advantage Waiver of Liability Form for Non-Contracted Providers (PDF), Member Discharge from PCP Practice (HMO and BlueMedicare HMO only), National Provider Identifier (NPI) Notification Form, Non-Par Medicare Advantage Appeal form (PDF), Notice of Medicare Non Coverage Form (PDF), Notice of Medicare Non Coverage Form Instructions (PDF), Physician and Group Request to Participate Form, Preservice Fax Cover Sheet for Medical Records (PDF), Provider Reconsideration/Administrative Appeal Form (PDF), Skilled Nursing Facility Select Medication Program Order Form (PDF), Nondiscrimination and Accessibility notice. All rights reserved. The Blue Cross and Blue Shield Association licenses Blue Cross and Blue Shield of Nebraska to offer certain products and services under the Blue Cross® and Blue Shield® brand names within the state of Nebraska. We provide health insurance in Michigan. The Credentialing Delegation Program is an extension of Blue Cross and Blue Shield of Louisiana’s URAC-accredited credentialing program. Field Service P.O. Outside the United States. In order to complete the process, visit CAQH.org. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. You will receive the credentialing application from BCBSWY via email. Box 65067 Dallas, TX 75265-0267. Our credentialing requirements and guidelines. Site visits. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. 800-955-5692 Option # 5. next Hospitals and Facilities . Box 1798 Jacksonville, FL 32231 Customer Service. FEP Blue Focus We'd suggest starting in one of these areas: ... You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Working with The National Center for Accessible Media at WGBH (NCAM), we're striving for the highest level of accessibility for people with disabilities. The majority of our providers complete the credentialing process within 60 days or less. To join our networks, you will need to be affiliated with an Independent Practice Association (IPA) or medical group that is contracted with Blue Shield. Florida Blue. Box 64560 St. Paul, MN 55164-0560. ® Registered Marks of the Blue Cross and Blue Shield Association. See Step 2 details below. You may access the Nondiscrimination and Accessibility notice. 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 Standards. Blue Cross and Blue Shield of North Carolina (Blue Cross NC), working with the Council for Affordable Quality Healthcare (CAQH), is committed to streamlining the administrative process for physicians and other health care providers. The Council for Affordable Quality Healthcare (CAQH), an alliance of the nation’s leading health plans and networks working to simplify healthcare administration, announced today that Blue Cross and Blue Shield of Florida (BCBSF) will now use the CAQH Universal Credentialing DataSource® (UCD) service to streamline credentialing for its 36,000 participating providers. In addition, the national Blue Cross Blue Shield Association has published the program as an example of a successful credentialing program. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. ® Registered Marks are property of their respective owners. Register, login, manage your plan, renew. The Health of America. Any professional provider interested in participating in our network must complete and return a credentialing application kit. Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. The 36 independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. Language assistance available:Español, Kreyol Ayisien, Tiếng Việt, Português, 中文, français, Tagalog, русский, العربية, italiano, Deutsche , 한국어, Polskie, Gujarati, ไทย, 日本語, فارسی. Providers who use CAQH ProView ® to self-report credentialing information eliminate the need to complete multiple, lengthy paper forms. Precertification. However, where appropriate, the content may identify a particular company; … Getting started. The credentialing process requires a new Practitioner/Provider to submit an application. Download and complete the Minnesota Uniform Initial Credentialing Application (PDF).Fax to (651) 662-2905, or mail to:Blue Cross and Blue Shield of MinnesotaCredentialing Department R315P.O. All online. 107. 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 find your BCBS company. The Medical Director and/or the Credentialing Committee review credentialing applications regularly. M. members covered. © 2018 Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO. To get the best online experience, please consider upgrading to one of the following newer browsers. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. Related Content. 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 have applied for enrollment in our networks and … M. members covered. 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. Whether you have 50 or 50,000 employees, Blue Cross and Blue Shield companies can provide a comprehensive healthcare solution that's strategically aligned to meet your business goals and the needs of your employees. Enrollment in Florida Blue or Florida Blue HMO depends on contract renewal. Call Network Management and Credentialing Services at 1-800-316-BLUE (2583). Under all our plans, physicians and other providers applying for a contract … Outside the United States. Blue Cross has more than … Health Care Administrative Solutions, Inc. (HCAS) Learn more about Provider Central. 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. In the United States, Puerto Rico and U.S. Virgin Islands. Box 45190 Jacksonville, FL 32232-5190. www.floridablue.com. About credentialing. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. Blue Cross and Blue Shield of Minnesota uses a credentialing process to provide members with a selection of physicians and other health care professionals who have demonstrated backgrounds consistent with the delivery of high quality, cost-effective health care. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. 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. Care Coordination. The Blue Cross Blue Shield (BCBS) system is made up of 36 independent and locally operated companies. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Please read the application thoroughly and … We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. What You Need to Know about Credentialing. P.O. P.O. Box 2291 Durham, NC 27702 Fax Number: (919) 765-7016 Email: Credentialing@bcbsnc.com Credentialing Made Easier BCBSNC in partnership with the Council for Affordable Quality Healthcare (CAQH) is committed to streamlining the administrative Thank you for your interest in joining our networks. 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. Box 1798 Jacksonville, FL 32231-0014. It seems you're using a browser version we no longer support. GuideWell, formally GuideWell Mutual Holding Corporation (holding company for Florida Blue), is a mutual insurance holding company primarily focused on health insurance in Florida.It was created in 2013 by a reorganization initiated by Florida Blue, a member company of the Blue Cross Blue Shield Association. M+. Shop for Insurance. 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