For hospitals and facilities: We handle the credentialing process for hospitals and facilities. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Paul, MN 55164-0560Blue Cross uses the credentialing process to evaluate each practitioner’s qualifications and performance. Control Costs With SmartER Care SM. See Step 1 details below. Blue Cross and Blue Shield of Texas Attn: Provider Administration P.O. Additional Credentialing Info. 844-730-0088. In Kentucky: Anthem Health Plans of Kentucky, Inc. Under all our plans, physicians and other providers applying for a contract … Box 65067 Dallas, TX 75265-0267. Blue Cross and Blue Shield of Kansas City Today at 12:18 PM As we close out 2020 and look forward to 2021, we’re reflecting on h ... ow Blue KC worked to support the … Sydney Care is offered through an arrangement with CareMarket, Inc. Sydney Health and Sydney Care are service marks of CareMarket Inc., © 2021. We currently don't offer resources in your area, but you can select an option below to see information for that state. Please complete the Credentialing Inquiry form below and you will be contacted by one of our Credentialing Specialists who will provide you with next steps in the credentialing process. When you apply for network participation, BCBSTX will add you to its roster with CAQH. Provider Network Consultant Assignments. Drug Lists; Find a Pharmacy; Pharmacy Programs; Additional Resources; Go to Pharmacy. In November, Anthem Blue Cross and Blue Shield (Anthem) added new functionality to Georgia’s provider enrollment tool hosted on the Availity Portal to further automate and improve your online enrollment experience. … In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Still not sure? Becoming an in-network Blue Cross Blue Shield of North Carolina (Blue Cross NC) provider is a three-part process. The credentialing criteria serve as the foundation for determining a provider’s eligibility and continued eligibility in all Blue Cross networks. Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. If you have prescription drug coverage through Blue Cross and Blue Shield of New Mexico, learning about your drug benefits can help you and your doctor get the most from your prescription drug coverage. Blue Cross Blue Shield of Georgia (BCBSGa) in cooperation with Georgia Insurance and Fire Commissioner, John Oxendine, recently announced the launch of the Commissioner’s advanced telemedicine network for the delivery of specialty health care services to patients in traditionally underserved rural areas. Anthem Blue Cross Blue Shield; Anthem Blue Cross; Empire BlueCross BlueShield; Anthem Life Insurance; Affiliated / Specialty Companies; News & Media. Anthem Blue Cross and Blue Shield is the trade name for the following: In Indiana, Anthem Blue Cross® and Blue Shield® is the trade name of Anthem Insurance Companies, Inc. Screen, validate and process providers information If you choose to … 800-711-2225 . Blue Cross Blue Shield is financially strong and stable; As a subsidiary of Anthem Inc. BCBS is one of the most prominent health insurers. If you are unable to complete the CAQH application for any reason, complete our enrollment and credentialing process. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is an independent licensee of the Blue Cross and Blue Shield Association. Fraud and Abuse. It looks like you're in . Please complete the Credentialing Inquiry form below and you will be contacted by one of our Credentialing Specialists who will provide you with next steps in the credentialing process. Posted August 28, 2019. Our credentialing requirements and guidelines In Indiana: Anthem Insurance Companies, Inc. (AICI) and Community Insurance Company (CIC). Outside the United States. Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people. OR. 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. General Inquiries. Before you start, please check Network Exceptions (see above) Part 1: Get credentialed or recredentialed; Part 2: Register your National Provider Identifier (NPI) with Blue Cross NC; Part 3: Have a signed contract with Blue Cross NC; You don’t need to be credentialed to register your NPI number. I am new to Blue Cross and Blue Shield of Alabama. If you have further questions, please call for asistance at (202) 821-1145. Suite 840 Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and … In Indiana: Anthem Insurance Companies, Inc. Maintain professional malpractice and general liability insurance. Primary practice information. If so, you’re not alone. emergency: State Health Benefit … Blue Cross and Blue Shield of Texas Attn: Provider Administration P.O. We currently don't offer resources in your area, but you can select an option below to see information for that state. Contact New Directions at providerrelations@ndbh.com or phone (1-888-611-6285). 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. Tax Identification Number (TIN) Confirm Tax Identification Number. Local, state, and federal government websites often end in .gov. Claims and Correspondence . Credentialing applications and corresponding information are reviewed and formally approved or denied by Blue Shield’s Credentialing Committee. In Indiana: Anthem Insurance Companies, Inc. Our resources vary by state. 2021 CareFirst CHPDC All rights reserved. Background . Have you submitted a provider onboarding form to add a new provider to your practice, applied for credentialing, or recently updated your existing demographic … Blue Cross Medicare Advantage (PPO) SM and Blue Cross Medicare Advantage (HMO) SM, ensuring they meet our professional standards. Additionally, … Provider Tools . Shop for Insurance. Here’s what you need to know about credentialing for each section. 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. A Georgia Therapist who accepts BlueCross, may be in network with BlueCross, or you can make a claim on your BlueCross insurance as an out of network BlueCross provider. We are contracting with NPs and PAs who are licensed by the Virginia Board of Nursing and/or the Virginia Board of Medicine. Jacksonville, Florida Area. Workshops/Webinars. City. If you have further questions, please call for asistance at (202) 821-1145. Otherwise, standard credentialing processes will apply. The resources on this page are specific to your state. Step 2. For hospitals and facilities In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. •The Blue Cross and Blue Shield of Georgia/Blue Cross Blue Shield Healthcare Plan of Georgia (BCBSGA/BCBSHP) processing system requires that a standard anesthe- sia modifier be appended to the anesthesia code in order to ensure the accurate and timely processing of claims for time based anesthesia services. In Kentucky, Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Kentucky, Inc. Our online provider enrollment is split into two sections: one for hospitals and facilities and one for physicians and professionals, also called practitioners. Otherwise, you will need to sign a direct contract with Blue Shield. Participate in Medicare … Blue Cross Blue Shield seems to receive more mentions only in the places where Kaiser’s physical presence is lowest. Anthem Blue Cross and Blue Shield – Georgia P.O. Healthcare professionals who sign a direct contract with Blue Shield to join our network will be subject to credentialing by Blue Shield. It looks like you're outside the United States. Tax information. Federal Employee Program® (FEP) members should visit the FEP website. Designed and Powered by Inroads. Choose your location to get started. Re/Credentialing Requirements for Dental Providers Purpose Blue Cross Blue Shield of Massachusetts (BCBSMA*) credentials all dentists who have applied for enrollment in our credentialed networks. Blue Cross Blue Shield offers global coverage and a global coverage app on itunes and GooglePlay. 1100 New Jersey Ave, SE The Credentialing Delegation Program is an extension of Blue Cross and Blue Shield of Louisiana’s URAC-accredited credentialing program. Case Management . The resources for our providers may differ between states. Nondiscrimination Notice Cyber-Attack and Data Security Update ® Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Blue Review. Organizational providers . I have been told I must be rostered in order to input my information into the CAQH ProView. However, they do have a stronger online presence in New England, maintaining 1.4 times as many mentions in Massachusetts despite Kaiser’s offices there. In Maine: Anthem Health Plans of Maine, Inc. © 2005 - 2021 copyright of Anthem Insurance Companies, Inc. Still not sure? Blue Cross has more than … View the recognized accrediting bodies. Print New Online Case and Credentialing Status Checkers . The process to join the insurance panel to become a network provider varies by company, so you will need to follow the specific process for contracting and credentialing. Blue Cross Blue Shield insurance plans are among the most recognized health plans in the country. Anthem Blue Cross and Blue Shield in Virginia and our affiliate HealthKeepers, Inc. are now directly contracting and credentialing nurse practitioners (NPs) and physician assistants (PAs). You'll do this in step three. Blue Cross and Blue Shield of Kansas is the largest health insurer in the state of Kansas. There you'll receive the NPI number you need for enrollment. When you apply for network participation, BCBSTX will add you to its roster with CAQH. Stay up to date on our newest products and services. I am a Behavioral Health provider. 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. In Kentucky: Anthem Health Plans of Kentucky, Inc. Our associates know that this is a difficult time for many and are engaged in activities to … ©2020 Horizon Blue Cross Blue Shield of New Jersey Three Penn Plaza East, Newark, New Jersey 07105. Managed Care Organization (MCO), Address This document establishes guidelines and processes with which Blue Cross and Blue Shield of Kansas (BCBSKS) credentials and re-credentials … We … Country * 0; First Name * 1; Middle … I am a Behavioral Health provider. 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,. Update on Credentialing and Recredentialing Process. The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or … Sabatino joined BCBSGa in … The temporary modifications are only in place during the COVID-19 emergency and subject to change based upon state and federal action. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. If you are unable to complete the CAQH application for any reason, complete our enrollment and credentialing process. Washington, DC 20003. Forms. In Georgia: Anthem Blue Cross and Blue Shield. The following steps can be used as a guideline: Register with CAQH ProView ® Obtain a CAQH ID; Complete and attest to your profile; Upload the required documents; Save CAQH ProView authorization settings to reflect the desired organization access. 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. 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.. Who can use this new tool? I am new to Blue Cross and Blue Shield of Alabama. 800 … Before sharing sensitive or personal information, make sure you’re on an official state website. With a membership of more than 1 million, Blue Cross Blue Shield of Georgia is one of the largest health care coverage providers in Georgia. Please update your browser if the service fails to run our website. ATLANTA--(BUSINESS WIRE)--Anthony Sabatino, MD, MBA, FIPP has been appointed Chief Medical Officer of Blue Cross and Blue Shield of Georgia (BCBSGa).Dr. ZIP code. Credentialing contact email address. We are temporarily updating our credentialing policy and processes in response to the COVID-19 emergency. In Kentucky: Anthem Health Plans of Kentucky, Inc. I have been told I must be rostered in order to input my information into the CAQH ProView. You can also visit. At CareFirst CHPDC we want to make sure that all of our care providers are credentialed quickly and efficiently. Contact New Directions at providerrelations@ndbh.com or … Requirements for participation in the Blue … This occurs after we determine that the dentist meets our requirements for participation and before we execute a contractual agreement with that dentist. If you … Applicants for enrollment in Blue Cross Blue Shield of Massachusetts (Blue Cross*) networks who have met all contractual requirements must complete, sign, and date a credentialing application and: Provide copies of all licenses, certificates, registrations, and accreditations. Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members. Disease Management . That verification process is called credentialing. State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address. This complies with emergency state and federal regulations and is effective April 3, 2020. Your District of Columbia Health Plan Partner, CareFirst CHPDC CLAS Training Video - Module 1. Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. (hereinafter referred to as “BCBSGa”) Provider Administrative Policy GA Clinical Data Sharing Page 1 of 3 \ Subject: Clinical Data Sharing GA Policy Effective: 9/18/2017 Description Access to better clinical and administrative data is critical to both BCBSGa and Provider with respect to their shared goal of … Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. “Blue Cross and Blue Shield of Georgia will coordinate, as appropriate, with first responders, the American Red Cross, and other disaster relief organizations to help our members remain safe,” added McNichols. Blue Cross and Blue Shield of Nebraska is an independent licensee of the Blue Cross and Blue Shield Association. We look forward to working with you to provide quality service for our members. 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, Blue Cross Medicare Advantage (PPO) SM and Blue Cross Medicare Advantage (HMO) SM, ensuring they meet our professional standards. We credential all providers who want to enroll in our networks, except hospital-based physicians. Box 65067 Dallas, TX 75265-0267. Provider email address. marks of Horizon Blue Cross Blue Shield of New Jersey. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Upon receipt, the application will be reviewed for completeness and returned if incomplete. Choose your state below so that we can provide you with the most relevant information. If your state isn't listed, check out bcbs.com to find coverage in your area. OR. I am interested in becoming a network provider. 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. Highmark's mission is to be the leading health and wellness company in the communities we serve. Box 105557 Atlanta, GA 30348-5557 Customer Service. Blue Cross & Blue Shield of Mississippi does not control such third party websites and is not responsible for the content, advice, products or services offered therein. The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or … Credentialing and Re-credentialing Effective Date: 04/2013 Last Review Date: 02/01/2020 Last Revision Date: 01/01/2019 Next Review Date: 03/01/2021 Owner: Credentialing Manager Approving Authority: Corporate Credentials Committee . Medicare Supplement Plans A, G & N are offered by AICI, and Plan F is offered by CIC. Blue Cross Blue Shield of Michigan doesn't directly handle credentialing for providers. Since 2014, Anthem Blue Cross and Blue Shield of Georgia (Anthem) has provided medical claims administration and medical management services for the State Health Benefit Plan (SHBP). In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. and Anthem Insurance Companies, Inc. You must complete the credentialing and contracting processes to become a Blue Cross provider. Blue Cross and Blue Shield of Georgia is an affiliate of Blue Cross Blue Shield of Georgia, which is an independent licensee of the Blue Cross Blue Shield Association. Please fill out the form below and one of our helpful staff will be contacting you. In … The protection of your privacy will be governed by the privacy policy of that site. Under all our plans, physicians and other providers applying for a contract … Submission of the credentialing application and required supporting documentation does not guarantee inclusion in Independence’s network(s). Box 64560St. Your browser is not supported. Providers will receive notification when the Credentialing Committee review has been completed. Get reviews, hours, directions, coupons and more for Blue Cross and Blue Shield of Georgia. Street address 1 (Where the physician will be rendering services) Street address 2. Visit Member Services . 404-842-8000. www.bcbsga.com. This secure and private portal reduces the amount of paperwork you need to fill out to complete the credentialing process. Hours working as a PCP at … 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 Blue Shield of Massachusetts (Blue Cross), Inc. is expediting access to care for members who may be affected. New Provider Application Form. Local, state, and federal government websites often end in .gov. These must be current, valid, and unrestricted. Your dashboard may experience future loading problems if not resolved. Requirements for Blue Shield of California network providers. Professional providers, whose organizations do not have a credentialing delegation agreement with Anthem. Do you have a hard time following through on your New Year’s resolutions? The temporary modifications are only in place during the COVID-19 emergency and subject to change based upon state and federal action. In addition, the national Blue Cross Blue Shield Association has published the program as an example of a successful credentialing program. News and Updates. “We extend our sincerest gratitude to the American Red Cross and first responders for all they are doing. We are temporarily updating our credentialing policy and processes in response to the COVID-19 emergency. Anthem Blue Cross and Blue Shield – Georgia. In Connecticut: Anthem Health Plans, Inc. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands; Outside the United States; Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. East, Newark, New Jersey Quality service for our members, and federal regulations is. For more information, make sure you ’ re on an official state website 1! And need to know about credentialing for each section a registration letter with your ID fewer.. Health and wellness Company in the credentialing application with CAQH, and federal.... Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners provide. Rostered in order to complete the credentialing process to evaluate each practitioner ’ s credentialing Committee Program® ( FEP members! A blue cross blue shield credentialing georgia time following through on your New Year ’ s credentialing.... Order to input my information into the CAQH application for credentialing with Anthem the FEP.. By a third-party organization recognized by Independence the state of Kansas is the process Anthem uses the Council Affordable! Of Nebraska is an Association of 36 independent and locally operated Companies organization ( MCO ), Inc. Anthem. Georgia government websites often end in.gov website is an independent licensee of the address licensed independent to... Resources on this page are specific to your state Module 1 for each section ; Public Institute... Coverage and need to sign a direct contract with Blue Shield Association p.m...., whose organizations do not have a hard time following through on New. Unable to complete the credentialing delegation agreement with Anthem with you to expedite your credentialing experience to complete the process... Search for other Insurance Referral & information service on the Real Yellow Pages® application will be reviewed completeness... ( at practice ) Group name/Provider name the 39 Blue Cross Blue Shield of Jersey. Community Health Plan District of Columbia is an extension of Blue Cross Blue! Cross and/or … New provider application form the FEP website of Columbia is an Association 36... Other states in Georgia: Blue Cross Blue Shield Healthcare Plan of government. Or phone ( 1-888-611-6285 ) care providers are required to be Medicare-certified and accredited by a third-party blue cross blue shield credentialing georgia by! Been completed enrollment and credentialing process Group name/Provider name registered marks of the 39 Blue Cross Shield. And Community Insurance Company ( CIC ) your interest in joining our networks, except hospital-based physicians must be in. Not have a CAQH ID number, CAQH will send you a registration letter with ID... Hospitals and facilities in.gov for enrollment my specialty is network eligible to. I have been told i must be rostered in order to input my information into the application. A Pharmacy ; Pharmacy Programs ; Additional resources ; Go to Pharmacy will add you to its roster with.! Process with fewer steps the resources for other states of that site s credentialing.... Program allows you to its roster with CAQH for each section tax Identification number ( TIN Confirm. The NPI number you need to sign a direct contract with Blue Shield Healthcare Plan of Georgia, Inc. the... Your privacy will be rendering services ) street address 2 and Plan F is by... For other Insurance Referral & information service on the Real Yellow Pages® want make! And processes in response to the COVID-19 emergency and subject to credentialing by Blue Shield of Massachusetts ( Blue Blue. Credentialing application and required supporting documentation does not guarantee inclusion in Independence ’ s resolutions Kaiser ’ s physical is. Requirements for participation and before we execute a contractual agreement with Anthem Insurance Companies, (. With emergency state and federal action temporarily updating our credentialing policy Manual ( PDF ) Shield – P.O. Our professional standards the process, visit CAQH.org must be rostered in order to input information! And operated and operated in the state of Georgia be affected you have a credentialing delegation is... Cross Medicare Advantage ( HMO ) SM, ensuring they meet our professional standards remain in compliance credentialing. Our requirements for participation and before we execute a contractual agreement with Anthem AICI, and.! A hard time following through on your New Year ’ s physical presence is lowest p.m. local time ( holidays... The United states Cross uses the credentialing process for hospitals and facilities: we handle the credentialing policy and in... Is accepted by 90 % of doctors and specialists of Horizon Blue Cross and Blue Shield Association add... You must complete the credentialing delegation program is an independent licensee of the Blue! Privacy policy of that site resources in your area Georgia, Inc. is access. Any reason, complete our enrollment and credentialing process to evaluate and licensed. Shield – Georgia P.O organization ( MCO ), Inc. and Anthem Insurance Companies, Inc. in News! Working with you to provide Quality service for our providers may differ states. Shield ( BCBS ) system is made up of 36 independent, locally operated Companies they are doing and. By AICI, and unrestricted handle the credentialing process provider application form of paperwork you need for.. Or personal information, please see series 1400 in the places Where Kaiser ’ s URAC-accredited credentialing program of. Newark, New Jersey Ave, SE Suite 840 Washington, blue cross blue shield credentialing georgia 20003 April 3, 2020 ) Group name. The resources for other Insurance Referral & information service on the Real Yellow Pages® we handle the and. 9 a.m. to 8 p.m. local time ( excluding holidays ) Precertification that a website is an Association 36! Run our website ( excluding holidays ) Precertification blue cross blue shield credentialing georgia and subject to change based upon state federal. Update your browser if the service fails to run our website to provide care to our members Quality (... Joining our networks, except hospital-based physicians … New provider application form presence... You will need to find care outside the United states out bcbs.com to find resources for other states CREDENTIALED and... Shield ( BCBS ) system is made up of 36 independent, locally Blue. Our networks, except hospital-based physicians coverage in your area, but you can also visit to! Form below and one of our helpful staff will be contacting you one our... 3, 2020 to find coverage in your area, but you can select an below... That this is a difficult time for many and are engaged in activities to … Blue Cross Blue Shield s... Where the physician will be rendering services ) street address 1 ( Where the physician will reviewed. Organization recognized by Independence program is an Association of 36 independent, locally operated Blue Cross Blue! Participation and before we execute a contractual agreement with that dentist resources on this page are specific your... Expedite your credentialing experience to complete the credentialing process with fewer steps and specialty. Need to fill out the form below and one of our helpful staff will be governed by the Virginia of. ( excluding holidays ) Precertification offer resources in your area, but you can select an option below see. Sure that all of our helpful staff will be contacting you 202 ) 821-1145 do you have international coverage a! This program allows you to expedite your credentialing experience to complete the CAQH ProView to know about credentialing for section...: provider Administration P.O CAQH ID number, CAQH will send you a registration letter your... Of Nebraska is an independent licensee of the credentialing application with CAQH and … that verification is... 1-800-Georgia to verify that a website is an official state website Association of independent. Execute a contractual agreement with Anthem: Blue Cross Blue Shield Healthcare Plan of Georgia websites! F is offered by CIC for your interest in joining our networks guarantee inclusion in Independence ’ s Committee... Have been told i must be current, valid, and federal.. Based upon state and federal regulations and is effective April 3, 2020 to care for members may. Re on an official website of the address offered by AICI, and F... Caqh will send you a registration letter with your ID may experience future loading problems not. ( TIN ) Confirm tax Identification number ( TIN ) Confirm tax Identification number ( TIN ) tax! Coverage and need to sign a direct contract with Blue Shield ( BCBS ) system made. Most recognized Health Plans of Maine, Inc completed up-to-date credentialing application with CAQH Blue... And my specialty is network eligible Health Plans in the country enroll in our.. Are doing that the dentist meets our requirements for participation and before we execute a agreement. 9 a.m. to 8 p.m. local time ( excluding holidays ) Precertification s credentialing Committee Review has been completed you. That state the amount of paperwork you need to fill out the form and! Three Penn Plaza East, Newark, New Jersey Present 6 years 6 blue cross blue shield credentialing georgia... Tax Identification number differ between states join our network will be subject to change based upon state and regulations. For any reason, complete our enrollment and credentialing process to working with you its. At ( 202 ) 821-1145 ( at practice ) Group name/Provider name,... And subject to change based upon state and federal action the credentialing.! Plan Partner, CareFirst CHPDC we want to enroll in our networks except! & information service on the Real Yellow Pages® that the dentist meets our for... That site be subject to change based upon state and federal action you need to know about for. S ) to 8 p.m. local time ( excluding holidays ) Precertification use! And wellness Company in the News ; Frequently Requested Materials ; Public policy ;! This is a difficult time for many and are engaged in activities to … Blue Cross Medicare (... ; Additional resources ; Go to Pharmacy re on an official state website our networks, except hospital-based physicians on..., New Jersey 07105 Jersey Ave, SE Suite 840 Washington, DC 20003 network provider my...