How to Become Blue Cross Blue Shield Provider in Texas?

 To become a provider with Blue Cross Blue Shield of Texas (BCBSTX), follow these steps:

1. Complete the Provider Onboarding Form

Initial Step: Fill out the electronic Provider Onboarding form available on the BCBSTX provider website. This form is essential for establishing your provider record number and indicating which networks you wish to join.

Eligibility: The form is required for:

  1. Individual providers new to BCBSTX networks
  2. Groups or clinics new to the networks
  3. Existing contracted groups adding a new provider

2. Credentialing Process

    Credentialing Requirement: All providers must undergo a credentialing process before acceptance into the network. This includes submitting necessary documentation such as professional licenses and tax ID numbers.

CAQH Registration: Set up a profile on CAQH ProView within 14 days of submitting your application. Ensure your information is current and authorize BCBSTX to access your credential data.

3. Submit Required Documentation
    Documentation: Depending on your specialty, you may need to provide various documents, including:

  1. State medical license.
  2. Resume.
  3. Form W-9.
  4. Previous and current practice locations.
4. Wait for Approval
    Processing Time: After submitting your application and documents, expect to receive feedback within approximately 90 days. If approved, you will receive a confirmation letter from BCBSTX.

5. Sign the Contract
     Contract Signing: If your application is successful, you will be sent a contract via email, which can be submitted electronically or by fax.

6. Stay Updated
Monitoring Status: Utilize the BCBSTX Credentialing Status Checker to track the progress of your application by entering your NPI or license number.

Following these steps will help streamline your application process to join the BCBSTX provider network effectively. For any further inquiries or assistance, contact your local BCBSTX Network Management Representative or visit their provider website.







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