Get bcbs provider enrollment contact number for Providers Seeking Blue Cross NC

If you're a provider seeking to enroll with Blue Cross NC, you'll want to get in touch with their provider enrollment team.

The BCBS provider enrollment contact number for Blue Cross NC is 1-800-445-2639.

To get started with the enrollment process, you can also visit the Blue Cross NC website and fill out the online provider enrollment application.

To enroll as a provider with Blue Cross NC, you'll need to become credentialed and enrolled with your registered NPI number and tax ID.

You'll also need to sign up for Blue e and electronic funds transfer (EFT) payment, as Blue Cross NC requires participating providers to file claims electronically and receive electronic funds transfers.

Effective November 1, 2022, Blue Cross NC began using the CAQH Provider Data Portal for initial credentialing and recredentialing. This change aims to improve quality and timeliness in onboarding new providers.

To enroll using the new process, you'll need to use the CAQH Provider Data Portal and complete an online Individual Practitioner Enrollment Form for new practitioners.

For new groups, you'll need to complete the online Provider Group Enrollment Form and submit both forms 60 days prior to the provider's effective date.

The new process will help streamline onboarding and improve turnaround times for credentialing and enrollment.

Effective November 1, 2022, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will begin utilizing the Council for Affordable Quality Healthcare (CAQH) Provider Data Portal for initial credentialing and recredentialing. You'll need to use this portal for all new and existing providers.

To get started, you'll need to complete the CAQH Provider Data Portal application, which can be done through the portal itself. You'll also need to submit individual practitioner and group enrollment forms 60 days prior to the provider's effective date, as it takes 60 days for a new enrollment to be processed.

Here's a summary of the required documents for credentialing and verification:

You can also refer to the Blue Cross NC website for more information on the credentialing and verification process, as well as the required documents for each provider type.

To submit your W-9 form to Blue Cross NC, you'll need to complete it and email it to [email protected].

Use the instructional guide (PDF) for help in filling out the form.

If you're looking to contract with Blue Cross NC, you'll need to become credentialed and enrolled with your registered NPI number and tax ID.

To get started, you'll need to sign up for Blue e and electronic funds transfer (EFT) payment. Blue Cross NC requires participating providers to file claims electronically and receive electronic funds transfers.

You'll need to verify your information and get credentialed with Blue Cross NC before you can start participating in their network. This process is required for all providers, including those who are new to the network.

The verification process typically takes 45 days to complete, and you'll need to finalize your CAQH profile within this timeframe to avoid having to start over. This is important, so make sure to prioritize this step.

To get credentialed, you'll need to use the CAQH Provider Data Portal, which is a universal credentialing application that Blue Cross NC is now using. This will make the process easier and more efficient for everyone.

You'll need to complete a credentialing application for each of your sites, and provide required documentation, such as accreditation certificates and Medicare verification. The specific requirements will depend on the type of provider you are and the services you offer.

Here are some common requirements for different types of providers:

Keep in mind that these are just some examples, and the specific requirements may vary depending on your situation. Be sure to review the credentialing application carefully and provide all required documentation to ensure a smooth process.