Blue Cross Blue Shield

How to Get Credentialed with Blue Cross and Blue Shield of Alabama in Alabama

Network: Open
60-90 Days CAQH Required

Quick Overview

Timeline

60 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Alabama-Specific Requirements

Blue Cross and Blue Shield of Alabama. Uses CAQH ProView for credentialing. Early CAQH adopter with daily data feed integration, resulting in efficient application processing. Typical processing timeline: 60-90 days from complete application submission. Requires active Alabama medical license and current DEA registration. Board certification is required for specialists. Delegated credentialing is available through select IPAs and large group practices. Re-credentialing occurs every 3 years. CAQH attestation must be current within 120 days.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Alabama.

2

Complete Your CAQH ProView Profile

Blue Cross and Blue Shield of Alabama requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Blue Cross and Blue Shield of Alabama.

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum; gaps > 6 months must be explained

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

3 peer references required

Enrollment Forms

CAQH ProView

Universal credentialing application used by most commercial and BCBS payers.

Required
Online Open →

Quick Links

Blue Cross and Blue Shield of Alabama Website Provider Portal

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Other Payers in Alabama

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Alabama Medicaid UnitedHealthcare Community Plan TRICARE
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