Blue Cross Blue Shield

How to Get Credentialed with Blue Cross Blue Shield of Arizona in Arizona

Network: Open
60-90 Days CAQH Required

Quick Overview

Timeline

60 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Arizona-Specific Requirements

Blue Cross Blue Shield of Arizona. Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days from receipt of complete application. Requires active Arizona medical license from the Arizona Medical Board or Arizona Board of Osteopathic Examiners. DEA registration and current malpractice insurance required. Board certification required for specialists; must be ABMS or AOA board certified. Delegated credentialing is available through larger medical groups and health systems. Arizona requires fingerprint clearance cards for certain practice settings. Re-credentialing every 3 years.

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 Arizona.

2

Complete Your CAQH ProView Profile

Blue Cross Blue Shield of Arizona 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 Blue Shield of Arizona.

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 →

Contact Information

Credentialing

National

(602) 864-4231

cred@azblue.com

Quick Links

Blue Cross Blue Shield of Arizona Website Provider Portal

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Other Payers in Arizona

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Arizona AHCCCS UnitedHealthcare Community Plan Molina Healthcare (Medicaid)
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