Blue Cross Blue Shield

How to Get Credentialed with Arkansas Blue Cross and Blue Shield in Arkansas

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Arkansas-Specific Requirements

Arkansas Blue Cross and Blue Shield. Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days. Requires active Arkansas medical license from the Arkansas State Medical Board. DEA registration required. Current malpractice insurance with adequate coverage limits. Board certification required for specialists. Delegated credentialing is available for larger group practices and health systems. Arkansas BCBS is the dominant carrier in the state with broad network participation. 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 Arkansas.

2

Complete Your CAQH ProView Profile

Arkansas Blue Cross and Blue Shield 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 Arkansas Blue Cross and Blue Shield.

4

Track & Follow Up

Credentialing typically takes 60-120 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

1-800-822-2761

Quick Links

Arkansas Blue Cross and Blue Shield Website Provider Portal

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Other Payers in Arkansas

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Arkansas Medicaid CareSource TRICARE
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