Blue Cross Blue Shield

How to Get Credentialed with Blue Shield of California in California

Network: Open
90-120 Days CAQH Required

Quick Overview

Timeline

90 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

California-Specific Requirements

Blue Shield of California. SEPARATE plan from Anthem Blue Cross; providers must enroll with each independently. Uses CAQH ProView for credentialing. Typical processing timeline: 90-120 days — longer than most BCBS affiliates due to rigorous review process. Requires stricter documentation standards including detailed practice history and additional attestations. Requires active California medical license and DEA registration. California state controlled substance registration (CDS) also required. Board certification required for specialists. Delegated credentialing available through select IPAs but less common than Anthem. Blue Shield of California is a nonprofit health plan with strong presence across the state. 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 California.

2

Complete Your CAQH ProView Profile

Blue Shield of California 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 Shield of California.

4

Track & Follow Up

Credentialing typically takes 90-120 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 →

Blue Shield CA Intake Form

Required
Online Open →
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