Blue Cross Blue Shield

How to Get Credentialed with CareFirst BlueCross BlueShield in District Of Columbia

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

District Of Columbia-Specific Requirements

CareFirst BlueCross BlueShield (District of Columbia). CareFirst is the BCBS licensee for DC, Maryland, and portions of northern Virginia. Uses CAQH ProView for credentialing. Multi-state credentialing available — a single CareFirst application can cover DC, MD, and northern VA service areas. Typical processing timeline: 60-90 days. Requires active DC medical license from the DC Board of Medicine (Department of Health). DEA registration required. DC controlled substance registration also required. Board certification required for specialists. CareFirst is the largest health insurer in the mid-Atlantic region. Delegated credentialing available through select health systems. The federal employee market in DC makes CareFirst enrollment particularly important. 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 District Of Columbia.

2

Complete Your CAQH ProView Profile

CareFirst BlueCross BlueShield 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 CareFirst BlueCross BlueShield.

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

877-269-9593

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