How to Get Credentialed with CareFirst BlueCross BlueShield in Maryland
Quick Overview
Timeline
60 - 120 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
Maryland-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Maryland.
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.
Submit Your Application
Submit your completed enrollment package to CareFirst BlueCross BlueShield.
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
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired 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.
RequiredContact Information
Credentialing
National877-269-9593
Need Help?
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