Highmark Blue Cross Blue Shield Delaware
Credentialing and enrollment guides for Highmark Blue Cross Blue Shield Delaware across 1 states.
Quick Overview
Timeline
45 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
1
How Highmark Blue Cross Blue Shield Delaware Credentialing Actually Works
Verified July 2026Apply Through
CAQH plus Availity
Timeline
Highmark's stated goal is initial credentialing within 45 days of a complete application
Recredentialing
At least every three years; atypical provider types annually
Two steps: complete your CAQH ProView profile and submit the Initial Credentialing Request to Highmark. Group joiners skip the addition form because Highmark uses your CAQH application data.
Behavioral health routing: Behavioral health is in house, from outpatient mental health through IOP, PHP, and autism providers.
The stall to avoid: CAQH is only for credentialing here. Demographic updates go through separate PIM forms, and status checks run only through the credentialing status inquiry form.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About Highmark Blue Cross Blue Shield Delaware
Highmark Blue Cross Blue Shield Delaware is a Blue Cross Blue Shield licensed plan serving members in Delaware. They offer commercial, Medicare Supplement, and individual marketplace health plans with provider credentialing for physicians, specialists, and allied health professionals.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Highmark Blue Cross Blue Shield Delaware requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Highmark Blue Cross Blue Shield Delaware. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 45-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Highmark Blue Cross Blue Shield Delaware?
Our specialists handle the entire Highmark Blue Cross Blue Shield Delaware enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Contact Information
Provider Credentialing
888-599-1771
Mon-Fri 8am-5pm
Provider Services
888-599-1771
Claims & Billing
888-599-1771
Need Help?
Let PayerReady handle your Highmark Blue Cross Blue Shield Delaware credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Highmark Blue Cross Blue Shield Delaware-specific credentialing details including timelines, contacts, and local requirements.
Highmark Blue Cross Blue Shield Delaware credentialing requirements by state
Highmark Blue Cross Blue Shield Delaware enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Highmark Blue Cross Blue Shield Delaware operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Delaware | Open | 45–90 days |
Provider portal
888-599-1771
|
Highmark Blue Cross Blue Shield Delaware (Highmark Inc. subsidiary). Uses CAQH ProView for credentialing alongside the Highmark provider portal. Typical processing timeline: 60-90 days. Requires active Delaware medical license from the Delaware Board of Medical Licensure and Discipline. DEA registration required. Board certification required for specialists. Highmark operates across PA, WV, and DE — multi-state credentialing may be available for providers practicing in multiple Highmark states. Delegated credentialing available through select health systems. Re-credentialing every 3 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Highmark Blue Cross Blue Shield Delaware credentialing
How long does Highmark Blue Cross Blue Shield Delaware credentialing take?
Highmark Blue Cross Blue Shield Delaware credentialing typically takes 45–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Highmark Blue Cross Blue Shield Delaware require CAQH?
Yes. Highmark Blue Cross Blue Shield Delaware pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Highmark Blue Cross Blue Shield Delaware before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does Highmark Blue Cross Blue Shield Delaware operate in?
Highmark Blue Cross Blue Shield Delaware has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.