Blue Cross Blue Shield

How to Get Credentialed with Highmark Blue Cross Blue Shield Delaware in Delaware

Network: Open
45-90 Days CAQH Required

Quick Overview

Timeline

45 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Delaware-Specific Requirements

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.

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 Delaware.

2

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 and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Highmark Blue Cross Blue Shield Delaware.

4

Track & Follow Up

Credentialing typically takes 45-90 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

888-599-1771

Quick Links

Highmark Blue Cross Blue Shield Delaware Website Provider Portal

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Other Payers in Delaware

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Delaware Medicaid AmeriHealth Caritas TRICARE
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