Florida Blue
Credentialing and enrollment guides for Florida Blue across 1 states.
Quick Overview
Timeline
60 - 120 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
1
How Florida Blue Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Written response on the credentialing committee decision within 30 business days
Recredentialing
Every 3 years
Register through the Provider Registration Form on Availity, then complete the Join Our Networks form inside the portal. CAQH is the preferred application data source, and verification runs through the Medversant CVO, which is who will chase you for missing items.
Behavioral health routing: Outpatient behavioral health runs under an exclusive arrangement with Lucet, the former New Directions. Behavioral providers contract through Lucet, not the Florida Blue medical network.
The stall to avoid: Lucet often finishes credentialing well before Florida Blue loads you into the claims system. Approval is not billable status: confirm the Florida Blue load date before submitting claims.
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 Florida Blue
Florida Blue is a Blue Cross Blue Shield licensed plan serving members in Florida Blue. 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
Florida Blue requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Florida Blue. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 60-120 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Florida Blue?
Our specialists handle the entire Florida Blue 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
Contact Information
Credentialing Department
1-800-727-2227
Fax: 1-800-955-6278
Mon-Fri 8am-6pm ET
Provider Services
1-800-727-2227
Mon-Fri 8am-6pm ET
Claims & Billing
1-800-727-2227
Availity Portal Support
1-800-282-4548
Provider Credentialing
1-800-727-2227
Mon-Fri 8am-5pm
Provider Services
1-800-727-2227
Claims & Billing
1-800-727-2227
Quick Links
Available 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 Florida Blue-specific credentialing details including timelines, contacts, and local requirements.
Florida Blue credentialing requirements by state
Florida Blue enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Florida Blue 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 |
|---|---|---|---|---|
| Florida | Open | 60–120 days |
Provider portal
1-800-727-2227
|
Florida Blue (Blue Cross and Blue Shield of Florida). Known commercially as Florida Blue. Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days from complete application. Requires active Florida medical license from the Florida Board of Medicine or Florida Board of Osteopathic Medicine. DEA registration required. Board certification required for specialists. Florida Blue is the largest health insurer in the state with approximately 5 million members. Delegated credentialing available through larger medical groups and health systems. Florida has specific requirements for telehealth provider registration through the Florida Department of Health. 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 Florida Blue credentialing
How long does Florida Blue credentialing take?
Florida Blue credentialing typically takes 60–120 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 Florida Blue require CAQH?
Yes. Florida Blue pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Florida Blue 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 Florida Blue operate in?
Florida Blue 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.