Blue Cross Blue Shield

How to Get Credentialed with Florida Blue in Florida

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Florida-Specific Requirements

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.

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 Florida.

2

Complete Your CAQH ProView Profile

Florida Blue 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 Florida Blue.

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 →

Florida Blue Provider Application

Required
Online Open →
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