Blue Cross Blue Shield of Michigan
Credentialing and enrollment guides for Blue Cross Blue Shield of Michigan across 1 states.
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
1
How Blue Cross Blue Shield of Michigan Credentialing Actually Works
Verified July 2026Apply Through
Online enrollment form plus CAQH
Timeline
Allow 35 days for PPO or 60 days for HMO enrollment processing
Recredentialing
Every three years
Fill out the enrollment form (separate flows for practitioners and facilities) and create a CAQH Provider Data Portal profile: Michigan cannot complete credentialing without it, and the CAQH application must be completed within 14 days of submitting the enrollment form. New graduates can apply up to 60 days before finishing training.
Behavioral health routing: Behavioral health is in house since 2024 through Blue Cross Behavioral Health for commercial and Medicare Plus Blue; Blue Care Network (the HMO) runs its own separate behavioral track.
The stall to avoid: Status checks are phone only, (800) 822-2761: there is no self service tracker. And missing the 14 day CAQH deadline restarts the clock.
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 Blue Cross Blue Shield of Michigan
Blue Cross Blue Shield of Michigan is a Blue Cross Blue Shield licensed plan serving members in Michigan. 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
Blue Cross Blue Shield of Michigan requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Blue Cross Blue Shield of Michigan. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Blue Cross Blue Shield of Michigan?
Our specialists handle the entire Blue Cross Blue Shield of Michigan 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
Provider Credentialing
1-800-822-2761
Mon-Fri 8am-5pm
Provider Services
1-800-822-2761
Claims & Billing
1-800-822-2761
Need Help?
Let PayerReady handle your Blue Cross Blue Shield of Michigan 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 Blue Cross Blue Shield of Michigan-specific credentialing details including timelines, contacts, and local requirements.
Blue Cross Blue Shield of Michigan credentialing requirements by state
Blue Cross Blue Shield of Michigan enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Blue Cross Blue Shield of Michigan 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 |
|---|---|---|---|---|
| Michigan | Open | 60–90 days |
Provider portal
1-800-822-2761
|
Blue Cross Blue Shield of Michigan (BCBSM). Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days from complete application. Requires active Michigan medical license from the Michigan Board of Medicine or Board of Osteopathic Medicine. DEA registration and Michigan Controlled Substance License required. Board certification required for specialists. BCBSM is one of the largest BCBS plans in the country, covering approximately 4.7 million members. Delegated credentialing available through large physician organizations (POs) and health systems. Blue Care Network (BCN) is the HMO affiliate; separate enrollment may be required. 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 Blue Cross Blue Shield of Michigan credentialing
How long does Blue Cross Blue Shield of Michigan credentialing take?
Blue Cross Blue Shield of Michigan credentialing typically takes 60–90 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 Blue Cross Blue Shield of Michigan require CAQH?
Yes. Blue Cross Blue Shield of Michigan pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Blue Cross Blue Shield of Michigan 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 Blue Cross Blue Shield of Michigan operate in?
Blue Cross Blue Shield of Michigan 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.