Blue Cross Blue Shield

How to Get Credentialed with Blue Cross Blue Shield of Michigan in Michigan

Network: Open
60-90 Days CAQH Required

Quick Overview

Timeline

60 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Michigan-Specific Requirements

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.

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 Michigan.

2

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 and attest within 90 days.

3

Submit Your Application

Submit your completed enrollment package to Blue Cross Blue Shield of Michigan.

4

Track & Follow Up

Credentialing typically takes 60-90 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 →

BCBS Michigan Provider Application

Required
Online Open →

Contact Information

Credentialing

National

1-800-822-2761

Quick Links

Blue Cross Blue Shield of Michigan Website Provider Portal

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Other Payers in Michigan

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Michigan Medicaid UnitedHealthcare Community Plan Aetna Better Health
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