Blue Cross Blue Shield

How to Get Credentialed with Blue Cross and Blue Shield of Montana in Montana

Network: Open
45-45 Days CAQH Required

Quick Overview

Timeline

45 - 45 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Montana-Specific Requirements

Blue Cross and Blue Shield of Montana (HCSC subsidiary). Uses CAQH ProView for credentialing. IMPORTANT: BCBS Montana enforces a STRICT 45-day deadline for returning credentialing paperwork. Failure to return completed application within 45 days may result in termination of the application and the provider must restart the process. Typical processing timeline: 60-90 days after receipt of complete application. Requires active Montana medical license from the Montana Board of Medical Examiners. DEA registration required. Board certification required for specialists. HCSC subsidiary — part of the same parent as BCBS IL, TX, OK, and NM. Delegated credentialing may be available through select groups. 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 Montana.

2

Complete Your CAQH ProView Profile

Blue Cross and Blue Shield of Montana 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 Blue Cross and Blue Shield of Montana.

4

Track & Follow Up

Credentialing typically takes 45-45 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

406-437-6100

HCS-x6100@bcbsmt.com

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