How to Get Credentialed with Horizon Blue Cross Blue Shield of New Jersey in New Jersey
Quick Overview
Timeline
30 - 45 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
New Jersey-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for New Jersey.
Complete Your CAQH ProView Profile
Horizon Blue Cross Blue Shield of New Jersey requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Horizon Blue Cross Blue Shield of New Jersey.
Track & Follow Up
Credentialing typically takes 30-45 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
3 peer references required
Need Help?
Let PayerReady handle your Horizon Blue Cross Blue Shield of New Jersey enrollment in New Jersey.
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