Blue Cross Blue Shield

How to Get Credentialed with Blue Cross Blue Shield of North Dakota in North Dakota

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

North Dakota-Specific Requirements

Blue Cross Blue Shield of North Dakota (Noridian). Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days. Requires active North Dakota medical license from the North Dakota Board of Medicine. DEA registration required. Board certification required for specialists. BCBS ND (Noridian) is the dominant commercial insurer in the state. Noridian also serves as a Medicare Administrative Contractor (MAC) for multiple jurisdictions. 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 North Dakota.

2

Complete Your CAQH ProView Profile

Blue Cross Blue Shield of North Dakota 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 Blue Shield of North Dakota.

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 →

Quick Links

Blue Cross Blue Shield of North Dakota Website Provider Portal

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Other Payers in North Dakota

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare North Dakota Medicaid TRICARE TRICARE West Region (Health Net Federal)
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