Blue Cross Blue Shield

How to Get Credentialed with Regence BlueCross BlueShield of Oregon in Oregon

Network: Open
45-90 Days CAQH Required

Quick Overview

Timeline

45 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Oregon-Specific Requirements

Regence BlueCross BlueShield of Oregon (part of Regence/Cambia Health Solutions). Uses CAQH ProView for credentialing. Part of the multi-state Regence system covering OR, UT, ID, and WA. Typical processing timeline: 60-90 days. Requires active Oregon medical license from the Oregon Medical Board. DEA registration required. Board certification required for specialists. Multi-state credentialing may be available for providers practicing in multiple Regence states. Delegated credentialing available through select groups and health systems. Oregon has specific telehealth parity laws that may affect credentialing for telehealth-only providers. 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 Oregon.

2

Complete Your CAQH ProView Profile

Regence BlueCross BlueShield of Oregon 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 Regence BlueCross BlueShield of Oregon.

4

Track & Follow Up

Credentialing typically takes 45-90 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 →

Contact Information

Credentialing

National

1-888-349-6558

Quick Links

Regence BlueCross BlueShield of Oregon Website Provider Portal

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Other Payers in Oregon

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente Oregon Health Plan TRICARE
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