Blue Cross Blue Shield

How to Get Credentialed with Independence Blue Cross in Pennsylvania

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Pennsylvania-Specific Requirements

Southeastern PA/Philadelphia. Primary practice address must be in PA or DE. SEPARATE enrollment from Highmark.

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 Pennsylvania.

2

Complete Your CAQH ProView Profile

Independence Blue Cross 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 Independence Blue Cross.

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 →

Independence Blue Cross Credentialing

Required
Online Open →

Quick Links

Independence Blue Cross Website Provider Portal

Need Help?

Let PayerReady handle your Independence Blue Cross enrollment in Pennsylvania.

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Other Payers in Pennsylvania

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Highmark Blue Cross Blue Shield (Western PA) Pennsylvania Medical Assistance UnitedHealthcare Community Plan
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