Blue Cross Blue Shield

How to Get Credentialed with BlueCross BlueShield of South Carolina in South Carolina

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

South Carolina-Specific Requirements

BlueCross BlueShield of South Carolina. Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days. Requires active South Carolina medical license from the South Carolina Board of Medical Examiners. DEA registration and South Carolina DHEC controlled substance registration required. Board certification required for specialists. BlueCross BlueShield of South Carolina is the largest health insurer in the state. The parent company also operates Companion Plans (BCBS federal employee program). Delegated credentialing 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 South Carolina.

2

Complete Your CAQH ProView Profile

BlueCross BlueShield of South Carolina 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 BlueCross BlueShield of South Carolina.

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 →

Contact Information

Credentialing

National

800-868-2510

Quick Links

BlueCross BlueShield of South Carolina Website Provider Portal

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Other Payers in South Carolina

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare SC Healthy Connections UnitedHealthcare Community Plan Molina Healthcare (Medicaid)
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