BlueCross BlueShield of Tennessee
Credentialing and enrollment guides for BlueCross BlueShield of Tennessee across 1 states.
Quick Overview
Timeline
60 - 120 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
1
How BlueCross BlueShield of Tennessee Credentialing Actually Works
Verified July 2026Apply Through
CAQH plus Availity
Timeline
Tennessee law requires a decision on a clean CAQH application within 90 days (Tenn. Code 56-7-1001)
Recredentialing
Not published by the payer
Enter your information in CAQH ProView, register with Availity, and complete the enrollment application there. Provider service line: (800) 924-7141.
Behavioral health routing: Behavioral health reads in house: the plan's own behavioral team works with providers, and BlueCare (TennCare) behavioral is integrated in the plan.
The stall to avoid: If your application is clean and 90 days pass without a decision, cite the Tennessee statute: it is a real lever.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee is a Blue Cross Blue Shield licensed plan serving members in Tennessee. They offer commercial, Medicare Supplement, and individual marketplace health plans with provider credentialing for physicians, specialists, and allied health professionals.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
BlueCross BlueShield of Tennessee requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to BlueCross BlueShield of Tennessee. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 60-120 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with BlueCross BlueShield of Tennessee?
Our specialists handle the entire BlueCross BlueShield of Tennessee enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Contact Information
Provider Credentialing
1-800-924-7141
Mon-Fri 8am-5pm
Provider Services
1-800-924-7141
Claims & Billing
1-800-924-7141
Need Help?
Let PayerReady handle your BlueCross BlueShield of Tennessee credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for BlueCross BlueShield of Tennessee-specific credentialing details including timelines, contacts, and local requirements.
BlueCross BlueShield of Tennessee credentialing requirements by state
BlueCross BlueShield of Tennessee enrollment is not identical everywhere. The table below lists what actually differs across the 1 state BlueCross BlueShield of Tennessee operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Tennessee | Open | 60–120 days |
Provider portal
1-800-924-7141
|
BlueCross BlueShield of Tennessee. Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days. Requires active Tennessee medical license from the Tennessee Board of Medical Examiners. DEA registration and Tennessee Controlled Substance Registration required. Board certification required for specialists. BlueCross BlueShield of Tennessee is the largest health insurer in the state, covering approximately 3.4 million members. Delegated credentialing available through larger medical groups and health systems. Re-credentialing every 3 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about BlueCross BlueShield of Tennessee credentialing
How long does BlueCross BlueShield of Tennessee credentialing take?
BlueCross BlueShield of Tennessee credentialing typically takes 60–120 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does BlueCross BlueShield of Tennessee require CAQH?
Yes. BlueCross BlueShield of Tennessee pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with BlueCross BlueShield of Tennessee before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does BlueCross BlueShield of Tennessee operate in?
BlueCross BlueShield of Tennessee has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.