Blue Cross Blue Shield

How to Get Credentialed with BlueCross BlueShield of Tennessee in Tennessee

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Tennessee-Specific Requirements

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.

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 Tennessee.

2

Complete Your CAQH ProView Profile

BlueCross BlueShield of Tennessee 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 Tennessee.

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

1-800-924-7141

Quick Links

BlueCross BlueShield of Tennessee Website Provider Portal

Need Help?

Let PayerReady handle your BlueCross BlueShield of Tennessee enrollment in Tennessee.

Get Started Free

Other Payers in Tennessee

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare TennCare UnitedHealthcare Community Plan Amerigroup (Anthem)
FASTER APPROVALS

Ready to Eliminate Credentialing Delays?

Join hundreds of providers who eliminated credentialing headaches. Create your free account in minutes — no demos, no sales calls, just instant access.

Get Started Free

Ready to streamline your credentialing?

Get Started Free