How to Get Credentialed with BlueCross BlueShield of Tennessee in Tennessee
Quick Overview
Timeline
60 - 120 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
Tennessee-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Tennessee.
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.
Submit Your Application
Submit your completed enrollment package to BlueCross BlueShield of Tennessee.
Track & Follow Up
Credentialing typically takes 60-120 days. Monitor your application status 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 in Tennessee.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired 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.
RequiredFree Tools for Your BlueCross BlueShield of Tennessee Enrollment
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Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- Fee Schedule
- A complete listing of fees and reimbursement rates that an insurance payer will pay for specific medical services and pr...
- HMO
- A Health Maintenance Organization is a managed care plan that typically requires members to choose a primary care physic...
- Network Status
- A provider's participation status with a specific insurance payer, indicating whether they are in-network (contracted) o...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- PPO
- A Preferred Provider Organization is a managed care plan that offers a network of contracted providers at lower costs to...
Credentialing Checklist
Make sure you have everything ready before applying to BlueCross BlueShield of Tennessee.
View Physician Credentialing Checklist →Contact Information
Provider Credentialing
National1-800-924-7141
Mon-Fri 8am-5pm
Provider Services
National1-800-924-7141
Claims & Billing
National1-800-924-7141
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Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.