How to Get Credentialed with Blue Cross and Blue Shield of Texas in Texas
Quick Overview
Timeline
45 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
Texas-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 Texas.
Complete Your CAQH ProView Profile
Blue Cross and Blue Shield of Texas 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 Blue Cross and Blue Shield of Texas.
Track & Follow Up
Credentialing typically takes 45-60 days. Monitor your application status and respond promptly to requests for additional information.
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
Contact Information
Credentialing
National(888) 599-1771
TexasMedicaidNetworkDepartment@bcbstx.com
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