Blue Cross Blue Shield

How to Get Credentialed with Blue Cross and Blue Shield of Texas in Texas

Network: Open
45-60 Days CAQH Required

Quick Overview

Timeline

45 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Texas-Specific Requirements

Blue Cross and Blue Shield of Texas (HCSC subsidiary). Uses CAQH ProView for credentialing. BCBS Texas is the LARGEST BCBS affiliate by market size, covering millions of members across the state. Typical processing timeline: 45-60 days from complete application. BCBS TX conducts an initial 8-10 day completeness review of applications before formal credentialing begins; incomplete applications are returned, which can significantly delay enrollment. Requires active Texas medical license from the Texas Medical Board. DEA registration and Texas DPS Controlled Substance Registration required. Board certification required for specialists. HCSC subsidiary — part of the same parent as BCBS IL, OK, NM, and MT. Delegated credentialing widely available through Texas IPAs and large medical 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 Texas.

2

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.

3

Submit Your Application

Submit your completed enrollment package to Blue Cross and Blue Shield of Texas.

4

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

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 →

BCBS-TX Provider Application

Required
Online Open →

Contact Information

Credentialing

National

(888) 599-1771

TexasMedicaidNetworkDepartment@bcbstx.com

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