Blue Cross Blue Shield

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

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Vermont-Specific Requirements

Blue Cross and Blue Shield of Vermont. Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days. Requires active Vermont medical license from the Vermont Board of Medical Practice. DEA registration required. Board certification required for specialists. BCBS Vermont is the largest health insurer in the state, covering approximately 70% of the commercial market. Vermont has a single-state exchange market with limited payer competition. Delegated credentialing may be available through select 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 Vermont.

2

Complete Your CAQH ProView Profile

Blue Cross and Blue Shield of Vermont 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 Vermont.

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

(888) 449-0443

providerrelations@bcbsvt.com

Quick Links

Blue Cross and Blue Shield of Vermont Website Provider Portal

Need Help?

Let PayerReady handle your Blue Cross and Blue Shield of Vermont enrollment in Vermont.

Get Started Free

Other Payers in Vermont

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Green Mountain Care TRICARE TRICARE East Region (Humana Military)
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