Blue Cross Blue Shield

How to Get Credentialed with Blue Cross Blue Shield of Wyoming in Wyoming

Network: Open
60-120 Days CAQH Required

Quick Overview

Timeline

60 - 120 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Wyoming-Specific Requirements

Blue Cross Blue Shield of Wyoming (BCBSWY). Uses CAQH ProView for credentialing. Typical processing timeline: 60-90 days. Requires active Wyoming medical license from the Wyoming Board of Medicine. DEA registration required. Board certification required for specialists. BCBS Wyoming is the dominant commercial health insurer in the state. Wyoming has limited provider networks, especially in rural areas, which may expedite credentialing for needed specialties. 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 Wyoming.

2

Complete Your CAQH ProView Profile

Blue Cross Blue Shield of Wyoming 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 Blue Shield of Wyoming.

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

1-800-822-2761

Quick Links

Blue Cross Blue Shield of Wyoming Website Provider Portal

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Other Payers in Wyoming

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Wyoming Medicaid TRICARE TRICARE West Region (Health Net Federal)
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