Provider Onboarding Process
Before you can get contracted in BCBSTX provider networks or send claims electronically as an out-of-network provider, you will need to be assigned a BCBSTX Provider Record ID for each Tax Identification Number you bill under. Learn more
Providing information about languages you or your office personnel speak is voluntary. If disclosed, the information will not be used to make adverse contracting or credentialing decisions and will be used in accordance with applicable law.
Case Status Checker
If you have completed the Provider Onboarding Form, Demographic Update Form or sent a General Email Inquiry and would like to check the status, enter the case number you received in your confirmation email in our Case Status Checker.
Credentialing and Recredentialing
All providers who participate in our networks are required to complete a credentialing process prior to acceptance. Refer to the following for additional information:
Ancillary providers: Learn more
Facility (hospital) based providers: Learn more
Office-based physician and professional providers: Learn more
You’re required to create and/or update your CAQH profile. Failure to finalize your CAQH application within 45 days will cause the BCBSTX credentialing process to be discontinued and you will be required to start the process over.
Learn more about recredentialing.
Credentialing Status Checker
After you submit the Provider Onboarding Form to get credentialed, check the status of your credentialing process by entering your NPI or license number in our Credentialing Status Checker.
Notify us of any changes
- Inform us of demographic changes whenever your practice information changes. Learn more.
- Process a change of ownership (CHOW) for a hospital and ancillary provider. Learn more.
- CAQH Provider Data Portal Database: You will be sent automatic reminders from CAQH to review and attest to the accuracy of your data. Use the CAQH Provider Data Portal to report any changes to your practice.