BCBS aka Blue Cross Blue Shield Association is a widely recognized federation of 36 separate Health Insurance organizations, and Companies. This association, which includes different well-known insurance providers, covers more than 106 million citizens in America. Publicly traded and privately owned insurance companies like Anthem, CareFirst, Highmark, Premera, Cambia Health Solution, etc. are all part of the BCBS Insurance Credentialing Services.
As such, applying for BCBS Provider Credentialing is crucial for practitioners who seek to tap into the pool of potential clients who are covered by the Blue Cross Blue Shield Association. Now, becoming an in-network provider is a three-part process. It is lengthy and fairly complicated. It is advisable for the group and private practices to seek help from third-party credentialing service providers like DENmaar to simplify the entire process.
Let us look into the BCBS Credentialing Process:
As mentioned before, becoming an in-network provider with BCBS is a three-part process.
- • Getting Credentialed or Re- Credentialed with BCBS
- • Register Your NPI (National Provider Identifier)
- • Have a Signed Contract with BCBS in your state.
1 – Getting Credentialed or Re- Credentialed
BCBS first checks the credentials of medical practitioners who apply for Insurance Credentialing Services. They have to submit their resume, work history, and other vital information for the purpose of background verification. The applying party can send their applications and documents online or manually.
Online application with BCBS Insurance Credentialing Services is only exclusive to providers. The information is sent to the Universal Credentialing DataSource (UCD). BCBS works closely with the Council of Affordable Quality Healthcare, thus making the entire process quite simpler.
BCBS Provider enrollment also requires that facilities that are not providers have to send their applications manually.
2 – Obtain an NPI (National Provider Identification Number)
The NPI, also known as National Provider Identifier, is a ten-digit unique identification number used to replace provider identifiers such as the unique provider identification number in HIPAA standard transactions.
Healthcare providers must obtain an NPI in accordance with HIPAA regulations. AN NPI should be obtained before applying to get into BCBS network.
3 – Get a Signed Contract with BCBS
Before getting a signed contract with BCBS you have to register your NPI Through the enrollment application process. You need to register to be able to access Explanation of Payments (EOP), and sign an EFT to receive claims payment.
The entire process can take 30 – 45 days from the date of NPI enrollment.
As you can probably guess by now, becoming an in-network provider with BCBS can be a very long and tedious process. The entire BCBS behavioral health credentialing process requires at least 90 – 120 days to be completed and approved. There is a lot of paperwork, which makes the whole process quite frustrating for medical practitioners who want to accept clients with medical insurance. There is also a higher risk of application rejection when you go about the BCBS credentialing process alone.
That is where the professional assistance of DENmaar comes into play. With the help of our BCBS Insurance Credentialing Services, we can walk you through the entire process without any complications and hassle so that you can work on other core areas of your medical practice.
Benefits of utilizing DENmaar’s Credentialing and Enrollment Services
The following benefits await those who seek DENmaar’s Blue Cross Blue Shield Provider Credentialing.
- • Get Assisted by Highly Skilled BCBS Credentialing Experts
- • Get Credentialing Assistance from Start to Finish.
- • Our Credentialing experts ensure your applications are submitted to BCBS on time.
- • We regularly follow up with BCBS at your behest to get updates on your applications
- • We will help you update your CAQH profile
- • Get real-time status updates with a real-time RCM portal
- • Stay informed and get alerts on expiring documents on time.
Who We Help with Blue Cross Blue Shield Provider Enrollment
- • Physicians
- • Physician Assistants
- • Nurse Practitioners
- • Urgent Care Facilities
- • Audiologists
- • Behavioral Health Providers
- • Physical, Occupational, and Speech Therapists
Join BCBS as an In-Network Provider with DENmaar
Getting on the BCBS network is no easy task. However, it is essential if you want to accept and care for patients with BCBS-sponsored health insurance. At DENmaar, we offer end-to-end BCBS Credentialing services that help your behavioral health practice expand its reach and provide care to more patients in the process. You can rest easy knowing that our credentialing experts will be working closely with you and guide you throughout the often long BCBS Provider enrollment process.
We are home to credentialing specialists who possess the insight, experience, and resources needed to get you to that credentialing finish line without a hassle. We will make sure your claims filed are clean to avoid claim rejections and accelerate the process of getting you in-network with BCBS.
With DENmaar by your side, you can expect to overcome BCBS’s credentialing challenges effortlessly while making sure that other core areas of your healthcare enterprise receive your undivided attention.
Contact us at DENmaar, to start your journey to becoming an in-network provider with Blue Cross Blue Shield