Effective
November 1, 2022, Blue Cross and Blue Shield of North Carolina (Blue
Cross NC) will begin utilizing the Council for Affordable Quality
Healthcare (CAQH) ProView universal credentialing application. The
upcoming changes to our processes will improve quality and timeliness in
onboarding our new providers/practitioners to Blue Cross NC. Providers
will be required to do the following:
Utilize CAQH ProView for initial credentialing and recredentialing with Blue Cross NC.
Submit individual practitioner and group enrollment forms 60 days
prior to the provider’s effective date; as it currently takes 60 days
for a new enrollment to be processed.
This initial step of integrating automation and streamlining
onboarding processes will improve turnaround times for credentialing and
enrollment.
We appreciate your cooperation and look forward to partnering with
you as we transition to a more automated and digitized workflow. Please
see the FAQ which provides further guidance and instructions for utilizing these electronic processes.