800-955-5692 Option # 5. All Rights Reserved. Our credentialing requirements and guidelines . ® SM Registered and Service Marks of the Blue Cross and Blue Shield Association. About Us Florida Blue, a GuideWell Company, has been providing health insurance to residents of Florida for 75 years. Outside the United States. All providers interested in participating in our networks must complete and return a credentialing application, as explained below. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. Florida Blue Medicare is an HMO plan with a Medicare contract. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. ©2021 Blue Cross and Blue Shield of Florida, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). Find Blue Cross Blue Shield Doctors in Miami, Florida & make an appointment online instantly! These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people. It's free! Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Become a California Children's Services … Florida Blue, Florida's Blue Cross and Blue Shield company, has been providing health insurance to residents of Florida for nearly 75 years. All hospital care except for emergency services must be preapproved by your health plan. The Council for Affordable Quality Healthcare (CAQH), an alliance of the nation’s leading health plans and networks working to simplify healthcare administration, announced today that Blue Cross and Blue Shield of Florida (BCBSF) will now use the CAQH Universal Credentialing DataSource® (UCD) service to streamline credentialing for its 36,000 participating providers. Learn how to become a Blue Shield Promise Medicare, Medi-Cal, or Cal MediConnect provider. Not all plans are available in every county. We welcome you to apply to join our provider networks. Blue Cross and Blue Shield of Illinois (BCBSIL) contracts with physicians, facilities and other health care professionals to form our provider networks, which are essential for delivering quality, accessible and cost-effective health care services to our members. Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Care Management Programs. X. Please refer to the Blue Cross and Blue Shield Service Benefit Plan brochure for details. Tell us what you really think. Coverage for care outside of the network, except for Exclusive Provider Services, Specific providers required for prescription drugs and vision and/or dental services (if applicable), No out-of-network coverage except for emergencies, Coverage for care out-of-network, except for Exclusive Provider Services, Specific providers must be used for prescription drugs, durable medical equipment and supplies, home health, lab tests and vision and/or dental services (if applicable). Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Field Service P.O. Begin application. To become a Blue Shield direct contract provider, please see the instructions, applications and forms below. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Box 45190 Jacksonville, FL 32232-5190. www.floridablue.com. This process verifies the licenses and qualifications of a provider and ensures that they meet the state requirements for health care. Join Our Dental Networks. This Provider Application will be used for assigning a provider number for Blue Cross and Blue Shield of Florida, Inc. and/or Health Options, Inc. and requests for network participation. Purpose of Credentialing: Blue Cross NC credentials all practitioners of care, ancillary and facility providers applying for membership in the network(s) and re-credentials the applicable contracted practitioner, ancillary and facility providers every three years. However, where appropriate, the content may identify a particular company; … Info for new providers. Learn how to join our network. Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. The process for receiving insurance credentials differs. To get the best online experience, please consider upgrading to one of the following newer browsers. Florida Blue, Florida’s Blue Cross and Blue Shield company, is a leader in Florida’s health care industry. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Admitting privileges. X. Blue Cross and Blue Shield of Oklahoma (BCBSOK) provider network representatives serve as the liaison between BCBSOK and our independently contracted provider community, developing and maintaining cooperative working relationships with our physicians and other health care providers throughout Oklahoma. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal … In the United States, Puerto Rico and U.S. Virgin Islands. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. P.O. Plan Name On or Off Exchange Plan eligible for subsidy? Please review the Required Document Checklist ( PDF ) for your classification type and ensure that you have all the needed information readily available to avoid processing delays. They are organized by topic. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. Learn more about how to join our medical and dental networks. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. ... Identify members, submit pre-authorization requests and submit claims for members from other Blue Cross and/or Blue Shield Plans . First name. Florida Blue HMO is an HMO plan with a Medicare contract. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Credentialing. © 2021 Florida Health Connector. Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO. Apply to join Highmark Blue Shield’s Participating network – Highmark Blue Shield’s largest Info for billing agencies Web Content Viewer. Become a participating provider Use this form to add a new practice or a new provider within a practice. 800-333-2227. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Credentialing contact. Network participation . Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Blue Cross Blue Shield companies nationwide use the following criteria: ... For details on a provider’s in-network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Join Our Medical Networks. ©2020 Blue Cross and Blue Shield of Florida, Inc. ©1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Become a participating provider; Contacts; FAQ; General information. All appointment times are guaranteed by our Florida Blue: Blue Cross Blue Shield of Florida Rheumatologists & Providers. Before you start, please check Network Exceptions (see above) Part 1: Get credentialed or recredentialed; Part 2: Register your National Provider Identifier (NPI) with Blue Cross NC; Part 3: Have a signed contract with Blue Cross NC Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. For professional providers: 800-955-5692 Option # 2. Box 1798 Jacksonville, FL 32231-0014. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or gender. As a Blue Cross & Blue Shield of Mississippi network provider, and a member of the Advanced Health Systems, Inc (AHS) network, join us as a partner in our shared commitment to a healthier Mississippi. Find a Doctor. Claims. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. These materials are applicable to ALL direct contract provider types. Driven by its mission of helping people and communities achieve better health, the company serves more than five million health care members across the state. Learn more. We provide health insurance in … Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. ... Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Join the Blue Shield of California provider network. Provider Network Representatives. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Visit our provider directory to find a … Our products continue to be Blue branded and we partner with VSP to develop and market dental products. Here's how to enroll with us. ® Registered Marks are property of their respective owners. Care Coordination. Internet Privacy Statement  |  Terms of Use. Mental Health/Substance Abuse. Box 1798 Jacksonville, FL 32231 Customer Service. All appointment times are guaranteed by our Florida Blue: Blue Cross Blue Shield of Florida Nurse Practitioners & Providers. HMO coverage is offered by Health Options, Inc., D/B/A Florida Blue HMO, an affiliate of Blue Cross and Blue Shield of Florida, Inc. Blue Cross Blue Shield providers are a part of the largest network in the state, with tools that let you check benefits, submit claims and process payments. Learn more by clicking the links below. myBlue Provider Manual 10 09 2019 (2).pdf, https://www.floridablue.com/docview/myBlue/, Nondiscrimination and Accessibility notice. Find a Value-Choice Provider Preventative Care at Our Centers. Join Our Medical Networks. ©2021 Blue Cross and Blue Shield of Florida, Inc. Choose a Provider Type: Gender: (Optional) Male Female. Outside the United States. Outside the United States. To become a Blue Shield direct contract provider, please see the instructions, applications and forms below. Please follow the instructions carefully and provide current information to avoid delays in processing. Driven by its mission of helping people and communities achieve better health, the company serves more than 5 million health care members across the state. Contracting Q & As. Expand All. You must complete the credentialing and contracting processes to become a Blue Cross provider. Florida Blue. In the United States, Puerto Rico and U.S. Virgin Islands. Providers; Health Plan Partners; I'd like to... New Directions complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Precertification. Blue Cross Blue Shield (BCBS) is a leading provider of health insurance. ® Registered Marks of Blue Cross Blue Shield of Massachusetts. © 2018 Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Join the Blue Shield of California provider network. Provider Network Application . Review Blue Cross and Blue Advantage medical and pharmacy policies and guidelines or comment on draft policies. With partners like Sanitas and other value-choice providers, you get high-quality care at a lower price than any other network. Find Florida Blue: Blue Cross Blue Shield of Florida Doctors in Venice, Florida & make an appointment online instantly! Learn About Virtual Care ... Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. With more of Florida's top providers to choose from, you have access to the experts you need to keep you in good health. Become a Blue Cross Provider. Section 3 How to become a Network Provider 3.1 A step-by-step outline This section outlines the steps a health care provider should take to: Obtain a provider number – necessary for any provider to receive reimbursement from Highmark Blue Shield. It only takes a moment and your feedback can help us provide better service to you in the future. All rights reserved. Make an appointment online instantly with Rheumatologists that accept Florida Blue: Blue Cross Blue Shield of Florida insurance. Florida Blue HMO is an HMO plan with a Medicare contract. You may access the Nondiscrimination and Accessibility notice here. Becoming an in-network Blue Cross Blue Shield of North Carolina (Blue Cross NC) provider is a three-part process. ... Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. ... We provide links to official provider directories, or doctor lookups, on Health Plan Radar. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. Your doctor will usually arrange any hospital care that you need. Apply to become a vision provider. How to become a PremierBlue Shield provider 3.3 ... Highmark Blue Shield Provider Data Services PO Box 898842 Camp Hill, PA 17089-0089 If you need assistance call your Provider Relations representative: Central Region: 1-866-731-2045 Eastern Region: 1-866-362-6116 Assignment Account guidelines, appendix C to the Regulations for Participating Providers, may be found on Page 3.28 of … Get all of your applications, request forms, and credentialing information in one place. Get all of your applications, request forms, and credentialing information in one place. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Tell us what you really think. Make an appointment online instantly with Nurse Practitioners that accept Florida Blue: Blue Cross Blue Shield of Florida insurance. Florida Blue HMO is an HMO plan with a Medicare contract. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc. D/B/A Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida. All appointment times are guaranteed by our Miami Doctors. BCBSND partners with Vision Service Plan (VSP) for network management (provider contracting), claims administration and member/provider customer service. To participate with us, you’ll need to complete the contracting and credentialing processes. P.O. Get timely provider information including policy, benefits, coding or billing updates, education, and more—delivered directly to your email. ご本人様、またはお客様の身の回りの方でも、Blue Cross Blue Shieldについてご質問がございました ら、ご希望の言語でサポートを受けたり、情報を入手したりすることができます。料金はかかりません。 通訳とお話される場合、(800) 810-2583までお電話ください。 Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. In order to become a provider for Blue Cross Blue Shield of Michigan you need to be credentialed. Find Florida Blue: Blue Cross Blue Shield of Florida Rheumatologists & Providers with verified reviews. Do I need admitting privileges? P.O. Become a California Children's Services paneled provider. Thank you for your interest in becoming a participating provider in Independence’s provider networks. Language assistance available:Español, Kreyol Ayisien, Tiếng Việt, Português, 中文, français, Tagalog, русский, العربية, italiano, Deutsche , 한국어, Polskie, Gujarati, ไทย, 日本語, فارسی. 800-337-2204. Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Blue Cross NC credentials all practitioners of care, ancillary and facility providers applying for membership in the network(s) and re-credentials the applicable contracted practitioner, ancillary and facility providers every three years. Blue Cross Blue Shield is a health insurance company that operates throughout the United States. 877-860-2837 (Blue Cross Community Health Plans) 877-723-7702 (Blue Cross Community MMAI) 877-774-8592 (Blue Cross Medicare Advantage) 800-676-2583 (Eligiblity - Out of State BCBS) 800-972-8382 (Eligibility - FEP) Indiana: 888-802-2160 855-251-8827 (Health Maintenance Organization) 855-558-1438 (L Preferred Provider Organization) Enrollment in Florida Blue or Florida Blue HMO depends on contract renewal. Learn how to become a Blue Shield Promise Medicare, Medi-Cal, or Cal MediConnect provider. About Blue Cross and Blue Shield of Florida BCBSF is a leader in Florida 's health industry. All appointment times are guaranteed by our Venice Doctors. You can apply to be a part of the largest network of healthcare providers in Mississippi. Language: (Optional) Phone Number: (Optional) ... DBA Florida Blue. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Zocdoc helps you find Doctors in Miami and other locations with verified patient reviews and appointment availability that accept Blue Cross Blue Shield and other insurances. Florida Blue, Florida's Blue Cross and Blue Shield company, has been providing health insurance to residents of Florida for more than 75 years. Thank you for considering participation with Blue Cross Blue Shield of Massachusetts! Florida Blue. Plans Offered by Blue Cross and Blue Shield of Florida in Florida Obamacare and Off-Exchange Health Insurance Plans. However, where appropriate, the content may identify a particular company; there, any pronouns refer to that specific entity. In order to become a provider for Blue Cross Blue Shield of Michigan you need to be credentialed. Enrollment in Florida Blue or Florida Blue HMO depends on contract renewal. First Care, Inc., CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc. and The Dental Network are independent licensees of the Blue Cross and Blue Shield Association. You may access the Nondiscrimination and Accessibility notice. Learn about the benefits of becoming a contracted provider and use our provider onboarding resource to get started. FIVE EASY STEPS TO JOIN! Please call the provider prior to scheduling an appointment to verify that the provider continues to be part of the network. Zocdoc helps you find Doctors in Venice and other locations with verified patient reviews and appointment availability that accept Florida Blue: Blue Cross Blue Shield of Florida and other insurances. It's free! Last name. Before you start, please check Network Exceptions (see above) Part 1: Get credentialed or recredentialed; Part 2: Register your National Provider Identifier (NPI) with Blue Cross NC; Part 3: Have a signed contract with Blue Cross NC Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Becoming an in-network Blue Cross Blue Shield of North Carolina (Blue Cross NC) provider is a three-part process. Forms for Professional Provider Enrollment Tutorial – Physicians and professional health care providers can learn how to join the Blue Cross provider networks by viewing this Web-based training. Join the Blue Shield of California Promise Health Plan provider network. Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. It's free! Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Here are some answers to questions we frequently get asked about the enrollment process. Provide Feedback. You may have rights during the credentialing process (PDF). Become a Blue Cross Provider. Contact phone number. It seems you're using a browser version we no longer support. Find Florida Blue: Blue Cross Blue Shield of Florida Nurse Practitioners & Providers with verified reviews. Learn how to join our network. There are many providers who accept Blue Cross Blue Shield patients, such as doctors, dentists, physician assistants, social … These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to date and accurate. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Enrollment in Florida Blue or Florida Blue HMO depends on contract renewal. Contracting Q & As. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. These materials are applicable to ALL direct contract provider types. In the United States, Puerto Rico and U.S. Virgin Islands. Low or No Cost Providers. The Council for Affordable Quality Healthcare (CAQH), an alliance of the nation’s leading health plans and networks working to simplify healthcare administration, announced today that Blue Cross and Blue Shield of Florida (BCBSF) will now use the CAQH Universal Credentialing DataSource® (UCD) service to streamline credentialing for its 36,000 participating providers. Which Florida Blue provider network best suits your needs? Other network a three-part process learn how to become a participating provider in Independence s! Https: //www.floridablue.com/docview/myBlue/, Nondiscrimination and Accessibility notice here, has been providing health is... Welcome you to apply to be Blue branded and we partner with VSP to develop and market products. Applicable to all direct blue cross blue shield become a provider florida provider, please see the instructions carefully and current... Your needs rights during the credentialing process ( PDF ) Licensees have reasonable... 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