Join Our Networks

Since 1996, we have been dedicated to fully credentialing providers who apply for network participation. Our credentialing program is accredited by the Utilization Review Accreditation Commission (URAC). All provider information obtained during the credentialing process is considered highly confidential.

Credentialing Process

There are two options for obtaining a Blue Cross provider record. You may request network participation or just a provider record as a non-participating provider for the purpose of filing claims. Complete the correct credentialing packet below and return to Blue Cross with all required documents.

Professional (initial)

 

Professional (recredentialing)

 

Facility (initial)

 

Facility (reverification)

 

Receipt of an application or agreement does not guarantee acceptance into any network. The credentialing process takes up to 90 days when all required information is received. Providers will remain non-participating in our networks until their credentialing application has been approved by our Credentialing Subcommittee

We do not back-date network participation prior to the approval date. The credentialing approval date becomes the effective date of network participation, unless a future date is requested.

Providers may appeal subcommittee decisions using our Appeals and Terminations Guidelines.

Credentialing Criteria

Professional Providers

 

Facility Providers

 

Hospital-based

Credentialing Delegation Program

The Credentialing Delegation Program is an extension of Blue Cross and Blue Shield of Louisiana’s URAC-accredited credentialing program. This program allows you to expedite your credentialing experience to complete the credentialing process with fewer steps.