You may access the Nondiscrimination and Accessibility notice. About Us Florida Blue, a GuideWell Company, has been providing health insurance to residents of Florida for 75 years. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. For professional providers: Get all of your applications, request forms, and credentialing information in one place. They are organized by topic. Become a Blue Cross Provider. Credentialing. Learn how to join our network. P.O. With partners like Sanitas and other value-choice providers, you get high-quality care at a lower price than any other network. Info for new providers. 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. 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. The process for receiving insurance credentials differs. Find Florida Blue: Blue Cross Blue Shield of Florida Doctors in Venice, Florida & make an appointment online instantly! 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. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. 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. Contracting Q & As. 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 … ® Registered Marks of Blue Cross Blue Shield of Massachusetts. Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Last name. 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. Join Our Medical Networks. 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. All appointment times are guaranteed by our Miami Doctors. 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. 800-333-2227. Learn more. In order to become a provider for Blue Cross Blue Shield of Michigan you need to be credentialed. Field Service P.O. 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. Become a participating provider; Contacts; FAQ; General information. Credentialing contact. Not all plans are available in every county. Florida Blue. 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 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. Becoming an in-network Blue Cross Blue Shield of North Carolina (Blue Cross NC) provider is a three-part process. We welcome you to apply to join our provider networks. Begin application. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Florida Blue HMO is an HMO plan with a Medicare contract. All Rights Reserved. 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. All providers interested in participating in our networks must complete and return a credentialing application, as explained below. Provider Network Representatives. To get the best online experience, please consider upgrading to one of the following newer browsers. 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. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. 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. Visit our provider directory to find a … These materials are applicable to ALL direct contract provider types. 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. X. Tell us what you really think. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO. Choose a Provider Type: Gender: (Optional) Male Female. Care Coordination. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. FIVE EASY STEPS TO JOIN! Apply to join Highmark Blue Shield’s Participating network – Highmark Blue Shield’s largest However, where appropriate, the content may identify a particular company; … 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. ©2021 Blue Cross and Blue Shield of Florida, Inc. Become a Blue Cross Provider. 800-337-2204. 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. 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 It's free! However, where appropriate, the content may identify a particular company; there, any pronouns refer to that specific entity. ... We provide links to official provider directories, or doctor lookups, on Health Plan Radar. myBlue Provider Manual 10 09 2019 (2).pdf, https://www.floridablue.com/docview/myBlue/, Nondiscrimination and Accessibility notice. 800-955-5692 Option # 2. 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 Find Florida Blue: Blue Cross Blue Shield of Florida Nurse Practitioners & Providers with verified reviews. 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. Internet Privacy Statement  |  Terms of Use. In the United States, Puerto Rico and U.S. Virgin Islands. Tell us what you really think. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Find Blue Cross Blue Shield Doctors in Miami, Florida & make an appointment online instantly! It's free! Here are some answers to questions we frequently get asked about the enrollment process. Enrollment in Florida Blue or Florida Blue HMO depends on contract renewal. All appointment times are guaranteed by our Venice Doctors. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. 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. Florida Blue. It's free! All appointment times are guaranteed by our Florida Blue: Blue Cross Blue Shield of Florida Rheumatologists & Providers. The Blue Cross name and symbol are registered marks of the Blue Cross Association. You may access the Nondiscrimination and Accessibility notice here. First name. © 2018 Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. Blue Cross Blue Shield (BCBS) is a leading provider of health insurance. Contact phone number. Network participation . 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. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. You may have rights during the credentialing process (PDF). Learn how to join our network. Become a California Children's Services paneled provider. Find a Value-Choice Provider Preventative Care at Our Centers. Admitting privileges. About Blue Cross and Blue Shield of Florida BCBSF is a leader in Florida 's health industry. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or gender. P.O. Plan Name On or Off Exchange Plan eligible for subsidy? Find a Doctor. Please refer to the Blue Cross and Blue Shield Service Benefit Plan brochure for details. BCBSND partners with Vision Service Plan (VSP) for network management (provider contracting), claims administration and member/provider customer service. Join Our Dental Networks. Box 45190 Jacksonville, FL 32232-5190. www.floridablue.com. ... Identify members, submit pre-authorization requests and submit claims for members from other Blue Cross and/or Blue Shield Plans . With more of Florida's top providers to choose from, you have access to the experts you need to keep you in good health. 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