Physicians and healthcare providers who meet the required criteria can view information on how to submit an application and agreements to BCBSLA. If you submit an application only, you will be issued a provider number for claims filing purposes only and will be considered a non participating provider. If you are interested in network participation and you wish to receive agreements or your group does not have an agreement on file, please call Network Operations at 1.800.716.2299, option 3 to have the appropriate agreements sent to you.
Request Network Participation
Physicians and healthcare providers who meet at minimum the required criteria can view information on how to submit an application and download the appropriate forms to obtain a provider number only. This option does not include network participation. For more on Network Participation, see link at top of page.
Request a Provider Number ONLY
Providers are recredentialed every three years from the date of their last credentialing approval date. The recredentialing section shows what documents to submit in order to continue participation in our networks. Unless otherwise notified, providers should consider their recredentialing application approved for a three-year cycle.
Behavioral Health Provider Clinical Profile Form
Behavioral Health providers should complete this form to disclose the most current information regarding their areas of expertise. This form is used in our credentialing and recredentialing processes. Failure to complete this form could delay your credentialing/recredentialing application.
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