To Request a Provider Number ONLY
To Request Network Participation
(As applicable by specialty)
Providers at minimum must meet the criteria listed below:
If you wish to become a participating provider in one of our networks and you meet minimum criteria then you should submit a Louisiana Standardized Credentialing Application. If the provider does not meet basic criteria, the application will be returned with an explanation and instructions for reapplying when applicable. You must also complete our online interactive Network Interest Form.
If you meet the Credentialing Criteria listed at the top of this page, you must submit current copies of the following documents as applicable by specialty:
* This information varies for recredentialing. View the Professional Recredentialing page to find out more.
All information submitted must be legible, current and without restriction. We will return all submitted information to the provider if the application is not signed and dated. Signature and date must be original. Signature stamps or date stamps are not acceptable.
The credentialing process can take 30-60 days from receipt of the application. Acceptance of the application is not a guarantee that the provider will be accepted in any network. Providers will remain non-participating in our networks until their application has been approved by the Credentialing Subcommittee. We will not allow a provider to participate in any network until their credentials have been approved by the 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. All applications must not be older than 180 days at the time of the Credentialing Subcommittee meeting.
Providers may appeal subcommittee decisions using the guidelines on the Appeals and Terminations page.
You may fax, e-mail or mail your application, and supporting documents to BCBSLA using the following information. Please use the mail option only when including agreements, as they are too large to send through the fax/e-mail option.
The BCBSLA Network Operations Department only provides application status updates to the provider in question. To check the status of an application, questions regarding network participation or for any other additional information call 1.800.716.2299, option 3.
*When the credentialing department receives all required information and does not need to request clarifications and/or corrections.
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