Apply for Credentialing
Credentialing Instructions
Credentialing Instructions and Forms to aid you in completing the credentialing process.
Providers
- Advanced Practice Nurse
- Board Certified Medical Doctor/Doctor of Osteopathy/Doctor of Dental Science or Doctor of Dental Surgery/Doctor of Medical Dentistry/Doctor of Podiatry
- Licensed Certified Social Worker/Certified Substance Abuse Counselor/Licensed Clinical Addiction Specialist/Licensed Pastoral Counselors/Licensed Marriage and Family Therapist and Licensed Psychological Associate / Psychiatric Nurses, Certified Nurse Specialists
- Doctor of Optometry/Psychologist/Physical Therapist/Occupational Therapist/Speech Pathologist/Audiologist/Chiropractors or Respiratory Therapists
- Licensed Dietician Nutritionist
- Licensed Professional Counselor and Licensed Professional Counselor Associate
- NON Board Certified Medical Doctor/Doctor of Osteopathy/Doctor of Dental Science or Doctor of Dental Surgery/Doctor of Medical Dentistry/Doctor of Podiatry
- Pharmacist
- Physician Assistant
Facilities
- Ambulance (Blue Medicare HMO and Blue Medicare PPO networks only)
- Ambulatory Surgical Centers
- Birthing Centers (BCBSNC Only)
- Cardiac Event Monitoring (Blue Medicare HMO and Blue Medicare PPO networks only)
- Independent Diagnostic Testing Facility (Blue Medicare HMO and Blue Medicare PPO networks only)
- Dialysis Facilities
- Durable Medical Equipment (Diabetic Supplies Only) The DME provider network for BCBSNC closed to new providers effective 6/1/07. The DME provider network for Blue Medicare HMO and Blue Medicare PPO are closed to new providers effective 8/10/07.
- Free Standing Radiology (Blue Medicare HMO and Blue Medicare PPO networks only)
- Home Durable Medical Equipment The DME provider network for BCBSNC closed to new providers effective 6/1/07. The DME provider network for Blue Medicare HMO and Blue Medicare PPO are closed to new providers effective 8/10/07
- Home Durable Medical Equipment (Equipment Only) The DME provider network for BCBSNC closed to new providers effective 6/1/07. The DME provider network for Blue Medicare HMO and Blue Medicare PPO are closed to new providers effective 8/10/07
- Home Durable Medical Equipment (Cardiac Event Monitoring Equipment Only)
- Home Health Agencies
- Home Infusion Therapy
- Hospice Agencies (BCBSNC Only)
- Hospitals
- Intensive Outpatient Facilities (BCBSNC Only)
- Mobile X-ray (Blue Medicare HMO and Blue Medicare PPO networks only)
- Orthotics and Prosthetics The O&P provider network for BCBSNC closed to new providers effective 6/1/07. The O&P provider network for Blue Medicare HMO and Blue Medicare PPO are closed to new providers effective 8/10/07
- Orthotics and Prosthetics (Breast Prosthetics Only) The O&P provider network for BCBSNC closed to new providers effective 6/1/07. The O&P provider network for Blue Medicare HMO and Blue Medicare PPO are closed to new providers effective 8/10/07
- Private Duty Nursing (BCBSNC Only)
- Reference Laboratories (Blue Medicare HMO and Blue Medicare PPO networks only)
- Residential Treatment Facilities (BCBSNC Only)
- Skilled Nursing Facilities (Blue Medicare HMO and Blue Medicare PPO networks only)
- Sleep Centers (Blue Medicare HMO and Blue Medicare PPO networks only)
- Specialty Pharmacy
Submission information
Complete the required information, attach all appropriate forms, and mail or fax them directly to us at:
Credentialing Department
Blue Cross and Blue Shield of North Carolina
P. O. Box 2291
Durham, NC 27702
Fax Number: (919) 765-7016
Blue Cross and Blue Shield of North Carolina
P. O. Box 2291
Durham, NC 27702
Fax Number: (919) 765-7016