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Apply for Credentialing

Credentialing Instructions

Credentialing Instructions and Forms to aid you in completing the credentialing process.

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 Blue Medicare HMO and Blue Medicare PPO are closed to NEW providers.)
Free Standing Radiology (Blue Medicare HMO and Blue Medicare PPO networks only)
Home Durable Medical Equipment (This includes all Home Durable Medical Equipment which will include equipment only and cardiac event monitoring only) (The DME Provider Network for Blue Medicare HMO and Blue Medicare PPO are closed to NEW providers.)
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 (This includes all Orthotics and Prosthetics which will include Breast Prosthetics only) (The DME Provider Network for Blue Medicare HMO and Blue Medicare PPO are closed to NEW providers.)
Private Duty Nursing (BCBSNC Only)
Reference Laboratories
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

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