Untitled Document

Apply for Credentialing

Credentialing Instructions

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



(Please note a new revised Facility application can be found on each page below)

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