Apply for a Provider Number

Providers numbers issued by BCBSNC are necessary to file claims for services provided to BCBSNC members. To receive payments made to the provider’s office, providers must have a provider number, must be credentialed and have a contract with BCBSNC. If a provider does not have a contract with BCBSNC, payments are made to the subscriber. Provider numbers can be obtained for individuals or for a group practice.

To apply for a provider number, please provide the following information:

Completed application for an individual or group practice

Download individual provider enrollment instructions

Download individual provider enrollment application

Download group practice provider enrollment instructions

Download group practice provider enrollment application

Completed Taxpayer Identification Number (W-9) form

Download Taxpayer Identification Number (W-9) instructions

Download Taxpayer Identification Number (W-9) form

Send completed application and Taxpayer Identification Number (W-9) form to the appropriate Network Management Field Office.

Please note: Completion of an application and receipt of a provider number does not authorize participation in BCBSNC networks. Providers must be credentialed and have an executed contract in order to be considered a participating provider. Please review our information on how to apply for credentialing.


Get Acrobat To view PDF documents you need Adobe Acrobat Reader.