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Become a BCBSNC Provider or Recredential

Please Note the following Network Exceptions:

Physical Therapy professional commercial networks are closed to new providers in select counties. (See the list of closed counties.)

Mental Health professional commercial networks are closed to new providers in select counties. This does not apply to licensed Psychologists (PhD) or Psychiatrists (MD) or Mental Health/Substance Abuse facilities. Additionally, the network remains open in all counties to providers rendering Autism Services and Applied Behavioral Analysis. (See the list of closed counties.)

Optometry and Ophthalmology commercial networks are closed in all counties. Optometrist and ophthalmologist participation for routine vision is managed by Community Eye Care (CEC). Contact CEC for participation inquiries and to initiate credentialing and/or recredentialing by email at and by phone. (CEC 888-254-4290)

Reference Laboratory commercial networks are managed by Avalon Health Care Solutions. Please contact Avalon for participation inquiries by email at

Becoming an in-network Blue Cross Blue Shield of North Carolina (BCBSNC) provider is a three-part process.

  1. Get credentialed or recredentialed
  2. Register your National Provider Identifier (NPI) with BCBSNC
  3. Have a signed contract with BCBSNC

You don’t need to be credentialed to register your NPI number. We suggest you complete the two parts at the same time. If you’d like to be an out-of-network provider, you’ll only need to complete part 2 to register your NPI number. Go to Part 2.

Part 1. Apply for Credentialing or Recredentialing

To join the BCBSNC provider network, we’ll need to check your credentials. You can use a free-of-charge  online/fax service or manually email, fax or mail your application and documents to us. Also, you’ll typically need to reapply every three years to be recredentialed.

If you only need to be recredentialed, you’ll only need to complete Part 1.

Who's required to be credentialed/recredentialed?

Option 1: Submit Your Application Online (Providers only)

You can send the Uniform Application  to a single database called the Universal Credentialing DataSource® (UCD ). BCBSNC has been working with the CAQH  (Council for Affordable Quality Healthcare) to help make the process simpler so you don’t need to fill out and send multiple credentialing/recredentialing applications. This free online service helps you speed up the credentialing process so you can spend more time caring for your patients. At this time this service is only available to providers. Facilities will need to manually send their application (see Option 2 below).


  • You can submit your information online, email or by fax free-of-charge.
  • You can change your information yourself to make sure it's accurate and up-to-date (you’ll need to do this every 3 years).
  • BCBSNC can access your information anytime (only with your approval).
  • BCBSNC can continue to verify and review your credentials to make sure they meet BCBSNC requirements.
  • Your information is stored in a secure online database so you can have immediate access to your information on your schedule.

To learn more about CAQH and the CAQH UCD, please visit where you can watch an online demonstration. You can also read our frequently asked questions for more information.

Before you can use their free online service, you’ll need to be a CAQH member and get a CAQH provider number. Learn about CAQH membership

After You've Applied Online

If you've applied on the CAQH website and they've confirmed your application is complete, you'll need to send an email to the BCBSNC Credentialing Department at to let us know you've finished the application process. Then, we'll be able to access your application and supporting documents to complete the review process. The review process will only begin after you contact us.

Please make sure before contacting us that the credentialing application is in the "Completed" stage. Any other stage (ex. "Submitted", "First Provider Contact") will result in slowing the credentialing process.

Go to CAQH to Start Application

Option 2: Manually Submit Your Application (Facilities must use this option when completing an application)

If you’d rather email, fax, or mail your information, you’ll need to fill out the application and send your documents to us.


(919) 765-7016

Mailing address:
Blue Cross and Blue Shield of North Carolina
Attention: Credentialing Department
P. O. Box 2291
Durham, NC 27702

Start Manual Application Process

Part 2. Register Your NPI Number

To be able to submit claims, you' need a registered NPI number.

To Receive Direct Payment for Claims

Registration of your NPI does not guarantee direct payment. Claim payments are only made directly to you if you have an active BCBSNC contract.

If you wish to become a contracted provider with BCBSNC, select "Participation Contract Request" on the enrollment form.

Select your enrollment application below. We've also included links to instructions to help you fill out your application.

Send us your enrollment application and Taxpayer ID form:



Mailing address
Blue Cross and Blue Shield of North Carolina
Attention: PrIMO
P.O. Box 2291
Durham, NC 27702-2291

Already Have a Registered NPI Number?

If you have a registered NPI number with us, you’ve completed the credentialing step and are requesting an in-network contract, please call the BCBSNC Provider Service at 1-800-777-1643, option 6, to initiate your request. You can learn more about the process in Part 3 below.

Have You Left a Group To Set Up an Individual Practice?

If your NPI number was already registered due to your affiliation with another group and you're now starting an individual practice, you’ll need to complete the steps above in Part 2.

If you requested to become an in-network BCBSNC provider either by completing Part 2 or by contacting us, your request will be forwarded to our BCBSNC Contracting team.

Part 3. Get a Signed Contract

Requirements For Getting a Signed Contract

Before getting a participating BCBSNC contract you’re required to:

The contract process takes 30 days from either the date we received your enrollment application or from when you called us.

If after 30 calendars days you have not heard from us, please call BCBSNC at 1-800-777-1643, option 6, to check the status of your contract request.