Facilities
What are facilities?
A facility is a health care organization or physical location, also called a site of care, where medical services are provided. This includes hospitals, surgery centers, imaging centers, or nursing facilities. Facilities have a Type 2 National Provider Identification (NPI) and are separate from group practices.
If you’re unsure which NPI type you have, use the National Plan and Provider Enumeration System NPI lookup to confirm.
How to join the Blue Cross NC network
Facilities looking to participate in the Blue Cross NC network need to complete a few steps.
Before getting started it's important to review what documents you'll need to complete the application. Each kind of facility has different requirements, so review these closely.
Facilities need to register their Type 2 NPI before they can submit claims and receive payment.
Use the Provider Group Enrollment Form to register your Type 2 NPI.
After completing the first four steps, you'll receive a Network Participation Agreement.
If you don’t receive your agreement within 30 days of finishing these steps, contact us at 800‑777‑1643, option 6.
How to complete recredentialing and maintain in-network status
Blue Cross NC starts the recredentialing process as facilities approach the three‑year credentialing cycle. You will receive an email when recredentialing is due.
To complete recredentialing, facilities are required to submit an updated application and supporting documents. Maintaining a complete and up‑to‑date CAQH profile can help streamline the process and avoid delays.
You also need to keep your personal and practice information up-to-date by: