Group practices
What is a group practice?
A group practice is an organization that represents multiple individual practitioners and has a Type 2 National Provider Identification (NPI). Group practices are separate from facilities, such as surgery centers.
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
Register your group with the Council for Affordable Quality Healthcare (CAQH). Credentialing verifies your education, training, licensure, and professional history. It also verifies required group and provider information.
Email your group’s CAQH ID to credentialing@bcbsnc.com.
Submit the Provider Group Enrollment form.
Enrollment tells us where and how your group practice is structured so we can register your NPI in our systems.
After completing the first three steps, you'll receive a Network Participation Agreement.
If you don’t receive your agreement within 30 days of finishing these first three steps, contact us at 800‑777‑1643, option 6.
How to add a new provider and/or new location
Any providers being added to the group practice, including providers new to the Blue Cross NC network, must register with CAQH and email their CAQH ID to credentialing@bcbsnc.com before enrollment.
If they're already registered with CAQH, they will need to make sure their information is up-to-date before continuing the process.
Enrollment is required whenever providers or locations are added, even if the group practice is already in network. The process ensures providers, locations, and NPIs are correctly registered so claims and payments are processed accurately.
If you are adding one provider and this provider will practice at one or two locations, complete the Individual Practitioner Enrollment form.
If you are adding multiple providers and/or you're adding or changing multiple locations, complete the Group Enrollment form.
How to complete recredentialing and maintain in-network status
Blue Cross NC initiates recredentialing as groups currently participating in the Blue Cross NC network approach the three-year credentialing cycle. Maintaining current information helps avoid payment delays and ensures providers remain visible to members.
To maintain your group's in-network status, you need to attest in CAQH every 120 days. Also be sure your personal and practice information is up-to-date by: