Learn more about the standards expected below.

• Practitioner Initial and Recredentialing Standards Matrix
• Facility/Institution Initial and Recredentialing Standards Matrix
• Access and Availability Standards
• Medical Record Standards
• Facility Standards for Practitioner Offices
• Facility Standards for Urgent Care Offices

To streamline the credentialing application process, we work with CAQH. Fill out one online application for use with over 650 of the nation's leading health plans, hospitals and practitioner groups, saving you time and paperwork. Providers must be licensed in order to be credentialed (some exceptions may apply).

Apply for Credentialing »

After completing the online application, email CredentialingRequests@NebraskaBlue.com with the following:

• Provider's full name (first name, middle initial, last name)
• Provider's date of birth and gender
• The provider's nine-digit Social Security number
• Provider NPI
• NE license number:
• CAQH Provider ID Number
• Address of the office where the provider is requesting to be credentialed (facility name, address, city, state, ZIP and office phone number)
• Type 2 NPI or Group NPI:
• Office location start date (MM/DD/YYYY)
• Tax ID number of the office where the provider is requesting to be credentialed
  • Does this Tax id (group) only practice remotely/telehealth?
• The provider's specialty type (e.g. MD - Family Practice, PA, PT, etc.)
  • Is the provider Medication Assisted Treatment (MAT) certified?
  • Does the provider offer Telehealth Services?
• Contact information of the representative submitting the credentialing information

Note: You must receive confirmation from CAQH that your application is completed in order for BCBSNE to start the credentialing process. The information provided to BCBSNE will be used to obtain information from the CAQH database. The information will be pulled and processed in the date order received. Please refrain from submitting the request to BCBSNE more than 60 days from the start date of the provider.

If you are a provisional provider or Registered Behavioral Technician (RBT), please complete the Provisional Provider Form.

If you are part of a Physician-Hospital Organization, contact your PHO representative directly.

If you are credentialing on behalf of a facility, please email BCBSNE directly at CredentialingRequests@nebraskablue.com.

We've reviewed the provider community's most-asked questions and created this online resource library to offer you easily-accessible information and process transparency. These guides should always be the first stop to verify or clarify any portion of the credentialing process.

• Credentialing Timeline
• CAQH Credentialing Steps
• Technical Troubleshooting
• Online Credentialing Application Tutorial on CAQH.org

Log into CAQH to check application status »

You can also make a manual request for status updates. Please allow additional time to process manual status updates as these require in-depth research by our credentialing staff.
How to Manually Request Status.

Additionally, see  Top Causes of Credentialing Delays.

When an entire TIN is moving from one contract/credentialing entity to another contract/credentialing entity, we require the below information to ensure there are no gaps in moving provider information. This is to help prevent abrasion or disruption of claims.  

A minimum of 30-45 days advance notice is required from either the group or the PHO that the group is moving to. Please send all of the information below to DelegatedNotices@NebraskaBlue.com

• Provider Name (of the provider and/or practice) moving
• Name of entity moving FROM
• Name of entity moving TO
• Tax ID
• Address
• Effective date (month/day/year)
• Per credentialing guidelines, effective dates will not retro – this is the reason for advance notice
• Term notice from the group or previous PHO
• Roster of providers (this is used as a sync up to make sure we’re moving all the correct providers)
• Listing of current contracts (current networks – MedA, BluePrint, Premier Select Blue, etc.) this will help us identify any narrow networks which may be lost in the transition to a new PHO
• Please do not submit claims until you have received notification the transfer is complete. All claims submitted prior to receiving the notification must be resubmitted for processing.  

Note:  Network transfers are the responsibility of the provider to maintain and ensure transfers are done appropriately

Send an email to HealthNetworkRequests@NebraskaBlue.com with the following information:

• Provider Name (of the provider and/or practice) terming
• Provider NPI
• Tax ID
• Address
• Term date (month/day/year)

Please ALSO include the following (if applicable):

• No longer participating with BCBSNE
• Transferring your contract to another group
  • Indicate which group you are working with so that we can coordinate efforts

Termination request without a transfer notice, BCBSNE will process termination, notification letters sent out to all members that have seen the provider within the last 18 months.

Termination request with transfer notice, BCBSNE will sync with both parties and transfer accordingly, termination letters will not be sent out.