CAQH Credentialing for Providers

As part of an ongoing commitment to both our subscribers and our network practitioners, BCBSNE has developed a Credentialing program that must be completed prior to participation. Credentialing policies and procedures have been established in compliance with Nebraska law, and modeled after URAC and NCQA standards.

The Credentialing Process

Blue Cross and Blue Shield of Nebraska has partnered with CAQH to streamline the credentialing process; allowing you to fill-out a single online app for use with over 650 of the nation's leading health plans, hospitals, and practitioner groups... saving you time and paperwork!

Are you ready to credential with BCBSNE? Initiate the credentialing process by registering online at CAQH. 

Once you have completed CAQH's registration process and have received a confirmation from them, email 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
  • CAQH Provider ID Number
  • Location of the office where the provider is requesting to be credentialed
    •  Provide the complete office address (facility name, address, city, state, zip and office phone number)
  • Office location start date
  • Tax ID number of the office where the provider is requesting to be credentialed
  • The provider's specialty type (e.g. MD - Family Practice, PA, PT, etc.)
  • 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.


  • Providers must be licensed in order to be credentialed (some exceptions may apply).
    •  If you are a provisional provider, please complete the Provisional Provider Form. (pdf)
  • If you are part of a Physician-Hospital Organization, contact your PHO representative directly.
  • If are credentialing on behalf of a facility, please email BCBSNE directly.

How It All Fits Together

We've reviewed our 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 a "first stop" to verify or clarify any portion of the Credentialing Process.

Credentialing Timeline (pdf) Credentialing and Contracting Q&A (pdf)
CAQH Credentialing Steps (pdf) Top Causes of Credentialing Delays (pdf)
Technical Troubleshooting (pdf) Online Application Tutorial Video POPULAR

Status Updates

Individual Provider LOGIN Practice Manager LOGIN Manually Request *

* Please allow additional time to process manual status updates as these require in-depth research by our Credentialing staff. We recommend utilizing the Online system when possible.



The percentage of the bill you pay after your deductible has been met.


A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 


The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.


Includes behavioral health treatment, counseling, and psychotherapy

in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)


Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.


If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.


The amount you pay to your health insurance company each month. 

Preventive services

Health care services that focus on the prevention of disease and health maintenance.


Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).


A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.