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!
To begin the Credentialing Process, simply complete and return our electronic Request to Participate form. If you're not currently enrolled in CAQH, they will contact you directly with your next steps. If you are already enrolled in the CAQH credentialing initiative, we'll attempt to retrieve your digital app as soon as we receive your Request; please be sure to set BCBSNE as an authorized entity to access your CAQH information.
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.
* 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.