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Credentialing Changes Effective March 1

February 6, 2025
 

Starting March 1, 2025, Premera Blue Cross is transitioning to electronic applications for credentialing and re-credentialing. This change will streamline the credentialing process for all providers contracted with Premera Blue Cross. Paper applications won’t be accepted after March 1.

Submitting your application electronically saves processing time and eases the administrative hassle of sending paper applications to multiple health plans.

New vendor CAQH aims to streamline process
Providers can submit their applications through our new vendor, Council for Affordable Quality Healthcare (CAQH). To ensure a smooth transition, make sure you identify Premera as a health plan that can access your application through CAQH.

How to get ready for the credentialing changes

  • Look for CAQH information on the Premera Join Our Network web page.
  • Make sure you have a current account with CAQH. If you’re not sure, call 888-599-1771 to avoid creating a duplicate account. If you do have a CAQH account, attest to your credentialing information (if beyond 120 days) by signing in to CAQH.
  • Register with CAQH if you don’t have an account. Go to the bottom of the page and select “If you are a first-time user, register here.”
  • Identify Premera as a health plan that can access your application or indicate global authorization. If access isn’t granted through CAQH, we can’t retrieve and process your application.

CAQH training resources

For training resources, visit the CAQH training portal. Registration is required to access training resources.

Call the CAQH Solution Center at 888-599-1771, Monday through Friday: 8 a.m. to 8 p.m. (ET).

We appreciate your patience as we make this important transition. Stay tuned for more updates in Provider News.